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HomeMy WebLinkAboutNOC_r•JOSEPH E. SMITH, CLERK OF 11 CIRC FILE # 4423087 OR BOOK 4119 PAGE IT COURT — SAINT LUC, COUNTY i 1111, Recorded 04/12 =1t3 11:15:39 AM GGANNEU, NOTICE OF TO BE COMPLETED WHEN CC PERMIT 0: TAX FOLIO #: State of Florldo, County of the undersigned hen property, and in accordance with chapter 713, Florida statutes, the foll 1. OF 2. &aERAL DESCRIPTION OF IMPROVEMENT: REROOF 3. WNER INFORMATI I or ❑LESSEE.IN ORMATION (It U a, Name: Address: b. Interest in property: _CX_094N4 R _ c. Name and address of fee simple title holder (if o 4. CONTRACTOR: a. Name: J. A. TAYLOR ROOFING, INC. Address: 302 MELTON DRIVE, FORT PIERCE, FL. 349 b, Phone number: 772-466.4M 5. SURETY COMPANY OF Applicable, a copy of the payment bon( a. Name & Address: N/A b, Phone number. Bond amounts 6. LENDER/MORTGAGE COMPANY: a. Name & Address: NIA b. Phone number: 7. PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER BE SERVED AS PROVIDED BY SECTION 713.13 (1) (a) 7., FLORIDA' a. Name & Address: N/A b. Phone number: fc 8. IN ADDITION TO HIMSELF OR HERSELF, a. Owner designates _N/A receive a copy of the Genor's notice as provided in se b. Phone number: 9. EXPIRATION DATE OF NOTICE OF COMMENCEMENT: (THE EXPIRATION DATE IS ONE (t) YEAR FROM THE DATE OF RECORDING ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COM PART L SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE MUST BE RECORDED AND POS ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF' ATTORNEY BEFORE COMMENCING WORK OR RECORI UNDER PENALTI OF P JURY, I DECLARE THAT I HAVE READ THE FOREGOIN KNOWLEDGE D LIEF ( ON 92.S25, FLORIDA STATUTES VALUE EXCEEDS $2,500.00 ©r=1= gives notice thOt improvement wi[I be made to certain ng information is provided in this notice of Commencer IF AVAILABLE): Ce__U6V\ ,P E,► mi.. / A,n contracted for the Improvement) than owner): N/A Is attached): UPON WHOM N0710ES OR OTHER DOCUMENTS x number: —of to :tion 713.13())(bl,Florida statues. UNLESS A DIFFERENT DATE IS SPECIFIED). IER: ENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTERI 713. DR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT Q "J 1U INTEND TOONAM RNANCING, CONSULT WITH YOUR LENDER OR AN h NG YOUR NOTICE OF COMMENCEMENT. y y� i AND THAT THE FACTS IN IT ARE TRUE TO THE BEST OF MY I FZ— Cr I— 8: w aFCS Q SIGNATURE OF OWNER or LESSEE or OWNER'S AUTHORIZED OFFICER/DIRECTOR/PARTN THE FC)RGA, LNG iUMENT AS ACKNO SLEDGE BEFORE ME THIS BY: J14�11/,1��i G5f JJ��JCI ❑PERSONALLY KNOWN -OR �&ODUCED IDENTIFICATION -TYPEil�FI1WNTIFtCA \\\1\linJ/// is ,���� . Q1tSE R4A1yq �i,J NO RY SIGNATURE / NOTARY SEAL =* ! a #FF9MOO n9 �d �1I1N I Hill i' - SIGNAORYTITLE / OFFI Y OF �v Q, CC = �CC vv a roA-CD Lu �J="'� ~Q o