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U NOTICE OF COMMENCEMENT
St LU de Ccu* O�
Perm' No. Tax Folio No.
State Florida County of5t.Lueie RECEDE®
The u �ersignedhereby gives notice that improvement will be made to certain real property, and in accor lance wlt l�] ap r 1 , FI Yida Sta
the fol l wing information is provided in this Notice of Commencement, "�1�
Legal escr!etion of Prop,qrty _(4nd street addressif alilable);,, fio t, __-J,
ST. Lucie County, Permitting
Gener °I description of improvement: Tear off / Re -roof
Ownei Informat' or Lessee for ation if the see contra for the improvement:
Name , �s D % G/E 3yy r
Addre 's 0
Intere in property: Owner
Name nd address of fee simple titleholder (if different from Owner listed above):
contr l or's Name: Collins Roofing Inc
Contra' for Address: PO Box 12867. Ft. Pierce FL Phone Number. 772-201-1352
3 979
Surety, if applicable, a copy of the payment bond is attached): Amount of bond: $ N/a
Name. nd address: N/a Phone number: N/a
Lende Name: N/a Phone Number: N/a
Lender ,a address: N/a
Persor s within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13J1)(a)7., Fla ri da. Statutes: N/a
Name: �'� N/a Phone Number:
Addre 5: N/a
In addition to himself or herself, Owner.designates N/a of N/a to receive a copy of thI
Llenor Notice as provided in Section 713.13{1)(b), Florida Statutes.
Phone Lmber of person or entity designated by owner: N/a
Expira i n date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contra tor, but will be 1 year from the date of recording unless a different date is specified) N/a
WARN 1fJG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
INIPROI�ER 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 ANDPOSTED ON THE JOB SITE BEFORE THE FIRST
INSPE1 .Ii ION.1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under !! enalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my k dge and belief. - -
#s
.•�"""'�, CATHY J ROBERTS
Notary Public - State of Florida
(Sign ure o Qv p or Lessee, or Qv✓ner' or Lessee's Authorized afficerJDireetor Partner Manager 7 Commission # FF 271706
°:'� My Comm. Expires May 10, 2019
t+tl �OF Ft°�O
-pj ''���„���� Beaded through National Notary Assn.
(Sign tory's Title/Office)
The fo egoing instrument was acknowledged before me this day of20
By11 i' vd as �3Lv for S L'
ame oerson Type of authority (e.g.officer,trustee) Party on behalf of whom instrument was executied
i
�ep
Personally known —or produced Identlfication_Ze:n�
o ublic -State of Florida) 3-� J S
Stamp Commissioned Name of Notary Public) Type of identification produced rLAL
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