HomeMy WebLinkAboutNotice of CommencementI
AFTER RECORDING - RETURN TO:
PERMIT NUMBER:
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NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY (Legal description of the ro III '1301 -605 -0397 -OC
( ga p p petty &street address, if available) TAX FOLIO NO.:
SUBDIVISION LAKEWOOD PARK BLOCK TRACT LOT BLDG UNITS
MAP 13/02S '9
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2. GENERAL DESCRIPTION OF IMPROVEMENT:
REROOF (NEW ROOF)
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE I51PROVEM Ni:
a. Name and address:
JOHN W JONES 8205 DELAND AVE,FORT PIERCE,FL. 34951
b. Interest iOWNER
n property: i6
c. Name and address of fee simple titleholder (if different from Owner listed above):
4. a. CONTRACTOR'S NAME: JOHN G. CANNON '
Contractor's address: b. Phone number.
7901 CIRTUS PARK BLVD. FT.PIERCE,FL.34951 772-468-0202
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5. SURETY (ifapplicable, a copy of the payment bond is attached):
a. Name and address:
' • - b. Phone number: c. Amount of bond: S II'
6. a. LENDER'S NAME:
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Lender's address: b. Phone number: i
7. 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) (a) 7., Florida Statutes:
a. Name and adamss: !
b. Phone numbers of designated persons:
8. a. 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.
b. Phone number of person or entity designated by Owner:
9. Expiratigp cJate��notice of cofnfttencement (the expiration date will be 1 year from the date of recording unless a different date is
specified): „uC� 20_
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or Less , or Owner's or Lessee's (Print
State of f cu'A--
County of
The foregoing instrument was acknowledged before me this RU day of 20
by c CSI\(1 �i.� c�SLQ�S as fiC Ci1'UL�r
(name of person) (type of authority,... e.g. offict
for
(name of party on behalf of whom instrument was executed)
Personally Known or Produced Identification . ✓ Type of Identification Produced I�IZL
` 'PA pta,,`'El SL
UTSKY
a Notary Public -State of (Signature of Not
W My Comm. Expires Feb Florida9, 2018 (Print, Type, or Stamp Commiss.
iFr)F Commission # FF 083522
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Rev. 10-15-12
Signatory's T
astee, attorney
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ied' Name of Notary Public)
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