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641 David St ACC21-0013 NOCState of 1` i� t [� County of UVA- To Whom It May Concern: ,0 j �� t g: NOTICE OF COMMENCEMENT ACC21-0013 NOT FILED Tax Folio No. ( � 0 �— 0 000 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 property being improved: Address of property being improved: General description of improvements: A (I) DI��Z E� D� � %� % F} � 1c Owner:-= _ �t>--7 Address: TAA l�7C4 Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name; Contractor: 1 Address; Telephone No.: Surety (if any) Address: Telephone No: Fax No: Fax No: Amount of Bond $ 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, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2) (b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the d specified): , A , _ i THIS SPACE FOR RECORDER'S USE ONLY Doc # 2021198835 OR BK 10843 Pane 2'386, Number Pages: 1 uyy Recorded 08103/2021 03:11 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 OWNER Signed: / 16041'Y 71\e$' Before me this �— day, of _ Of Florida, has personally appeared Notary Public at large, State of.Flor My commission expires: }Q Personally Known: Produced Identification: q MY COMMISSION # GG 333178 a= EXPIRES: October 6, 2023 "n�antll=@�gr�Ptbli�Pe�YC ia9gers - ,4 - Date: 1110 1 3� ,-) © in the County of Duval, State I I or i