1838 Tierra Verde Dr RERF21-0206 NOCDoc # 2021213455, OR BK 19867 Page 840, Number Pages: 1,
Recorded 08/17/2021 04:08 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Permit No
State of Fl.
.. JTICE OF COMMENCEMEN'i
(PREPARE IN D'P). LATE
Tax Foiio No Av► !7 d — )s
Co inty Of DW1V
To whom it may concern:
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. ,��y7y
Legal description of property be ng Imgroved �/1_ wv V g" Z —9?49
Address of
General description of improvements Roof replacement.
Owner 11 L J �2
Address 0,W&T-C
Ovmer's nterest in site of the improvement
Fee Simple Titleholder (if other than o, ner)
Name
Address
Contractor I(&D Roofing & Constntction Co. hic.
Address 74 6th St South Jacksonville Beach, FL ; I2-1'11
Phone No 804'541-1700 Fax No
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 then himself, designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No Fax No.
n 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 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):
THIS SPACE FOR RECORDER'S USE ONLY OYYNER 01
1 ,
Signed, D
Before me ads day of
„
C n a wal. S t r has personety appaar.d
4
• v horsed arid affirms diet all stwmena and deGerao
IS y SHERRf LYNN EkANISER
are trw and accurate
; .Y�.1 Notary Public - State of Florida
i_4 Commission M HN 471:
Aly Comm. Expires A1ay 31, 20Ie
'
Bonded through National Notary Assn,
N Public a1, slae of . Caunry of
My commbslon • res
Psrs*mlly Known
or
Produced Iderrti