HomeMy WebLinkAboutNOCPERMIT NUMBER: I �(4- qq V �)' � y (�J
".' JTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statues the following information is provided in the Notice of Commencement.
1301-601-0069-000-3
1. DESCRIPTION OF PROPERTY (Legal description & street address, if available) TAX FOLIO No.:
lakewood park BLOCKS LOT23
SUBDIVISION TRACT BLDG UNIT
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2. GENERAL DESCRB'TION OF IMPROVEMENT:
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NEW ROOF __ _ C} I I
IMIP County
3. OWNER INFORMATION: a. Name ROMAN KLINEC
b. Address 7501 MIRAMAR AVE,PIERCE FL.34951 a Interest in pmpertyOy`'NER 1
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d. Name and address of fee simple titleholder (if other than Owner) I
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4. CONTRACTOR'S NAME ADDRESS AND PHONE NUMBER:
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JOHNG CANNON 7901 CRRUS PARKELVO. FORTPIERGE0 951 I
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5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: I
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LENDER'S NAME, ADDRESS AND PHONE NUMBER:
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7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provid
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Section 713.13 (1) (a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
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8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in S,
713.13 (1) (b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
1
9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date_
specified): . 20
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
Signature of Owner or Print Name and Provide Signatory's Title/Office
Owner's Authorized Officer/Director/Partner/Manager
State of Florida
County ofBroward
The forego' g instrument was ac owledged before me this 4�6day Of 2019
By
(mane of person) (type of authority,... e.g. officer, trustee, attorney in fact)
For
/( / {e of patty on behalf of whom instrument was executed)
V Personally known or produced the following type of identification:
1VA`J,'V Noter/PuDfic State olFbdde,
r° `'' Glynndolyn Hepworth (Signallue O OSaiy Pn e)
VT$(' . My Commission GG 119396
�+r-...°� Expires 0711642021 _
Under Penalties of peW T declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
belief (Section 92.525, Florida Statutes).