HomeMy WebLinkAboutRecorded NOCPERNETNUh1BER:
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the folloadng information is provided in this Notice of Commencement. i"? 7V cl/ �" tj�i�-
1. DESCRTtLL? 40F PROPERJ;Y (Legal descd ion of the property & street address, if available)) T.4X FOLIO NO.: ei
`_ d l d P !'Y7 i lrr ✓r
2. GENERAL DESCRIPTION
3. OWNER
a. Name and
b. Interest in
Name and address of fee simple titleholder (if different from Owner listed above):
a 0 -a N L a. CONTRACTOR'S NAME: O'Donnell Impact Windows & Storm Protection
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a o = -t y Contractor's address: 6402 SE Federal Hwy, Stuart FL 34997
FOR
772-408-0200
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a m m N SURETY (if applicable, a copy of the payment bond is aeached):
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i. Name and addrss:
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Phone number c. .4movnt ofbond:
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o 6. a LENDER'S NAME:
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a O Leader's address: b. Phone number:
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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:
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2 -i a. Name and address:
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Cb. 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 ofpuson 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): , 20
(Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of
County of
The foregoing instrument was acknowledged before
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this (v v day of 20
by SRI% !� Lit 1 g' iY' ' (I➢ -t �/ , as o� ��
(name of person) (type of authority,... e. g. officer, trustee, attorney in fact)
for
(name of party on behalf of whom instrument was exe ed)
Personally Known orProduced
p�Identification Type of Identification Produced
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NOTARvemIsSI •N#GG1l F FlARIDA G
(OFAhii5Si0flfG014�a RP21 (Signature of Notary Public)
MYCOtamlSsMF `sa (Print, Type, or Stamp Commissioned Name of Notary Public)