HomeMy WebLinkAboutNOC,S(;ANNED
BY
St{I StA de C(On NOTICE OF COMMENCEMENT
i��AV To be completed when construction value exceeds $2,500.00
PERMIT #: TAX FOLIO # 3404-710-0031-000-5
STATE OF FLORIDA COUNTY OFS3• LLZAC-
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.
LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS, IF AVAILABLE):
5416 Stately Oaks St. SOUTHERN OAK ESTATES LOT 26 (0.34 AC)(FIRST AMENDMENT 5-23-88)
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
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OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
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Name: Thomas Plummer of Gretchen Plummer
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Address: 5416 Stately Oaks St. Fort Pierce, FL. 34981
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Interest in property: RESIDENCE
Name and address of fee simple title holder (If different from Owner listed above):
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CONTRACTOR'S NAME: MARZO,ROOFING, INC. I Phone No.: (772) 871-2489
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Address: 861 A- SW LAKEHURST DRIVE ,PORT SAINT LUCIE FL. 34983
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SURETY COMPANY (If applicable, a copy of the payment bond is attached):
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Name and address:
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Phone No.: Bond amount:
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LENDER'S NAME: Phone No.:
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Address:
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Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713::
(1) (a) 7, Florida Statutes:
Name: —
Address:
In addition to himself or herself, owner designates I of
receive a copy of the Lienor s Notice as provided in Section,713.13(1)(b), Florida Statues.
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):
Under penalty of perjt�f'/�'declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief.
Signature of,4 nkor Lesse wner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
Signatory's Title/Office
The
�f foregoing instrument was acknowledged before me this 00 day of � /C C �%Y\20
BTTYtL)OrI'�.5 {� OLirniM ✓l as Cw for
Nam�j person / Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
�j Personally known ❑ or produced identification ❑
Notary's Signature Type of identification
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(Print, Type, or Stamp Commissioned Name of Notary) ': • My COMMISSION IfFF099550
T:\BLD\Bldg_Forms\New Applications\Forms\Notice Of Commencement.Doex '.';ofN°`°`. EXPIRES March 9, 2018 ev.9/15/11
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