HomeMy WebLinkAboutNOTICE OF TERMINATIONNOTICE OF
Building Permit No. -
State of Florida
County of St Lucie
TION SCANNED
BY
3t. Lucie County
TaxFolioNo.
The Undersigned hereby give Notice of rermination of the Notice of Commencement record on- .200 in Official
Records Book a � Pagc�__ of the Public Records of County, Florida.
1. Description of Property (site address 31-)-)- 3S3 -
2. General Description of Impr Dvements:
3. Owner Information:
& Owner address: C�Ct(Qo S - Oceo-, T-�r )et-rsltc-, (Je C-1,' VL- 3LtqS-)
b. Interest in Property_ D&L-23MCA--
4. Contractor: Island Kitch n and Bath - Justin Thiery - 10875 S. Ocean Drive, Jensen Beach, FL 34957
5. Surety:
a. Name and address�-_
b, Amount of Bond $�_
6. Leader Information:
a. Name and Address:
b. Designated Contaci7-
7. Persons within the State of F] orida designated by Owner upon whom notices of other documents may be served as provided
by Section 713.13(l)(b), Florida Statutes.
Name and Address:
8. In addition to himself, Owner designates Of
to receive a ropy of the Lieno r's Notice as provided in Section 713.(I)(b), Florida Statutes.
9. Expiration date ofNotice of Commencement (the expiration date is One (1) year from the date of recording miless a different
date is specified). Expiratio I date:
10. Pursuant of Florida Statutes Section 713.132, the Notice ofCornmencement is terminated as of the —day of
200 (but no less than da) s after the Notice of Termination is recorded).
11. This Notice of Termination a 3plics to all real property subject to the Notice of Commencement except:
12. To the beg of Owner's know [edge, all Hennes have been paid in full. A copy of the Contractor's Affidavit is attacheA
13. A copy, of this document is b4ing provided to the Contractor and to anyone who had provided Owner of its designee with a
Notice to Owner as provided in Florida Statutes Section 713.06(2)(c)(d�
er's Name (Print) Signature of Ownerl
Owner's Name (Print)
State of Florida, County of
Sworn to and subscribed before i
As identification. this It I
Signature of Owner
who is/are personally knmvn tome or who produced DL
MICHAEL RECEIVED
MYCOMMISSIOW 904140
8 19
EXPIRES: July 28,2019 AUG 9.4 11
BondedThm Mqeftta Servkn
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Lucl Cou ty, Permitting
ST. Lucie Coun , Permitting