HomeMy WebLinkAboutNOCSAINT L C. r COUNTY
CLERK OF TI o tCUIT COURT
JOINTLUCIE ITH-CL _ FLLEa /Ir18a6032ar1016tl 12pat
R ORGORGING $to,, 2r9a.2i:62D—Tr .tic
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OTICr Or COMMENCEMENT
The undersigned hereby given notice that improverncat will be made to certain teal Property, and in accordance with Chap,<'rbf1!VIVL-
Florida statutes the fallowing information Is provided in the Notice of mnnneatxmenl. 1t, 1J
1. DESCRIPTION OF PROPERTY (L.egal description and street address) TAIL FOLIO NU117HER: Jr'i'1 `! -So)
SUI)bIYISION nLOCK 'Z' —TRACT rm' / S nLDG' UHIT-
2. GENERAL DESCRIPTION OF IMPROVEMENT;
3. OINWER rNEORMATION: u. Name Reeetrac Petroleum Inc
IN. Address 3225 Cumberland Blvd, Suite 100, A9anta, GA 30339
c intctvsl in property
d. Name and address of fee simple titleholder (if other Than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Mulrgan Constructor 3601 Vineland Rd, Sure vt, Odando, FL32811
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NABIE, ADDRESS AND PHONE NUMBER:
7. Persons within the Stale of Florida desigualed by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1)(a) 7., Florida Statutes:
Racetrac Petroleum, Inc.
S. Regional Store Support Center
Attn: John Maxwell, Const. Manager
4525 Vineland Rd., Suite 202
9. Orlando, Fl. 32811
Signature of Owner or
Owner's Authorized Officer/Director/Partner/111onager
Seale of£leQss�dli,, �Ggia�
County of
Ilowing 10 receive a copy of the Lienor's Notice as, provided in Section
In dale is I year from the date of recording unless a different date is
The fo i ipstrument w aclAtvledged before me this _
(Name of person
For RQcetvae - Too,
(Name of party on behalf of whom instrument was executed)
Print Name and Prmide Signatory's
/
(Type of authority
�.e g. Owner, officer, trustee, attorney in fact)
Personally Knoi or produced Cite following tSTe of TD:
NOTARY PUBLIC
{ ftOCKDALE COUNTY
bli
(Pdnted Name of Notary Puc) Si nature of Notary Pit lie) (Seal) STATE OF (;EORGIP.
My Cotnfnlsslon Expires August 16
j Under unities of pcijury, f declare that I have read the foregoing and that the facts in it are true to t
I belief ( ection 92.525, Florida Statutes).
Signature(;) of Owner(s) or Owner(s)' Authorized Officer/Dlrector/Parinerffilannger who signed above;
By:
nr..os��n
BylL-II6m �, MllGf_