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FLA 1967 LAWS SEMINOIE iORM 40e
FS NOTICE OF COMMENCEMENT
~/R[/ARt tN ~u?LICATt~ 55811
State of Florida l -
County of j
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accord-
ance with section 713.13 of the Florida S/fatales, the following informatioCn ~is stated in this NOTICE OF COMMENCEMENT.
Desuiption of property.......~C..~.-.../...~=
.................~..~/..~•.~...........f.Z...J..................~P.G.........~...~................................................
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General desai wn of i ~ ~ ~ ~
pt' mprovements...---- ---{~C~------.....~......~~ ....._...~1--~..t~3~?...........~~.1'1..2.~.
Owner. . /
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Address ............~J..~j.?%.........`~ . CJ.~ .l ^
Owner s interest in site of the improvement -
Fes Simple Title holder (if other than owner)
I Name..... l ~ ~''~7 t`" _
Address _ .
~J,v,~,~..~.......... ~ / >.2.....
Contractor _ /~..C?72~.~..
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~ Address ...............~..~.,~..C...............~..C ..U./C.l....?.~-.......
...............1......_..~.C...~..~ .............~~.:~Y~
i Surety (if sny) ~?.~/.!1....~~.: _ . _
Addrass ---................_..........................._Amount of bond
Name of perrso/n within the Stale of Florida designated by owner upon whom notices or other documents may bs served:
Name.........f.v..~e~
Address
In addition to himselF, owner designates the Following person to receive a copy of the Lienor's Notice as provided in Section
713.13 (1) (AF), /Florida Statutes. (Fill in at Owner's option).
Address
TNIe SPAC! FOR RECORDER'S USE ONLY - -
~ 58 1 N,a„~ ~~l~l, .
SO
~ 130 t; ~'1 -4 i I ~ S~ Owner
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s, ~ - • r t : w,t' ~j".~r wbsrnbed before me this ~
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Fr : , : _ day of .
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Notary Public ~
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