HomeMy WebLinkAboutNOCJOSEPH E. SMITH, CLER� ,lF THE CIRCUIT COURT - SAINV 'CIE COUNTY
FI�E # 4472929 OR 1306k 4172 PAGE 684, Recorded 08, �/2018 11:52:01 AM
SCAWqED
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To be completee when cammwYion volva eneads$1,500.00
PERMrr.t TAX FOLIO s 3 ` 0 0 a ` f - FLORIDAep -
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STATE OF ORIDA COUrew OF S �! . -i C- f I?
The undersigned hereby gives notice that Improvement will be made m certain real property. and In accordance with Chaplet 7!3, Florida
Statutes, the following dnimmatton is provided do iht; ivmtca tY CornmenMment
LEGAL DESCRIFITUNOFPROPERTY [AND STREETp)WoRESS,IFAVA1LA91*/ SOI 'LI1g3et-00ob N1. Fr p/n/IGe v7, 8 Z
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GEPIEBAL DESCRIPTION OF IMPROVEMENT: S C R E &.1 Bcol, At C'r ax JAI%
OWNERlNFORMA OIhFO 1f55EL;INFORMATfON IF THE NTRACTEOFORTHFIMPRrIVFMFN•r-
Name: AI@ 1N 4 'T jj;Pfcr
addr�� i 0 � ! 3
In:eresc in Propeny, —_-- _ O to AU !C/t _ _ —
Name and address of lee simple title holder pf ditiel-enit from O•.4•ner fisted above): q >
CON7RACT17R'S NAME K II -S s"'s OC CIF S ,V-4G Pimne No / / L • 9'1 /Q - 6 0 �l V'
Addrass; 1 a 77 I.Q. r�I LT f1 %�!1 r. _ A T / .I n V J 4 IA,7
SURETY COMPANY (If applicable, a copy of the payment bond is attached)
Name and address:
PhonehVa Rood amount —
LEMEIM NAME Phone No.;
Address:
Persons urithin the State of Florida designated byowner upon whom notices or other documents may be served as provided by Section 723.13
W (a( 7, Florida Statutes:
Name:„
Addrw�:
in addition to hlmseiforherself, owner dmignates of to
raaeive a WpV o." the UenwIs Notice xsprovided in Section 713 311)jb), Florida Statues_
phone number of person or entrq' designated by Owner.
EK*aWO date of Notice of commencement
(the expiration date may not he before the completion of construction and final payment to the contractor, but will be 1 year from the dateof
recording unless a different date Is spetf adj:
WARNING TG QWNER ANY PAYtdI'NTS MAt1E BV THE OWNER AFTER THEEXPigamoN OF THE NoTim OF comet NCEMENT Am Cotimne p
IMPROPER_PAYMEWS UNDER. CHAPM 713. PART 1. ,SffYiOX 723-73. FWRSDA Uh-MM AND CW RMLT IN YDUE PAYING TWiC•_FOR F F"
IN6PROVeMMuT01^JUP. PROPERTY. A NOTICE OF C4MMF*1{•Kh EmT musr RE I onfiDED AND P175'1{O ON THE IOB+SITE_BiffORET!iE FIRS Q } I U
IFii'PECf10N. IF TDU INTEND TO 09TAIN FINANCING CONSULT WI i rr YOUR cNnca na aN a RNEY 9cFDR= COivil�eNC�NG 1Y'7=ly On ®F"' h='
REMR11IN6 YOUR NQMCF OF- COM1M-PNCEhfffr Z tr
Under penalty of perjury, I declare that 1 have rzad the fore of and that the facts In It are true to the best of m knowledge OJ f Y
g nE y tlFe sand belief. u
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Erretrm or OtvM_r or t.__.ree or Owner's or Lessee's Authorized OrTocer/DirecwrJPartner/Manager/Atanmeyimtrtt dU4D Le" ai,s
Abu?
Sisnatvey's TMe/oF-i,® t» to r r 0
T-n ng iren: v�novAedbefore me iris —day o !T}
r3 zs_ p 09e0, for
Type of authority (e.g. aFlcer, trustee) Party on behalf of whom tnstrunea ,was executed
Personaliybhawn O orproducedidentiflcaVanA_
Notac� s S€nattlra Type of identdddusinn produced
(Print, Typa, o Stamp Commissioned Nama of Notary) R 3 t (D s b
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