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oCANNED
NOTICE OF COMMENCEMENT BY
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To be completed when construction value exceeds $2,500.00 St Lucie AIOU ntv
PERMIT #: TAX FOUO # 3419-510-0308-000-0
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STATE OF FLORIDA COUNTY OF
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
308 Bay Street, RIVER PARK -UNIT 2-131-K 21 LOT (MAI
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GENERALI
OWNER IA
Name:
Address:
Interestin
Name and
CONTRAC
Address: I
OF IMPROVEMENT: REROOF
ATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
E Vom Orde
Port Saint
of fee simple title holder (If different from Owner listed above):
NAME:
URST DRIVE
SURETY COMPANY (If applicable, a copy of the payment bond is attached):
Name and atldress:
Phone No.:
Bond amount:
No.: (772) 871-2489
LENDER'S NAME: Phone No.:
Address: I
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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 Section 713.13
(1) (a) 7, Florida Statutes:
Name: Phone No.:
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 Statues.
Phone numtier 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 to the contractor, but will be 1 year from the date of
recording unless a different date is specified):
Under penalty of perju cclare that I hWj a read twforegoing and that the facts in it are true to the best of my knowledge and belief.
or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
Signatory's Title/Office ,,(��l
The foregoing instrument was acknowledged before me this _day of l e_,A- he.k 201y_
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B�Oe 1 ' . V W—e - as OuJi-,-Pb�- for
Name of person Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
Personally known m or produced identification ❑
Notary's Sigriature Type of identification p TELEONE
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(Print, Type, or Stamp Commissioned Name of Notary) :? • 1 �-: Notary Public -state Florida
� � : Commission # GG 190497
of My Comm. Expires Feb 27, 2022
T:\BLD\Bldg_Forms\New Applications\Forms\Notice Of Commencement.Docx """. Bonded through National Notary Assn. Rev. 9/15/11