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ANN�' '
BY . .
.NO
Permit No. St �UCI � AUK Tax
State of -Florida County. of St. Lucie ..
The undersigned' hereby gives notice that improvement w
the following Information is,provided in•thN. Notice of Con
LegaLDescription of Property:. (and street.address:if avail.
General.description of
Owner information or Lessee information if the.Lessee
Name Charles .Rnjc>,''
Address 14386 Ayicenay 'Port
Interest in property:
Name and address of fee •siinpletitleholder (if. different'
Contractor's Name:
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Contractor•Addr-ess: 1634 SE_ _Nieineyer Oi rcrl a pGT. FT. 340_i$mber:- 335-1 1 77' c°
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Surety.(If applicable, a copy of the payment bond is attached): Amountof bond: $
Name and address: Phonenumber.:
Lender -Name: Phone Number:
Lenders address:
Persons within the State of Florida designated by Owner u on whom notices or other• documents may be served -as provided by Secr'on
713.13(1) (a)7., Florida Statutes:
Name:- Phone Number -
Address:
In addition to -himself or herself, Owner designates of to teceiye a copy of the
L-ienor's Notice as provided -in Section 713.13(1)-(b), Florida Statutes.
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 1 year from the date of recording unless a different date is specked)
WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNER AFTER THE EXPIRATION. OFTHE. NO-TICE OF COMMENCEMENT ARE CONSMERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,°SECTION 713.13, FLORIDA-STATUTES,.AND-CAN •RESULTIN-YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST. -BE RECORDED. AND -POSTED ON THE JOB SIFE BEFORE THE FIRST
INSPECTION. IFYOU INTENDTO.OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN'ATTORNEY' BEFORE COMMENCING WORK -OR ;
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read th regoing notice of commencement and that the facts stated therein are true to.the best of . .
my kriowld bellP�
(Signature of Owner or Lessee, or Owners. or L Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office) j
The foregoing instrument was acknowledged before me this day of v� , 20 i!,
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R_0S e'io as Dw -EL CL for •
Name' of Person T Type of authority (e.g. officer, trustee) . Party on behalf.0 whom instrument was' executed
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Personally knoivn or produced. Identiftcation -
(Signature of Notary Public - State of*kxida) N65� �t t •
(Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced ' =Dxyfa5 LXCENSz-
GABRIEL ABELLO
Notary Public - State of New York
N0.01AB6321423
Qualified in Suffolk County .
My Commission Expires Mar 16, 2019
)IioNo.-1306=111-000'1-000/0. '
be -made -to certain real property, and'In accordance With. Chapter 713, Florida'
iencement.
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improvement:
listed above):
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