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Permit No. n ()1- 63 !� !I
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ED No. N SO % -GOB+ d0! 1— 004 -to
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.
Description of property and addressif
General
Owner/1
Address
Interest in property:
Fee Simple Title holder (if other than owner)
Address —T
Contractor
Address
Surety
Address
Amount of Bond
Lender
3RILl--
Phone #
Fax #
Phone #
Fax #
Phone #
Address Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as p
by Section 713.13 (a) 7., Florida Statues:
Name Phone #
Address
In addition to himself, owner designates
Phone #
Fax #
Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
or Owner's or Lessee's Authorized
Signature
Signatory's Title/Office
State of Florida, County of M//4 kjtAer- �e//
Acknowledged before me this / , day of /V 20 17 by 1!?? J a Q R / ,
who is personally know t me or who has produced F — � as ide tification.
V/Z°/ L6{4/
nature of Notary Type or Print Name of Notary (Seal)
15E 17� LAWRENCE RADA
Title: Notary Public Commission Number (� c� NOTARY PUBLIC
c STATE OF FLORIDA
Comm# FF175396
Expires 11/11/2018