HomeMy WebLinkAboutNOCFTER GC R IR 'O:
PERMIT NUMBER:
NOTICE OI± COMMENCEN4EN'I'
The undersigned hereby gives notice that improvement svilI be trade 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 (t tgal description of the Properly & street address, if available) TAX FOIAO No.: 2532-500-00554)00-5
SUBDIVISION WATERSONG DLOCK TRACT LOT 41 BLDG u:rrr
WATERSONG PUD PLAT NO. ONE (PB 42-341 LOT 41
2, GENERAL DESCRIPTION OF IhIpROVE1tilENT:
OWNER INFORMATION OR LESSEE INFORMATION If THE LE,SSF.E CONTRACTED FOR THE IMPROVEMENT,
a. Name and address; Ownership Akins O Akinna be 4 Black Walnut TRL Palos Park, IL 60464
It. Interest in propgty: OWNER
c. Name and address of fee simple titicholdcr (ifdiffercnt Rom Owner listed above);
4. a. CO-%7RACTOR-SNAbIE: PAULIE PROPANE & NATURAL GAS SYSTEMS, INC
Conuaaor'saddress 4100 SE SALERNO ROAD STUART FL 34997 b_Phone numbcr: 7722202616
5. SURETY (if applicable, a Copy of the payment bond is attached);
a. Name and address:
b. Phone number.
fi_ a. LF,NDER'SNAME:
c. Amount ofbvnd.
Lender'saddrew b Phone number.
7. Persons ►�7thin the State of Florida designated by Ouster upon whom notices or other documents may be smed as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
a. Name and sd&css:
b. Phone numbers ofdcsigrated persons:
8. a. In addition to himself or herself, Owner designates of
to receive a copy of the Licnor's Notice as provided in Section 713-13 (1) (b). Florida Statutes.
b. Phone number of person or entity designated by owme
9. Expiration date of notice of commencement (the expiration date wil€ be 1 year from the date of recording unless a different date is
specified):, 20
of Owner or Lessee, dtxlwnees or Lessee's
State of
County of �—
(Print Name and Proi2de Signatory's Titie/office)
The foregoing instrument was acknowledged before me this �� day of !" d "4 20 '1- L
by NS . 0h� /up 4 as
for (name of person) (type of authority,__. e.g. officer, trustee, ananney in fact)
(name of party on behalf ofwhom instrument was executed)
Personally Known or Produced Identification Type of Identification Produced
MOHAMED A HAMMAMI Igaature of Notary pub )
Official Seal (fit, Type, or Stamp Commissioned Name of Notary Public)
Notary Public - State of Illinois
My Commission Expires Nov 14, ,Z024
Rev. 10-15-12
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