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NOTICE OF COMMENCEMENT BLOZ i 3o
Permit No.
State of Florida County of St. Lucie
Tax Folio No. NPA 5_04 002-3 000 1'1' a3n1DO_�'d
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property: (and street address if av���]J'lable):
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General description of improvement: 8e —
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Owner information or Lessee information ' the Lessa contracted for the i provement:
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Address W J ` S
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Interest in property: ��vyPltrS
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Name and address of fee simple titleholder (if different from Owner listed above):
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Contractor'sName: Shoreline Roofing LLC
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Contractor dress:1973 SWG[endale St. Port Saint Lude, EL Phone Number:772-260-9565
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Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
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Name and address: Phone number:
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Lender Name: Phone Number:
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Lender's address:
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Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sec vWi z W
713.13(1) (a)7., Florida Statutes:
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Name: I Phone Number:
Address:
In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment t the
contractor, but will be 1 year from the date of recording unless a different date is specified)
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WARNING TO OWNER: 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.I IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty o 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 knowledge r d belief. I , ^ ^
(Signature of Owkr or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
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The foregoing instrument was acknowledged before me thi2 day oa_ , 20I
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Name of Persona Type of authority (e.g. officer, trustee) Part n behalf of whom instrument was executed
ftftkNakL Personally nown_ or produced Identification
ignature 0 otary Public - State of Florida) oy'y BRANDY M00119
(Print, Type', r Stamp Commissioned Name of Not .Pa , Cci,lmissiu;:'i 6G 102839 Type of Identification produc Ad X1
Expires i43;: 9, 2021
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