HomeMy WebLinkAboutNOCSGANNhO _ NOTICE OF
BY. TO BE COMPLETED WHEN CO
5A [Ln UCIO Co U fy1`IgR WHEN HEATING OR AIR CONDITION
PERMIT #,: i E TAX FOI
State of Florida, County of er,�the undersigned hereby c
accordance with chapter 713, Florida statutes, the following info
1. LEGAL DESCRIPTION pf PROPERTY (AND STREET A
L.f�-1C>�woo r'"-6 -Unl j -' 3 - 3L e,
2. GENERAL DESCRIPTION OF IMPRS-VEA6ENT:
3. DOWNER INFORMATION or OLESSEE INFORM
a. Name:
Address: OZ 1
4.
5.
6.
7.
B.
9.
b. Interest in property: ocel^leA
c. Name and address of fee simple title h
CONTRACTOR: ,LI��.2��
a. Name: YI
Address: bU?V- Al-
b. Phone number: '772, 6v9
SURETY COMPANY (IF Applicable, a copy of the pay
a. Name & Address:
b. Phone number:
LENDER/MORTGAGE COMPANY:
a. Name & Address:
b. Phone number:
PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED
SERVED AS PROVIDED BY SECTION 713.13 (1) (a) 7., F
a. Name & Address:
b. Phone number:
IN ADDITION TO HIMSELF OR HERSELF,
a. Owner designates
a copy of the lienor's notice as provided in
b. Phone number:
EXPIRATION DATE OF NOTICE OF COMMENCEM
(THE EXPIRATION DATE IS ONE (1) YEAR FROM THE DATE OF
)MMENCEMEN, _j
.UCTION VALUE EXCEEDS $2,500.00
REPAIR OR REPLACEMENT EXCEEDS $7,500.00
j. 13d1 603-,907a-600 -3
s notice that improvement will be made, to certain real property, and in
Lion is provided in this notice of Commencement.
19 RESS IFA(A,V?AI6BLE):
(If Lessee contracted for the improvement)
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(if other than owner):
4
7
bond is attached):
Bond amount:
OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS MAY BE.
JDA STATUTES:
NT:
fax number:
of
713.13(1)(b), Florida statues.
NG UNLESS A DIFFERENT DATE IS SPECIFIED).
to receive
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 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 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 MY
Y¢J EDGE AND BELIEF (SECTION 92 5, FLORIDA STATUTE
or LESSEE or
SIGNATORY'S TITLE/OFFICE
THE FOREGOING INSTRUMENT WAS ACKNOWLEDG
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R/DI RECTO R/PARTNER/MANAGER
BEFORE ME THIS DAY OF , 20 L`� . BY:
PERSON TYPE OF AUTHORITY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED
VNOWI� OR (PRODUCED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED
IRE NOTARY PRINTED NAME NOTARY SEAL
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