HomeMy WebLinkAboutNOCJOSEPH E. SMITH, CLE' 1OF THE CIRCUIT COURT - SAiN'�' ',JCIE COUNTY
FILE # 4252314 OR 3936 PAGE 1695, Recorded ', , _ R9/2016 11:12:55 AM
M1 —0303 6UANNED
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The undersigned hereby given notice that Lmpmvc=nt will be made to certain rest propecty, and in accordance with Chapter 713,
Florida statuto the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 'i'SO 4- 60? - nZ -7- OCO -C:,
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2. GENERAL DESCRIPTION OF IMPROVEMENT. 'VAjwlAV6
3, OWNER WFORMATIONi
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d. Nam and address of fee simple titleholder (if other th6 owne )
4. CONTRACTORISKAME. ADDRESS AND PHONE NUMBER;
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND A -MOUNT:
prop-rty—&UN&V
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 AND PHONE NUMBER,
8. In addition to himself or herself. Owner designates the following to receive a copy of the Licnorl s Notice as provided in Section
713.13 (1)(b). Florida Statutes:
NAhM, ADDRESS AND PHONE NUMM-
9. Expiration date of notice of commencement (the expiration date is I year from the date of recording Mims a different date Is
specified) 20_.
Print Name and Provide Signatory's TifloOffice
Ownerjs Authorized Officer/Director/Partuer/Matuager
State of Florida
County of 81 Lu
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The foregoing Ins' mentwanacknowledgedbefore methis & day of -&Mmhal — ----- zo-ff4—
(Name of P n? (Type of authority ... e.g. Owner, officer, trustee, attorney in fact)
Fur-'G141%dia jr
(Namic of party mbebalfof whom instrument ww executed) Personally Knownt or produced IllLfgaiijonAtype of 11).
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-ejLl� V4CTORiAR9WNWNGER
My COM1611561ON 0 FF"M=
tl 1 ql-'.6 i W. EXPUMS Nlarch 21,202D
(PdntodNameofNdtaryPu Ulm) (signature �"ubi-)' I.; I
Under penalties of Pnjury, I declare that I have read the foregoing and that the incts in it am tr.. to the best of my knowledge and
belief (section 92,525, Flocida Statutes).
SIgnature(s) of Owner(s) or Owncr(s)' Authorized Officer/Director/Partner/Manager who signed above;
By: