HomeMy WebLinkAboutNotice of CommencementAFTFR RF.('Qlt DYNO — RETURN TO:
PERMIT NU,LIBER:
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.
DESCRIPriON of PROPERTY (Legal description ofthe property & street address, if available) TAX FOLIO NO.:? i t� —foo
3DIYISION BLOCKQ_7TRACT LOT BLDG UNrT—
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3. OWNER MFORINRarrc
ION OR LESSEE INFORMATION 1F THE LESSEE CONTRACTED FOR THE LMPROYEAIENT-
a. Namc and address:
b. Interest in property:
a. Name and address of fee simple titleholder (if diffcrem from O%Nmrx listed above):
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ShoreLine Roofing
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4., a. coNTRACTOR'SNAME:
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contrattor'saadres;1973 SW Glendale ST. Port Saint Lucie, FL 34987 b,Phonenumb,.. 772-260-9565
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5. SURETY (ifapplicable, a copy ofthc payment bond is attached):
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a. Name and address
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b. Phone number. c. Amount ofbond: S
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6. a_ LENDER'S NAME:
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Lender's address: h Phone number:
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Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by
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Section 713.13 (1) (a), 7., Florida Statutes:
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a. Name and address.
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b. Phone numbers of designated persons:
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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 o£p rson or entity designated by Owner.
-0 9: Expiration date of notice of commencement (the expiration date will be i year from the date of recording unless a different date is
specified): ,.20_ �I
AtlA41VIAif: Trl"!1\rlATCD• AT,7V DAVnACTiTC`R.1AilC,f]VTrl�l1\1n.IC0 ACTC4 TL]T: CYDIU ATrlIT.Tf1C TllII\IIITI(�C AC I`,�M1nnrtri.i!'.cM1rcf.tm 1
(S- aGre of Owner o ssee, or Owner's or Lessee's (Print Name and'Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/%ianager)
State of
County of mcu -t��
The foregoing instrument was acknowledged before me this day on , 20��
by as
` 'le of person) (type of authority, ... e.g. officer, trustee, attorney in fact)
for
. (name of party on behalf of whom instrument was axecutcd) I
Personally Known or Produced Identification / Type of Identification Produced
w...t«rn►�+r
BRANDY MOORE
Notary Public -State of Florida
_� •i Commission # GG 102839
My Commission Expires
5 'r rtitt�`` May 09, 2021
Rev.•1 -
44 cn d I I , Qa)a Q
(Signs a of Notary Public) .
(Print, Type, or S;mkCjbmmissioned Name of Notary Public)