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{I JOSEPH E. SP.11TH, CLERK OF THE CIRCUIT COURT
Folio/P rcel Identification Number:2417-601-0003-000-2 SAINT LUCIE COUNTY
Prepar by: FILE # 4346601 09/01/2017 12:39:27 PM
OR BOOK 4037 PAGE 2054 - 2054 Doc Type: NC
RECORDING: $10.00
Return to: JOHN G CANNON
7901 CITRUS PARK BLVD. FORT PIERCRECEIVED NOTICE OF COMMENCEMENT SEP 0- 12017 81
State o Florida, County of Orange PERMITTING
The undersigned hereby gives notice that improveMeN(§Jw_Qde to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of the property. and street address if available)
13�01 s 33rd st fort pierce . s/17 town/35s range/40e VAN DUYN GARDENS SEC 17-35-40 N OF LOT3
2. General description of improvement(s)
NEW ROOF
3. Owner information
Name GREGORY ROSSLOW Telephone Number 772-468-0202
Address) Interest in Property
4. Fee Simple Title Holder (if other than owner shown above)
Name 1' Telephone Number s r'
Addressl
5. Contractor
Name JOHN G CANNON Telephone Number 772-468-0202
Address -
6. Surety (if any)
Name Telephone Number
Address Amount of bond $
7. Lender (if any)
Name Telephone Number
Address
S. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address I
9. In a dition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
10. Expi! ation date of notice of commencement (the expiration date is one year from the date of recording unless a different
date is specified)
WARNINGO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDER D IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING
TWICE FOli lIMPROVEMEN TO YO ROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB srrE
BEFORE THE IN ION. IF OU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENIq V RECO ING YOUR NOTICE OF COMMENCENIIENT.
11. X
Signature Owner Signatory's Printed Namelritle/Office
(or Owner's uthorized Officer/Director/Partner/Manager §713.13[l][d]) \
The foregoing instrument was acknowledged before me this-3U day of aO 1 by
(year) Oame erson)
as for
L(T,yjpef auth'# e.g`, officer, truste attorney i fact) (Name of party on behalf of whom instrument was executed)
S gnatuie of Notary Public — State of Florida (Print, type, or stamp commissioned name of Notary Public)
Personally Known OR Produced ID
Type of ID I roduced
Verification pursuant to Secti d92.525, Florida Statutes: Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated
in it are true ! b th" est of knowledge and belief.
dl
X RV s Felecia Olmstead
Signattfre of ! latur erson Signing on Line 11-Above o� oy NOTARY PUBLIC
S STATE OF FLORIDA
Comm# GG064369
Form Revised: I11/20/07 •S�NCEI Expires 1/19/2021