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Permit No. , 1 y �I Tax ID No.
Q g\4A- NOTICE OF COMMENCEMENT
STATE OF �'L�
COUNTY OF S-%' (,U \t -
THE UNDERSIGNED_ hereby gives notice that improvement will be made to certain real p
accordance with Chapter 713, Florida Statutes, the following information is proted
Commencement.
Description of property (legal description of the property and street address if available)
21 try N1 %1,ES &AA IL 3L Q'Yl
of improvement
INN
and in
tic of g
(,S "
PA SeC' I
Owner's Name P\.1r 20 -Ir Owner's address `21to\A itx�A\�E�SCANNED
Owner's interest in property BY •
Name/address of Fee Simple Title holder (if other than owner) St. Lucie County
Contractor name and address 2ns M 4 tA'Alop 1iy tC\L) tv L't"Ou u
_-7,!�-1-7•7 Phone # Fax # (optional). -
Surety name and address
Phone # Amount of Bond $ -
Lender (Name and Address) N' PC -
Phone # Fax # (optional) -
Perpons within the State of Florida designated by Owner upon whom notices or other documents may bIl served
as provided by Section 713.13 (1) (a) 7, Florida Statutes:
Name and Address
Phone #
In addition to himself, owner designates
Fax # (optional)
to receive a copy of the Lienor's Notice as provided in
Section 713.13 (1) (b), Florida Statutes. Phone It of person or entity designated
by owner.
Expiration date of Notice of Commencement (the expiration date is one year from the date of recording
unless a differ nt date Is ecifi )
c(^nature of Owner Type or Print Name of Ow
THEITE OING INSTRUMENT WAS ft�j(NOWLEDGED BEFORE ME THIS DAY OF
U^'� 20�j BY WHO IS
PERSONALLY KNOWN M RWHOHASPRODUCED CATION.
��i;"%(, NANCV MIMS ARMSTRONG
:Y bs
• c MY COMMISSION # FF397849
SIGN TURE OF NOTARY NOT R.• AMP/ A
(407)34 3 FbridallolaryService.wm
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 1, 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
C:\Ueere\Faye HaffmanlDesktoplFORMS for Bldg. DepNWotice of Commencement Rev June 2011.doe