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AFTER RECORDING — RETURN `ro:
PERMIT NUMBER:
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.
1. DESCRIPTION OF PROPERTY (Legal description of the property & street address, if available) TAX FOLIO NO.:
SUBDIVISION BLOCK_ TRACT LOT 1 BL
2.
3. OWNER INFOF
a. Name and address:
-101„0001 -000-i
-21NO-Ae4,
IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Q V
, b. Interest in property. ()VO Inv r
c. Name and address of fee simple titleholder (if differeut from Owner fisted above):
4. a. CONTRACTOR'{S NAME: \.. V OI,ST4 \ 4N IAIFIS`r1� IQV�Js
Contractor's address: 1) 9tG �V) � j na Cj q jq C I � Psi I' 1 3 N i D � b. Phone number:
5. SURETY (if applicable, a copy of the payment bond is attached):
a. Name and address:
b. Phone number. c Amount of bond: S
b. a. LENDERS NAME:
Lender's addrcsa: b. Phone
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided b
Section 713.13 (1) (a) 7., Florida Statutes:
a. Name and address:
b. Phone numbers of designated persons:
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 ofperson or entity designated by Owner.
9. Expiration date of notice of commencement (the expiration date will be I year from the date of recording unless a different di
specified): , 20
mature of Owner or Lessee, or Owner's or Lessee's
Authorized//OiScer/Di¢ector/Pardner/Manager)
State of l �� -
44
Comity of r4 L1.1- ,e
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(Print Name and Provide Signatory's Title/Office)
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The foregoinginstrumentwas acknowledged before me this � day of r'i r( /20
by
(name of son) (type of authority,...e.g. officer, trustee, attorney in fact)
for
(name of party on behalf of whom instrument was executed)
Personally Known / err Produced Identification Type of Identification Produced
Dw ®68 ' �14
I Comm. GOW
Ex • Feb. 9, 2024
Rev. 10-15-12
(Signature of Notary Public)
(Print, Type, or Stamp Commissioned Name of Notary Public)