HomeMy WebLinkAboutNOCJOSEPH E. SMITH, CLERK CHE CIRCUIT COURT—515>fiFk COUNTY
FILE # 4331765 OR BOOK 21 PAGE 12181 Reco iiWIb Pr� ki91114 A 11.A : 43
THIS IS TO
TRUE AND CORRECT COPY OF THE o
ORIGINAL .
J �EPH E. sUKCLERK
De Y
NOTICE OF COMMENCEMENT
gam) To be completed when construction value exceed
s $1,500.00
PERMIT a: Ina%-o.3s6 TAXFOLIO0 1.34 V01- 0006 Oo0'r
STATE OF FLORIDA COUNTY OF
The undersigned hereby gives notice that improvementwIll be made to certain real property, and in accordance with Chaprer713, Florida
Statutes, the following information is provided in this Notice of Commencement_
LEGAL DES RIPTIOtLOF PROPERTY ( AND STREET ADDRESS IFAVAI1�1BLE)
Mr4lokbaJft1YS1.eTl, ; `J 7b 1 614O:.e OO-D ktf, >✓� f lfle :
GENERALDESCRIPTIONOFIMPROVEMEW., I�1 X ?` 0 J-ce4r-PIL7'C SLRQ It)461 X6,499-1 ht'014
OWNER INFORMATION ols�S E R � RMATISNVFF T14 jF� FF CONTRACTED FOR THE IMPROVEMENT:
Name: n1 j /`�)1T
Address: 641 KAI0l 0 / I _ t (, /
Interest in property: O Q A4 Jr--' I
Name and address of fee simple title holder (If different from Owner listed above):
CONTRACTOR'STt ME: zS �.�[d�J s f. Phan No.. 77 L ' y • Q - 6 S B S
Address:-_ �� 1 m; *Z -47-- PRIT ZT, qcw. Fc, ?44N33
SURETY COMPANY (if applicable, a copy of the payment bond is attached):
Name and address:
Phone No.: Bond amount:
LENDER'S NAME: Phone No.:
Address:
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 vnone No.;
Address:
In additionto himself or herself, owner designates of to
receive a COPY of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statues.
Phone number of person or entity, designated by Owner:
Expiration date of Notice of Commencement:
(the expiration date may not be before the completion of construction and final payment to the contractor, but will be i year from the date of
recording unless a different date Is specked):
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION Of THE NOTICE QF COMMENCEMENT ARC CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 7SECTION 713 1-AFLORIDA STATUTES AND CAN RESULT IN YOUP PAY'NGTWICE FOR
IM
PROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEME T MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
lSP DON, IF YOU INTEND TO OBTAIN FINANCING�ONSUCT Wrr YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMEN1.
read the foregoing and that the facts in it are true to the best of my knowledge and belief.
of Owner or Lessee, or Owner's or Lessee's Authorized
0 4? 4XA
signatory's Tltle(Otflce
The foregoing Instrument was acknowledged before me this 7 day of
ras Q ty� i forBy,TAr,
Name of perspr- / Type of authority (e.g. officer, trustee)
20 7
Party on behalf of whom instrument was executed
61 1 Personally known 0 or produced identification D
NotarysS�gnature Type of identification produced
(Print, Type, or Stamp Commissioned Name of Notary)
T.\BLD%Bldg_FormslNew ApplicationsWormsWotice Of CommencemenLDocx
Rev. 9115/11