HomeMy WebLinkAboutNOC!!1 4 =..SPIT" , CLERK OF THE C:RCU!T
AFrERRECORDING.t _(p;NTO:
By
PERMIT NUMBER � l�`� County
'�oun yr
/sy- (/S6� IJYKd�I■� J
NOTICE OF COMMENCEMENT
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: 2312-313-0020-000-1
SUBDIVISION BLOCK TRACT LOT BLDG UNIT
200 S. Kings Hwy. Ft. Pierce, FI. 34945
2. GENERAL DESCRIPTION OF IMPROVEMENT: Install Bio Diesel Fuel Tank and Blending System
3. OWNER INFORMATION: a. Name Love's Travel Stops/Country Stores Inc
b. Address 3336 E 32nd St STE 217 Tulsa, OK 74135 c. interest in property Owner
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Meco of North Florida 3626 Phoenix Ave. Jacksonville, FI. 32206
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
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 (I)(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 I year from the date of recording unless a different date is
specified) , 20.
GXg;� pJLK- -l'R Lie-rTt£s jd1 min
or Print Name and/Provide Signatory's Title/Of ee
Officer/Director/PartneriManager ..,uuuuo,.
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State of Florida OV-%At%cj^ I.. AMR
County of Ol�\st--
The foregoing instrument was acknowledged before me this Z day of �. 1 2Q # �p05g71
N. 1
By- -c_. , as W�c..c<f6I15116
(Name of person) (Type of authonty...e.g. Owner, officer, truste iu.fact),
L
For OJ �a ZC'c.J ed S),GpJ i� W//88�c--
(Name of party on behalf of whom instrument was executed) Personally KKnno/wn�or produced the following
(Printed Name of Notary Public) (Signature of Notary Public) (Seal)
Under penalties of perjury, I 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).
Si at are(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above:
in
Rev.