HomeMy WebLinkAboutNOC.4
NOTICE OF COMMENCEMENT
Permit No.`Q 10z4y Tax ID #
State Of T14 County Of L j�
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.
Lega scripty. rfT&rty/nd tree address, if available,
___ `,
General de ption o improvements L� 3
Owner A U cl C- eq -7
Address `� •
Owner's interest in site of improv ment91
Fee Simple Title holder (if other than owner)
Address
Contractor0 kn y Phone,,
Address r ) S' Vt Q-' v'� ` o % O Fax #
Surety Phone #
Address Fax #
Amount of Bond $
Lender / Phone # .
Address Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by a-., -n ,
Section 713.13 (1) (a) 7., Florida Statutes: � CD
Name Phone # a C0
Address Fax # m � m
In addition to himself, owner designates of (Phone # .= cr o
Fax # ) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. � -I
.. :C,
Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. L
(Date) o co r-n
cr, m
r EOM_
O ERS SIGNATURE I �'
STATE OF FLORIDA, COUNTY OF u C" <— C_r
Acknowledged before me this ,, day of �A,�/. , 20 c / ,by �oy�/�.,�J� , who is oe�s9u_i_1�r known to me ar, _
who has produced as identification. M m
H
' L77 C
(seal) SIGNATURE OF NOTARY
i�" P&" Linda D. Camplin
MY COMMISSION # CC74851 o EXPIRES
^' June 4, 2002
;oFFQ BONDED THRU TROY FAIN INSURANCE INC
ST. LUCI cowlTYY
DA
TIFy
THIS ISTO CE1 FtEC f COPY OF HATTHISIHE
TRUE AND COF1
ORIGINAL.
TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
''N4- 6C?4?sr1aCOMMISSIONNUMBER
01
{
�t r
,t
'I
m c
171
L•J I
U�7
H
r—
C
n
H
m
n
O
C
—I