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TO BE COMPLETED'
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PERMIT #a�
OF COMMENCEMENT
I CONSTRUCTION VALUE EXCEEDS $2,500.00
TIONING REPAIR OR REPLACEMENT EXCEEDS $7,500.00 RECEIVED
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State of Florida, County of Indian River, the undersigned hereby gives notice that improvement will be made to
accordance with chapter 713, Florida statutes, the following information is provided in this notice of Commenc
1. LEGAL DESCRIPTION'OF PROPERTY (AND, STREET ADDRESS IF AV,
2. GENERAL DESCRIPTION OF IMPROVEMENT:
in realRoPeA;tlraim
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ST. Lucie County, Permitting
3. KDOWNER INFORMATION or LESSEE INFORMATION (if Lessee contracted for the improvement)
a. Name: 41 61iA c 11) t 0 jQI
Address: 610 Pi;nye.el-�' 6,41 AawP
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
4.
CONTRACTOR:
a. Name: The Roof Authority, Inc.
Address: 6771 N. Old Dixie Hwv. Fort Pierce, FL 34946
b. Phone number: 772-468-7870
5.
SURETY COMPANY (IF Applicable, a copy of the payment bond Is attached):
a. Name & Address:
b. Phone number: Bond amount:
6.
LENDER/MORTGAGE COMPANY:
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a. Name & Address:
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b. Phone number:
7.
PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS;
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SERVED AS PROVIDED BY SECTION 713.13 (1) (a) 7., FLORIDA STATUTES:
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a. Name & Address:
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b. Phone number: fax number:
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8.
IN ADDITION TO HIMSELF OR HERSELF,
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a. Owner designates of ti
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a copy of the lienor's notice as provided in section 713.13(1) (b), Florida statues.
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b. Phone number:
9.
EXPIRATION DATE OF NOTICE OF COMMENCEMENT:
(THE EXPIRATION DATE IS ONE (1) YEAR FROM THE DATE OF RECORDING UNLESS A DIFFERENT DATE IS SPECIFIED).
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WARNING TO OWNER: Z OO
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER 00 C
PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMI 1
MUST BE RECORDED AND POSTED ON.THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND,
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE TO THE BEST OF tv
KNOWLEDGE AND,BELIEF.(SECTION 92.525, FLORIDA STATUTES
OWNER'S AUTHORIZED OFFICER/DIRECTOR/PARTNER/MANAGER
CD WV)
SIGNATORY'S TITLE/OFFICE
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS �� �hDAY OF /g0,rc , 20j_y, BY:
AS QWv�e--- S�1ey,�i✓1�WA,n.D FOR
'NAME OF PERSON TYPE OF AUTHORITY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED
OPERSONALLY KNOWN OR OPRODUCED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED
i
NOTARY SIGNATURE OTARY PRINTED NAME NOTARY SEAt 30Niizoz/oz/� saJidx 3 ' 6 s.
OZ�yASS' Timothy W: Sutton ZB68gIJ�J #Lu r
NOTARY PUBLIC V01801d dU 3_LVJ.S 5 ao
ESTATE OF FLORIDA wend A8dJ.ON �S Aatlla.
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s�NCE 19�� Expires 3/20/2022