HomeMy WebLinkAboutNOCJOSEPH E. SMITH, CLEF'-1F THE CIRCUIT COURT - SAINT TT*^IE COUNTY
FILE # 4117559 OR BC. 3794 PAGE 724, Recorded 10/ 2015 at 01:36 1
R A'Riliffi" 2 2015 F 1 -1
SCANNED
PERMIT NUMBER: BY Se Lu ,,., County 'f'hi'tipuce i; r,sened for rernrd[ng torn J
The undersigned hereby given notice that improvement will be made to certain real property,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NU,
SUBDTYISION NETTLES BLOCK TRACT LOT 40 BLD4
40 NETTLES BLVD, JENSEN BEACH, FL 34957
2. GENERAL DESCRIPTION OF IMPROVEMENT: BUILD NEW CBS 2 STORY HOME
3.OWNER INFORMATION: a. Name Sidney & Ann Lash
b. Address PO Box 518, Wharton, NJ 07886
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: MEL-RY CONSTRUCTION 11
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: _
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the State of Florida designated by Owner upon whom notices or other doct
Section 713.13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
S. In addition to himself or herself, Owner designates the following to receive a copy of the 1
713.13 (1)(b), Florida Statutes:
NAME,, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is I year from the date of
specified) , 20_.
Signature of Owner or I Print Name and Provide
Owner's Authorized OMeer/Director/Partner/Manager
State of Florida
County of 51• LC'
The foregoing
' instrumeentwaspClmowledged before me this I " day of
By ,* IV as �/ l
(Name of person) C (Type of authority... e.g.
For. 41,N
(Name of party on behalf of whom instrument was executed) ersonally Kn n-or
t
(Printed Name of Notary Public) (Signature of Notary Public) > A;
Under penalties of perjury, I declare that I have read the foregoing and that the
belief (section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owner(s)' Authorized
By:
P., oanoaarrta,dmgl
in accordance with Chapter 713,
4502-501-0226-000.1
c. interest in property OWNER
R S OCEAN DRIVE JENSEN BEACH FL 34957
may be served as provided by
Notice as provided in Section
unless a different date is
natory's Title/Office
20 i
officer, trustee, attorney in fact)
A the following type of ID:
Notary Pudic State of Florida
Christine Notary
My COMMIB5bn EE 224190
Sol tie IFeU 986 102 Yrwwled and
ger who signed above: