442-Civic Center ""' ';I.,~RK OF CIRCUIT CO ~UIRT/"'f RECORDED & VERIFIED
3_MINOLE COUNTY, L,
Permit Number: ' :
T~: Parcel Number:
,
NOTICE OF CO~ENCEMENT
State of /Z O~ l O ~
County of ~[Mt/uoke
THE UNDERSIGNED hereby gives notice that improvement will
be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the followin~ information is provided
this Notice of Commendement. -, ' , ,-~
1. Description of Property: C]U~C C~W
2. General Description of Improvement:
OD 3. Owner Information:
cac~ ~ ~ a. Name & Address:
~ ~ b. Interest in Property:
:~: c. Name & Address of fee simple titleholder (other
~ ~ than Owner):
4. Contractor's Name & Address: 2oOZ~Zsa~)bc da.,/~C.
5. Surety Zn~ormat~on:
a. ~a~e a Address:
b. Amount of Bond:
6. Lender's Name & Address:
F.~ 7. Persons within the state of Florida designated by
Owner upon whom notices or other documents may be
~/ ~D~ served as provided by Section 713.13(1)(A)7, Florida
Statutes:
Name & Address:
8. In addition to himself, Owner designates
~,~ ~ of
to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
-~ i~ 9. Expiration date of Notice of Commencement (the
expiration date is one (!) year from the date of
recording tlnless a different date is specified):
~ ,,,"" ~{~ of Owner:
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% ~ ~r~ ~ ~ subscribed b ore me
~ 1 ~ ~;~' F~:~,:; s~t:~a 0~ ~.c:a~s~ ~.~' ~,,~ THIS INSTRUMENT FREPARED BY~
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