HomeMy WebLinkAboutNOCJOSEPH E. SMITH, CLERK G SHE CIRCUIT COURT — SAINT LU? COUNTY
FILE ## 4297584 OR BOOK .964 PAGE 1772, Reco EiO¢¢Ub4j'yjopF017 11:11:49 AM
ST CIE
Fr THISIIS TO COERTI Y THAT THIS IS A
TRUE AND CORRECT COPY OF THE s a
AFTER RDCOADINa-RETURN 'To ---
ORIGI L,
VCT- c6nS,-trucilp/�R',,—be4Z (.E $ APR 1 3 2017 SEPH E. SMITH, CLERK
1103 Facers cam F qY --n -r
Tb-r- ,per Pt— -53 Ci PERMITTING By•
PERMITNUMBER: �( St. Lucie County, FL #D puty1Cl9rk�,..-7
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The undersigned hereby given notice that improvement will be trade to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 4201-134-0003-010.5
SUBDIVISION BLOCKS TRACT_LOT BLDC UNIT
Bock 2875 / Page 66 9901 Range Line Road, Port St. Lucia 34987 (Verizon Wireless Slte# 68828)
2. GENERAL DESCRIPTION OF IMPROVEMENT: At ex. cell lower, replace 6 antennas and install support equipment.
3. OWNER INFORMATION: a. Name Verizon Wireless
b. Address 7701 Telecom Parkway, Tampa FL 33637 c. interest in property Lessea
d. Name and address of fee simple titleholder (if other than owner) WCA of St. Lurie LLC, 5002 SW 41st Blvd.. Gainesville FL 32608
4.CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: uci Cansaaaion SaMres, trot Ea.t sn avo., ramps, rt stsrsott-teeazaz
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: NIA
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: MIA
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:
NAME, ADDRESS AND PHONE NUMBER
8. In addition to himself or herself. Owner designates the following to receive a copy of the Lienot's Notice as provided in Section
713.13 (I)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) , _, 20_
Signature of Owner or
Owner's Authorized OfiPcer/Ddrector/Partuer/Mmaager
State of Florida
County of A
The foregoing instrument was acknowledged before me
CAr:,1 r, TUtlla,.na�..� IOyc5ly+e.it<+r rIun I-e-
Print Name and Provide Signatory's Title/Office
of.'Coti
(Name of person) (Type of aulhotity... e.g. Owner. Tfficer, trustee, attorney in fact)
For_ VEK.f LD-^ Wj P— j-e S S
(Name of party on behalf of whom instrument was executed) Personally Known ✓ or
t a MY COr.DPd's'B ON 0 =7011
Donis P. 0.�tlns�n F�uagskxaaA.aaa,
(Printed Name of Notary Public) (Sign Public) -
Under penalties of pedury, I declare that I have read the foregoing and that the facts in it we true to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Slgoattrre(s) of Owners) or Owser(s)' Authorized OfBe er/Director/Partner/Manager who signed shore:
By; an 111.1
ne�,ONrerAallaxWinel