HomeMy WebLinkAboutNOCAFTER RECORDING-REPURNTO' :CSE➢F1 �:'d;lTHCU ,Jr THE e,"RCUIT-OUTLOCIE C ,
n, ez
PERMITNUMBER: BY
NOTICE OF COMMENCEMENT
')t- Lurie County J
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER:
4ZMff t� CwvAuM/NIUM V600 S
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3.OWNER INFORMATION: a.
b. Address 960) S ocffx
d. Name and address of fee simple titleholder (if other than owner)_
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER:
CDOlce CONS i .Rt 70M. /"t' . -P(-) R O V 1
IMI/fm
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
c, interest in property
7. 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, ADDRESS AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) , 20_.
LiOG✓,aRq DAG�S`TA�� /YI�ON/dGtR
Print Name and Provide Signatorys TitlelOffice �Llv 7 "143;/M
Owner's Authorized Officer/Director/Partner/Manager
State of Florida
County of P-- '
The foregoing instrument was acknowledged before me this f T day of —20��
By AWA(L/J QGOsTA as
(Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
For /F7 J'!L; ss C0A1jQ0Mln11 UM
(Name of party on behalf of whom instrument was executed) Personally Known$ or produced the following type of ID:
Z�=.!"�'"k� TIMOTHY LEE BEARROR
AMOI �� ) My COMMISSION #FF05e822
(Printed N of No Public ?,,;,¢,l EXPIRES October 3, 2017
(P ' Notary ) (Signature of No Public) (Seal) taml aseatw Floridallot Service.eom
Under penalties of perjury, I declare that 1 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).
Signature(s)
of Owner(s) or Owaer(s)' Authorized Officer/Director/Partner/Manager who signed above:
By: / �( a - By
Rev. as13W 7(asm ,)