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Notice of Commencement
NOTICE OF COMMENCEMENT Permit No. Qi7`'1 P �5 Tax Folio No d 5 20 © `9� State of Florida County of St. Lucie The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Le al Description of Property: (and street address if available): F �" nl a -A &"rd GfC+10r% LA $1 K 51 La+S [.,I, 3 t_ess E 5 `4 151- r !Z and t3 t iLA I el i La ts5s Pi- oar rear, 4� C�l�zi- ocr General desoiiption of improvement: _K� « r W � E, OV-Lats Owner Information or Lessee injupation if the Lessee contracted for the improvement; Name 5-H t'Q+'t� urcks Address 4- i e [.-e Interest in property: Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: ce—S Contractor Address: Phone Number. -4a Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number: Lender Name: Flt- Phone Number; z0Mrn� rn M r $ O Lender's address: Cl) : m Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Secti v_x�rz m 713.13(1) (a)7., Florida Statutes: w m y o 0 Name: IS ek Phone Number: y Address: $ m E Z - n j� r In addition to himself or herself, Owner designates of to receive a copy o i3 m m Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes. � P A Phone number of person or entity designated by owner, N;3 Expiration date of notice of commencement (the expiration date may not be before the completion Qf constuction and final payment but will be 1 from the date of recording unless a different date is specified) [ Le contractor, year h WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSI IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FO ca IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE !OB SITE BEFORE TH INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OF RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. C - Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager �r _,�'AI IN": 13Iw7H A DERBY (Signatory's Title/Otfice) i ,; '_= MY COMMISSION #Y FF220930 '?af EXPIRES April 15 2019 The foregoing instrument was acknowledged before me this 2 � day of TtSJlfl 1 20 1(0 n u 5� F�.rrrpaNn R y$� yicpcow gy as for meKfiPe n Type of authority (e.g officer, trustee) Party on behalf of whom instrument was executed Personally known_ or produced Identification - re o ary Public- to of Florida) (Print, Type, or Stamp Com s ned flame of Notary Public) Type of Identification produced