HomeMy WebLinkAboutNOCAFTER RECORDING -RETURN TO:
SCANNED
PERMIT NUMBER: Of
R4 D Itrip 1141°,IM011ty
The undersigned hereby given notice that it
Florida statutes the following information is
1. DESCRIPTION OF PROPERTY (Legal I
SUBDIVISION QUEENS COVE BLOCK 18
137 QUEENS RD, FT PIERCE, FL
2. GENERAL DESCRIPTION OF IMPR
3. OWNER INFORMATION: a. Name r
b. Address 137 QUEENS RD, FT PIERC
d. Name and address of fee simple titleholder
4. CONTRACTOR'S NAME, ADDRESS AN]
5. SURETY'S NAME, ADDRESS AND PHOl
6. LENDER'S NAME, ADDRESS AND PHO:
7. Persons within the State of Florida designated
Section 713.13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER: _
8. In addition to himself or herself, Owner desigl
713.13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER: _
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE # 4223623 08125i2016 092,
OR BOOK 3905 PAGE 1113 - 1'' : ---" oo Type: NC
RECORDING: $10.00
nt will be made to certain real property, and in accordance with Chapter 713,
in the Notice of commencement.
and street address) TAX FOLIO NUMBER: 1414-701-0174-000-6
'RACY LOT F BLDG UNIT 1
INSTALL FINGER PIER AND LIFT
AUL KALV
FL 34949
other than
c. interest in property.
PHONE NUMBER: SUMMERLIN'S MARINE CONSTRUCTION 200 NACO RD, STUIE C. FT PIERCE, FL 34946
NUMBER AND BOND AMOUNT: N/A
NUMBER:
Owner upon whom notices or other documents may be served as provided by
the following to receive a copy of the Lienor's Notice as provided in Section
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) , 20
Signature of Owner or
Owner's Authorized 0
PAUL KALV OWNER
Print Name and Provide Signatory's Title/Office
State of Florida
County of ST LUCIE ^^ 1 _
The foregoing instrument was acknowledged before me this day of 9--k l.t (�(,,4 S r , 2016
BYPAUL KALV as OWNER
(Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
For PAU L KALV
(Name of party on behalf of whom instrument was executed) Personally Known or produc Ie tie of T
GINGER P HESTER
GINGER P HESTER
(Printed Name of Notary Public)
'L MY COMMISSION # FF912939
( . EXPIRES August 25, 2019
(JOT)390 0:53 arvkCmm
(Signature o otary Public) - . (Seal)
I
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owni r(s)' Authorized Officer/Director/Partner/Manager who signed above:
By: T4,eJ 40 By
Rev.08/30/2007(Recording)