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Permit No. ~.j.¿:~ ():7 ð/P .,,- (5 /f ¿,
State Of ,F)b~rtt~ . . '.,
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TIm UNDERSIGNED hereby gives notice that improveniënt wiU be made to certain realpròPertY, aDd ~th Chapter
?-I3, Florida Statutes, the following infonnation is provided in this Notice of Commencemmt. , -- "" ~ I "e-O
Legal.Des5k· tiOD o~roperty and street address, if available ~ /, #.. :? ~~- '.. JUN 2 5 2a _
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General desCIÎP-tion of improvements COt.¡ a
Owner
Address
Owner's interest in site of improvement
Fee Simple Title holder (if other than owner)
Address
Contractor
. Address
Phone #
Fax #
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surety
Address
AInount of Bond- $
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EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE. 3071721 0612012007 at 02:17 PM
OR BOOK 2837 PAGE 2555 - 2555 Doc Type: NC
RECORDING: $10.00
Lender·
Address
Persons within the State of Florida. designated by Owner upon whom notices, or other doaµnents may be served as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
Name Phone #
Address Fax #
In addition t~ himseJ4 OWDer designates of (phone #
Fax # ' ) to receive a copy of the Lienor's Notice as provided in Section 713. 1 3(1)(b), Florida Statutes.
Expiration date of notice of commencement.is one year nom the date of recording unless a different date ,is specified.
(Date)
(seal)
STATEOFFLORIDAJI COtJN'fVOF ß1r.~c:.-.e ' _
. Acknowledged before me ~ day of :-Ln-L ~ 2~by ()~Sa
who has producea-:t:::n.-¡~ LT C4 t\..L<;e as identificatiOD.
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-NOTARY PUBLIC TITLE
COMMISSION NUMBER