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AFPFR RFCORDING-RETURN M r
FF.RMIT NUMBER:
The undersigned hereby given notice that improvement will be made to certain
Florida statutes the following information is provided in the Notice of commenc
1. DESCRIPTION OF PROPERTY (Legal description and street address) TA
SUBDIVISION i3AY sr I ucie BLOB TRACT LOT.
2. GENERAL DESCRIPTION OF DWROVEMENT: Install James Hardie
3.OWNER INFORMATION: a. Name Michael Wolff, Barbara J Wolff,
b. Address 12150 Riverbend RD Port St Lucie, FL 34984
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Michae
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND A]
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the State of Florida designated by Owner upon whom notices
Section 713.13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a
713.13 (1)(b), Florida Statutes: �
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year frot
specified) , 20
A — . / _...0,.p.47---5.. N— — . V . -.�, ,. #I ..
Signature of &06r or' -
Owner's Authorized Of ficer/Director/Partner/rAanager
State of Flo ' a
County of 6
The foregoing instrument was aclmowledged before me thi4A=daY of
By��� Lei ditS�fi2 • as(Name of person) (Type of aut
For�/tWC- + &VL t^'f'�-
(Name of party on behalf of whom instrument was .executed} • Personally Kr
(Printed Name of Notary Public)
Under penalties of perjury, I declare t I e read the foregoing and
belief (section 92.525, Florida Statute
Signature(s) of Owner(s) or Owner(s)' Authorized Olga
sy
P.,. oanoaamcxwaainst
f'hi, 4pat•e is rewmest for rvv.ovdto iotitb _•...�
E_
W property, and in accordance with Chapter 713,
nent.
FOLIO NUMBER: 4422-502-0020-000-5
7 BLDG VNTT
clank Siding
leffrey Lackey (TR)
c. interest in property Owners
Holemen Holeman Inc 212 N US Hwy 1 #.17
OUNT:
other documents may be served as provided by
)py of the Lienor's Notice as -provided in Section
the date of recording unless a different date is
and Provide Signatory's Title/Office
6VsT ,20 12 -
..e.g. Owner, officer, trustee, attorney in tact)
_ or produced the following type of ID: y
Julio Vasquez
Site of Florida
M i'Maim Expires W/1912018
in it ft"In"We, edge and
who signed above: