HomeMy WebLinkAboutNotice of Commencement AFTER RECORDING–RETURNTO: '
PERMIT NUMBPP, "
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. DESCRIPrIOyF F PROPERTY(Legal description of the property&street address,if available)TAY FOLIO NO.:
SUBDIVISION & &I/Q BLOCK �' TRACT LOT BLDG UNIT
A 1 .. Yes -alli L I� t� 6Z3 Ll
2. CENERALDESCRIPTIONOFIMPROVEMENT:
3. OR'NER INFORMATION OR LESSEERFORNIATION IF THE LESSEE CO.R1�T�t%CfTED FOR TIDE MPROVEMEN{': �, 2
a.Namc and address:–f/t�-1_�i-�_ e o a3. r l M-4�Vtf ('Ile f—//–I t�i L��G J
b.Interest in property: "
Q Name and address of fee simple titleholder(if different from Owmcr listed above):
4. a.CONTRACTOR'S NANIE:'ShoreLine Roofing
Contrictor'saddress:1973 SW Glendale ST. Port Saint Lucie, FL 34987 b.Phan,number.772-260-9565 o y
M;UF>O
S. SURETY(ifa linable,a ca Z
PP PY'ofthe payment bond is attached): X 00 a r-S
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a.Name axil.address: Z m c_-- -- Z p CO n.
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b.Phone number. c.Amount orbund:S a+A a 0-
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6.a–LENDER'S NAME: - - o O 1 0
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Lender's address: b.Phone number c x
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: 2
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a.Name and address: -- - _. - - - v-u Q
b.Phone numbers ofdesignated perso= _- _- ,� C
8,a.In addition to himself or herself,Owner designates of z 0
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. 0 C
b.Phone number of person or entity dcngmted by Owner.
1 .
9. Expiration date of notice of commencement(the expiration bate will be 1 year from the date of recording unless a different date is
specified):-,20_
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT '
ARECONSIDEREDMPROPER PAYMENTS UNDER CHAPTER 713.PART 1.SECTION 713.13 FLORIDA STATUTES AND CAV
RESULTIN Y R PAYM TWICE FOR IMPR VE T Y PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
P ON n4E J B F EFORF,TRE FFRST INSPEMON, You NC T
_-WTMY0URLE OR AN ATTORNEY DErQRE COMMENCING WORK OR RECORDM YOUR I 10E OF COMMENCEMENT.
Signature of Owner or Lessee,or Owner's'or essee s (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/VIanager)
State of
County of
The foregoing instrument was acknowledged before me this day of ,20 \J
by as
forI name o
A (nam (type of authority,...e.g.officer,trustee,attorney in fact)
(^ t��
(name of parry on behalf of whom instrument was executed)
Personally Known or Produced Identification Type of Identification Produce, r
�w�ro,aarars.+�,>,.rt�wrwueaw '
BRANDY M O O R E (Si a of Notary Public)
A; Notary Public-State of Florida (Print,Type,or S Commissioned Name ofNotary Public)
Commission #GG 102839
'�.;jj1111,;.�. My Commission Expires
May 09, 2021
Rev.10-: