HomeMy WebLinkAboutNotice of Commencement AFTER RECORDING-RETURN TO:
PERMIT NUMBER:
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— y.--3 / . /✓ -/,�o o' ,boo 0
1. DESCRIPTION OF PROPERTY(Legal description of the property&street address,if available)TAX FOLIO/ NO.: "(///
SUBDMSIONS/?iD/5./z. (BJH - BLOCK TRACT LOT /6 BLDG _ UNIT
. ,a, _i a . - , v/ .6 ' 6 ger . 647e , +- 7 ie.t~_'2.
2. GENERAL DESCRIPTION OF IMPROVEMENT:���j A106:ifr- F L.' 3 4 9 5 1
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: {{
a.Name and address: 4—SA c.3.< st- S14.5A Ai Pt;:2A.,.i} /6 /A 6D5 Pei- /0,9/17-€.,-
b.
0,9/' r€.,-
b.Interest in property: (9(.f.)in)-&I`--
c.Name and address of fee simple titleholder(if different from Owner listed above): J(o,11 A?!,j 3 i L A)o,e'1-L:
4. a.CONTRACTOR'S NAME: My Affordable Roof fi�rr//
Contractor's address: 1585 Kennesaw Dr Clermont FL,34711 b.Phone number.77rp$ "Yc6 497/
5. SURETY(if applicable,a copy of the payment bond is attached):
a.Name and address:
b.Phone number. c.Amount of bond:S
6.a.LENDER'S NAME:
Lender's address: b.Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
a.Name and address:
b.Phone numbers of designated persons:
8.a.In addition to himself or herself,Owner designates of i
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. Expiration date of notice of commencement(the expiration date will be 1 year from the date of recording unless a different date is
specified): /—/6 ,20/?
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT 0-n rn c.
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART I.SECTION 713.13,FLORIDA STATUTES.AND CAN n Xi t j a y
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE O 0 h-m
RECO D AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT p O a r'2
WITH'YO LENDER O ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. I?± C)m
(� 50 1, l,v a'L�/L/vA O SI W N Z�
(Signature of 0 er or Lessee,or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) m N,,i-
Authorized Officer/Director/Partner/Manager) coo o
State of /C`"00. NrN T
County of G/ .L�G`moi w
t
o iJ 2
M
0
)
The foregoing instrument was acknowledged before me this i7 day of `11 0.it. ,20 tf -I c
by IC ' L''I-V /7eP2/l)4' ,as 0 IA)/1 f)
(name of person) (type of authority,...e.g.officer,trustee,attorney in fact) C) 0
for 77-/-e4/ 5.& / ç . z
-I
(name of party on- behalf of whom instrument was executed)
Personally Known II/or Produced Identification Type of Identification Produced
f .
la
io09. 4
..,kt, T0ig 15 JOHNS
MY COMMISSION#FF 103499 (Signature of• •to ;Public)
*.'1AJ5 * (Print,Type,or Stamp Co 'ssi..ed Name of Notary Public)
• a I EXPIRES:April 5,2018
\ofM1f Bated NO /get Notre Services
Rev.10-15-12
1