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PERMIT #:
NOTICE OF COMMENCEMENT RFC®
TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00
OR WI EN HgATING OR AIRICONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,500.00R r
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TAX 1818 FOLI:O�#: 3404-501-0545-000-9 pern,:�._
State of Florida, County of Indian River, the undersigi
accordance with chapter 713, Florida statutes, the I
1. LEGAL DESCRIPTION OF PROPERTY (AN
White City W 80 ft. of E 800 ft. of S 131.25 ft.
2. GENERAL DESCRIPTION OF IMPROVEMI
ed hereby gives notice that improvement will be made to tq/ C�jP@ epperty, and in
)Ilowing information is provided in this notice of Commencement. 41%7� nt
) STREET ADDRESS IF AVAILABLE):
of S 1/2 of outlot 7 and N 1/4 of outlot 8-Less N 25 ft.-(0.20 AC) (OR 2083-2360
NT:
3. RIOWNER INFORMATION or LESSEE INFORMATION (If Lessee contracted for the improvement)
a. Name: Nancy & Robert Koltzow
Address: 1005 Buckeye Drive, Fc
b. Interest in property: Owner
c. Name and address of fee Sim
4.
5.
6.
7.
8.
9.
CONTRACTOR:
a. Name:
Address:
b. Phone number:
SURETY COMPANY (IF Applicable, a col
a. Name & Address:
b. Phone number:
LENDER/MORTGAGE COMPANY:
a. Name & Address:
b. Phone number:
PERSONS WITHIN THE STATE OF FLORIDA
SERVED AS PROVIDED BY SECTION 713.1
a. Name & Address:
b. Phone number:
IN ADDITION TO HIMSELF OR HERSELF,
a. Owner designates
a copy of the lienor's notice a:
b. Phone number:
EXPIRATION DATE OF NOTICE OF C(
(THE EXPIRATION DATE IS ONE (1) YEAR FROM
title holder (if other than owner):
of the payment bond is attached):
Bond amount:
ESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS MAY BE
(1) (a) 7., FLORIDA STATUTES: .
fax number:
of
provided in section 713.13(1) (b), Florida statues.
MMENCEMENT:
THE DATE OF RECORDING UNLESS A DIFFERENT DATE IS SPECIFIED).
to receive
WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIR � TION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,
PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY
YBBEEFFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
UNDER PENALTIES ERJURY, I DECL HAT I �1AVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE TO THE BEST OF MY
KNOWL ELIEF MEC'1110f< 25r,-%ORIDA STATUTES
OFFICER/DIRECTOR/PARTNER/MANAGER
SIGNATORY'S TITLE/OFFICE i
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 2 DAY OF April , 2018 , BY:
Nancy Koltzow
AS Owner
NAME OF PERSON TYPE OF
PERSONALLY KNOWN OR
ARY SIGNATURE
NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED
19PRODU;CED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED
I n
(NOTARY PRINTED NAME NOTARY SEAL
, SUZANNE COLLINS
MY COMMISSION #FF195945
EXPIRES: FEB 24, 2019
iwy
,. Bonded through 1 st State Insurance