HomeMy WebLinkAboutNOCJOSEPH E. SMITH, CLERK C` n 'HE CIRCUIT COURT - SAINT LUC, \;COUNTY
FILE # 4330730 OR BOOK '�-20 PAGE 629, Recorded 07/17/� - 7 01: 39:36 PM
RECEIVED JUL 17 2017
STATE OF FLORIOA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
FTRUE AND CORRECT COY OF THE
ORIGINAL.. _
C
E.
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 113,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION RF PROPERTY (Legal description and'street address) TAX FOLIO NUMBER:
2. GENERAL INESCRIP'I'ION OF IMPROVEMENT: Pool & Screen Porch
3.OWNER INFORMATION: a. Name Raymond Chladny
b, Add,,, 4929 S. Indian River Dr. Fort Plerco, FL 34982 c. interest in property
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: -Z<54 lZl►ri"�� •o
18•e A -a JZ, C- , STrC Uc_i a-.1 -?- G, jZU_Si'i EirZi �1 �1t4ti 1 3 �'i
S. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: None
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: None i
7. Persons within the State of Florida designated by Owner upon whom notices or other documents iri q be served as provided by
Section 713.13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER' Raymond Chladny 4929 S, Indian River Dr. FDd Plert;6, FL 34982 772-631-5709
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (lxb), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBERt Debbie Stafford, 4929 S. Indian River Dr. Fort Pierce, FL 34982 772.831-4676
9. Expiration date of notice of conunencement (the expiration date is 1 year from the date of recording unless a different date is
specified) , 20
?t2,"P.J ("Eg4Y
a -f ner or Print Ni
me and Provide Signatory' Title/Office
Authorized 016cer/Director/Parttner/Manager
State of Florida '
County of - J1n.
The foregoing instrument Aas acknowledged before me this _day of
BY 4 CL 11n r , as (j� �, ;��Z A
(Name of son) _T_ (Type of authority...e.g. Owner, officer, trustee, attorney in fact)
For.
(Name of party ok6haJfof whom instrument was executed) Persanally Known_ or produced the following type of ID:,
PATRICIA C BISSETT
S Notary Public - State of Florlda
�C`� �f >a s + •= COmmlasian Ae FF 213082
( need Name of Notary Public) (Signature o b1ic) e ` ' � My Comm. Expires Mar 24. 2012
Under penalties of
pe perjury, declare that I have read the foregoing and that the facts in it
belief (section 92.525, Florida Statutes).
Signatures) of Owner(s) or Owuer(s)' Authorized OlTicerlDirector/Partuer/Mauager whosigned above:
By: By
&r. emrt bV