2025 Seminole Rd Unit 104 COMM21-0032 NOCDoc # 2021168655, OR BK 19795 Page 60, Number Pages: 1,
Recorded 07/06/2021 11:57 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Permit No _
State of Fbr4a
To whom it may concern:
(PREPARE IN DUPLICATE)
_ Tax Folio No 169723-0208
County of Duval
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of properly being improved:
09 -2S -29E NORTH SHORE CONDOMINIUM DWELLING UNIT B-2
Address of property being improved. 2025 Seminole Rd. Unit 104
Atlantic Bch. FI. 3223
General description of improvements: replace windows and door in home
Owner Pat Cosby
Address 2025 Seminole Rd. Atlantic Bch. FI.32233
Owner's interest in site of the improvement Owner
Fee Simple Titleholder (if other than owner)
Name
Address _
Contractor Ace Door & Window Service
Address 2220 Corporate Sq. Blvd. Jax It. 32216
Phone No. 727-6811 Fax No. 727.6813
Surety (if any)
Address Amount of bond
Phone No _` Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name _
Address
Phone No Fax No.
Name of person within the State of Florida, other than himself or herself, designated by owner upon whom
notices or other documents may be served:
Name
Address
Phone No - Fax
in addition to himself or herself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name
Address _
Phone No
Fax No.
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
different date is specified): June 16.2022
THIS SPACE FOR RECORDER'S USE ONLY OWqfR
Signed: __..---kd� .Y/v .. DATEBefore me lois of _. _ y --..__. . ----- in rhe
COWW.K orr1�'�a;. S e of FIT s personally appeared
ci- t _ herein by
himselfi herseil and aRvnx that ai tatements and declarations herein
are true arc accurate
1
-
Notary Public at Large. State of __ County of l (
My commission expires .-_....._ __ .. __._ ._.-.....-..
rotluted Identification
�Sr ► ANTOINETTE RITA HALE 4
Notary Public - State of Florida U
Commission / HH 047168 `
?oro My Comm. Expires Oct 31, 2024
Bonded through National Notary Assn.