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Permit No. Tax Folio No. ��
State of Florida County of St.Lucie rn N-m
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The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713. N o 0
the following information is provided in this Notice of Commencement. N N =
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Legal Descri tion of Pro er
ty:(and street ad ress if available): � n
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General description of improvement:I\JC(}i,��� � �5, v e
Owner information or Lessee information if the Lessee contracted for the improvement:
Name
Address t >Sq comp iCs MA- Pim
Interest in property: OW�Q t
Name and dldress of fee simple titieholder(if different from Owner listed above):
Contractor's Name: 7111�1- G rS
Contractor Address: i rJS CC 0NtY\Q, � 1 Q Phone Number -q– =,A,0q-0o0
Surety(if applicable,a cppy of the payment bond is attached):Amount of bond:$
Name and address:NR\ Phone number:
Lender Name: N Phone Number: A
Lender's address: JJ
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(1)7.,Florida Statutes:
Name: .N 1-R Phone Number: IVIG
Address:Q4 110--�
In addition to himself or herself,Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Phone number of person or entity designated by owner:
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,.AND CAN RESULT IN YOUR PAYING TWICE FOR.
IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT P1lUST BE RECORDED AND POSTED ON THE'OB SITE BEFORE THE F11R ST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY.BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge and belief, l
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(Signal re of Owner o,.Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instrumelnt was acknowledged before me this �
day of�C2C "�
as for h1. (1A,_ 0, `.
Name of PersonType of authority(e.g.officer,trustee) Party on behalf of whom instrument was executed
Personally known_or produced Identification
('Sign Lure of Notary Public-State of F `
(Print,Type,or Stamp Commissioned m ry Pub licbE®ORAH ED966942
Type of Identification produced 1
.° Ngtary Public-St
Commission#�
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