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Notice of Commencement
772-770-0064 ARS --.,t ^,9:17:55 p.m. 10-25-2016 2/3 r NOTICE OF COMMENCEMENT Permit No. tDl:� ' o4t a) Tax Folio No.c�3R10•L11! -000.001©2 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. y Gr-- P—ci Ft- �i.Erc•e. F� �y9 45� Legal Description of Property:(and street address if available): I'Ll L C-1 V OF ed�2 a� et1 f►hc\�. C-c , — \�S� ct tPV b8 E F--V S ca<n6, tnb General descriptil n of improvement: Owner information or Lessee information if the Lessee contracted for the improvement: ' Name )willn. <,k gLC,-nn-e— Addressx �r-•C�L�$�! 1ta Tr'� �eYc� F� ?sCt�iLt S' Interest in property: 0 Name and address of fee simple titleholder(if different from Owner listed above): Iii�a . . . ............................--._.................I............. �.......................................................�..............................--- 4>✓'.5............_.................... .. . . ......................................' Contractor's Name: Contractor Address: R94M US 1-4W 1 •\1Pvf) fl-,e-ricn Phone Number. 72~Z( °u z Surety(if applicable,a copy of the payment bond is attached):Amount of bond:$ u Name and address: Phone number: m n o° iX- rri c Lender Name: Phone Number: o ^N Lender's address: x m N a: Lu NN Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section v z N 0 o 713.13(1)(a)7.,Florida Statutes: X o o a G Name:_ kA Phone Number: N ly CS Address: i =J N Y o IL In addition to himself or herself,Owner designates L\1 of to receive a copy of ti- o?w w Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. 3 LL O o Phone number of person or entity designated by owner: Expiration date of notice of commencement: (the expiration date may not be before the completion of constriction and final payment to the contractor,but will be 1 year from the date of recording unless a different date is specified) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IFYOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR 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 know ge and belief. /�c� giX��clii6-(/ (Signature Ownei or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/M oYge .c: ,;ETH A DERBY MY COMMISSION fi FF220930 =r I �?'"' EXPIRES April 15.2019 (Signatory's Title/Office) ne��?oy.o sa F�oridaNma^;�c�,va cOrr The foregoing instrument was acknowledged before me this day of 201b By c. ZUYl1�P �Q- as_ C.)k0n-0 V- for Name of Pers Type of authority(e.g.officer,trustee) Party on behalf of whom instrument was executed Personally known_or produced Identification. (Signa ure of Notary Public-State lorida) (Print,Type,or Stamp Commission Name of Nota �' ification produced t�4C-Y S �,IGe;<'3 E W1 OCT 2 5 2016 RY--