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EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3219402 OR BOOK 2'^ ; PAGE 2902, Recorded 06/12/ 3 at 04:19 PM
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PERMrrNUMBER: Q 8 D D, 1l
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The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of c I ornmencement. ,�,,,r��
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 44�$- � '�� / `GAL
2. GENERAL DESCRIPTION OF IMPROVEMENT: L1
3.OWNER INFORMATION: a. Name
b. Address rkA CCU.) • _
d. Name and address of fee simple titleholder (if other than
4. CONTRACTOR'S NAME, ADDRESS AND PHONE kp
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND 1
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the State of Florida designated by Owner upon whon
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
713.13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1
specified) , 20
Signature of Owner or
Owner's Authorized Officer/Director/Partner/Manager
State of Florida
County of
The foregoing instrument was acknowledged before me this _ ,
By t / as
(Name o prso /
For % / • " d
(Name of party on behalf of whom instrument was executed)
, V, •C q 2
(Printed Name of Notary Public) (Signature of Nota
Under penalties of perjury, I declare that I have read the foregoing
belief (section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owner(s)' Authorized Of
BY ,ati' .': hirif
Rev. 30ROo7(R—riling) Comm
Expires
BodTroyA
c. interest in property
notices or other documents may be served as provided by
a copy of the Lienor's Notice as provided in Section
from the date of recording unless a different date is
Name and Provide Signatory's Title/Office
®�IRTSo
o h
lay of 20 ljF
of authority ... .g. Owner, officer, trustee, attorney in i=d(+to
Ily Known or produced the following type of ID:
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that the facts in it are true to the best of my knowledge
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w/Director/Partner/Manager who signed above
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on # DD462759
ptember 28, 2Q09 ®� 6' G'
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