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AFTER RECORDING -RETURN TO:
' JOSEPH E. SMITH, CLEFS ;THE CIRCUIT COURT
SAINT LUCIE COUNTY --
FILE # 4183102 04,122/2016 at 02:32 PM
OR BOOK 3860 PAGE 2811 - 2811 Doc Type: NC
PERMIT NUMBER: RECORDING: $10.00
NOTICE
St. LucjR t'n��i t353,
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance wr a
Florida statutes the following information is provided in the Notice of commencement. '' //
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 3!! %K6zj67/��txl `(
SUBDIVISION BLOCK_ZL�—TRACT LOTBLDG UNIT
d %4
2. GENERAL DESCRIPTION OF IMPROVEMENT: 45; A95'�7
3.OWNER
b. Addre:
a.
d. Name and address of fee simple titleholder (if other than owner)_
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER:
c. interest in
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
s
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 (1)(a) 7., Florida Statutes:
NAME, ADDRESS
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
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_
Si nature of Ow er or Print Name and Provide Signatory's TitletOffice
Owner's Authorized Officer/Director/Partner/Manager
State of Floj��tt�-da
County off
The egoing instrumeI �t was ac wledged before me [his day of ` 20 `L✓
Byr`�berk,as
(Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
For
(Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID:
(Printed Name of Notary Public)
of Notary
Under penalties of perjury, I declare that I have read the foregoing and that the facts in
belief (section 92.525, Florida Statutes). -
- v • 1,n`c"�,! LINDA SCHRAh1
c+°. .`� Notary Public -State of Florida
. •= My Comm. Expires Jan 11, 2016
�� ••g5ebe0SP®IBilgioltnt4dife0L�42hd
�t'"• Bonded through National Notary Assn.
nature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above:
By: By
Rev. Oa/50200'!(R cor&g)