HomeMy WebLinkAboutNOTICE OF TERMINATIONNOTICE OF
Building Permit No. —
State of Florida
County of St Lucia
The Undersigned hereby give Notice o:
Records Book
Tax Folio No. SCAfVhn=,,
PY
St. Lucie COunty
of the Notice of Commencement record on .200� in Official
— of the Public Records of County, Florida.
I . Description of Property (siU address also)
2. General Description of Impr Dvements:
3. Owner Information:
a. Owner address 0n �0 S, 00 C? OJ—) � Z)2 W�,kcl�,t -�Vns ly-)
b. Interest in Property_
4. Contractor: Island Kitchen and Bath - Justin Thiery - 10875 S. Ocean Drive, Jensen Beach, FL 34957
5. Surety:
a. Name and address
b. Amount of Bond
6. Lender Information:
& Name and Address:
b. Desianated Cc
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 himselt Owner designates of
to receive a copy of the Lieno r's Notice as provided in Section 711(l)(b), Florida Statutes.
9. Expiration date of Notice of I ornmencement (die expiration date is One (1) year from the date of recording unless a different
date is, specified). Expiratio�datc:
10. Pursuant of Florida Statutes Section 713.132, the Notice of Commencement 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 applies to all real property subject to the Notice of Commencement except:
12. To the best of Owner's know [edge, all lienor's have been paid in fall. A copy of the Contractor's Affidavit is attached.
13. A copy of this document is bt ing provided to the Contractor and to anyone who had provided Owner of its designee with a
Notice to Owner ams provided Florida Statutes Section 713.06(2)(c)(d).
N se 6!�— /(
Owner's Name (Print) NignIature of Owner
Owner 7S Name (MnQ Signature of Owner
State of Florida, County of St. Luc e
Sworn to and subscribed before me the unde mied authority by the Owna/Owners who islare personally known tome or who produced DL
As identification, this _J�dqy of_ e. 20 X%
--fR��5C�TEIIVI �0-10
Notary Public F
J! 1 11
My Commission E
MICWL RW
My COMMISSION # FF 904140 AUG 4
EXPtRES:JU:y28,20Jq
41M."10V a0AdCdThru8udqetNcbryS,,k. ST. Lucie County,