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NOTICE OF COMMENCEMENT
To be completed when construction value exceeds $2,500.00
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PERMIT M TAX FOLIO #t 3402-610-0461-000-5
STATE OF FLORIDA CI UNTY OF Z'T
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):
5904 Cassia Dr. INDIAN RIVER ESTATES-UNIT-09-BILK 86 LOT 1 (MAP 34/12S)
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: Barry Wagner or Rita Wagner
Address: 5904 Cassia Dr. Fort Pierce, FL 34982 I
Interest in property: RESIDENCE I
Name and address of fee simple title holder (If different from Owner listed above):
CONTRACTOR'S NAME: MARZO ROOFING, INC. i Phone No.: (772) 871-2489
Address: 861 A- SW LAKEHURST DRIVE ,PORTISAINT LUCIE FL. 34983
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.: I Bond amount:
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LENDER'S NAME: Phone No.:
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Address: I
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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.
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(1) (a) 7, Florida Statutes: I
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Name: I Phone No.:
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Address
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In addition to himself or herself, owner designates of
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Feceive a'coliy of the L"ienor's Notice.'as provided in Section 713.13(1)(b); Florida. Statues.
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Phone number'of person or entity designated by'Owner:
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Expiration date of Notice of Commencement: '
(the expiration date may not be before the. completion of construction.and ilnal payment to the contractor, but will be i year from the date or
recording unless'a different date Is specified)'
WAPKima Tr1 n rNFli Ahly DAVMF{,rrr.CAAf1FRVTNF rl1A/NFR•AFTER-THE-FYPIRATIFIN FlF-THE N(ITIfF•r1F f'(1MMFNfFMFNT ARF CnNSInFRFn
RECORDING YOUR NOTICE OF COMMENCEMENT.
Un er penalty of perjury; t declare that I have read the 46regoihg and that the facts in it are true to the best of my knowledge and belief:
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of Owner or Lessee, or Owns or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
Signatory's Title/Office
The for oing instrument was acknowledged b Ifore me this day of Mom✓ was 20
By: 9h 34A as ��/�i 0 for
Name of perso I Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
Personally known is or produced identification ❑
Notary s Si tur I Type of identification produced
( `rtYFVv., irAVID VAN DEER g• LIE F3
(Print, Type, orStainp Commissioned Name of;Notary)
MY COMMISSIOPJ dFP09Slti!i0
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Rev.9/IS/11
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