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STATE OF FLORIDA
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds $2,500.00 SCANNED
TAX FOLIO N 4509-805-0054-000-8 BY
St. Lucie County
COUNTY OF: ST. LUCIE
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
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION OR LESSEE INFORMATION IF, THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Address: PO BOX 403 JENSEN BEACH, FL 34958
Interest in property: OWNERS
Name and address of fee simple titleholder (if different from Owner listed above):
CONTRACTOR'S NAME: CARDINAL ROOFING Phone No: 772-335-9550
Address: 1601 SE SOUTH NIEMEYER CIRCLE PORT ST. LUCIE FL 34952
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SURETY COMPANY (if applicable, a copy of the payment bond is attached):
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Name and address:
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Phone No.: Bond Amount:
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LENDER'S NAME: Phone No.:
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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 Sj
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713.13 (1) (a) 7., Florida Statutes:
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Name: Phone No.: �
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Address:
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In addition to himself or herself, owner designates of
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to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statues.
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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 to the contractor, but will be 1 year from
the date of
recording unless a different date is specified):
COMMENCEMENT.
Under p nalty of rju , I, I dry eclare that I have read the foregoing And that the facts stated are true to the best of my knowledge and belief.
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Signatre of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
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Signatory's Title/Office
The foregoing instrument was acknowledged before me this r � ''' . day of D� V /Y) iX. E/Oa
By: A oy— hnckf- SSon as 0) V ,r ✓ for n �G1
Npme ofpers Type of authority (e.g. office, trustee) Party of whom instrument was executed
Personally Known or produced identification
'—Notary's Signature Type of Identification Produced A- — �i to — ('�'�— C./ 67 — / J
(Print, Type, or Stamp Commissioned Name of Notary) rn
zot°wRo% Notary public Stale of Florida
T:\BLD\Bldg_Fonns\New ApplicationsTormsINotice OfCommeocy' Jennifer Davis Rev. 9/15/11
+yoll�iin"eo-p My Commission FF 966029
Explrea 02/29/2020