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<br />This instrument prepared by: <br />Name <br />Address <br />Permit # <br /> <br />Folio # <br /> <br />NOTICE OF COMMENCEMENT <br /> <br />State of Florida () <br />County of, _ -y'~ <br />The undersigned hereby gives notice that improvement will be made to <br />certain real property. and in accordance with Chapter 713. Florida Statutes. <br /> <br />the \,~~p~fornr~~~vi~~A~hM~ti~or~mencement: <br /> <br />1. Property ~~escriPtio~ L~nit_ 03lo~k'"Q3ldg <br />Subdivision/Condominium <br /> <br />W40f "Zhil~ p~~ <br />( ) lengthy legal, please see. description attached hereto _ A~bove reserved for use of recorllmg office <br /> <br /> <br />2. General Description of ~ <br />Improvement: <br /> <br />3. Pr~~erty Owner Name: ~~~ rct ~. ~vYY1.~ . <br />Mallmg Address: ~ ~-----El4i ::lh 1[5 F <br />and interest in property: <br />Namelmailing address of <br />fee simple title holder if <br />other than owner: <br /> <br />ABvct-l <br /> <br />4. Contractor name: <br />Address: <br />Phone Number: <br /> <br />~]t~ ~ SL~~ -~~~JL N\G~Slc,l <br />d t '!S/l.., 'C.-i ~".uV r-, tJ 'SJ/lfS.>'" PC "5 rS",z, <br />e I ~ ~ 9 :; I ~(. 9 FaX#: (optional- if service by fax is acceptable) <br /> <br />5. If Surety Bond, Name: <br />and address of Surety: <br />and amount of Bond: $ <br />Phone Number: <br /> <br />(Copy of bond must be attached to this Notice at time of recording) <br />FaX#: (optional- if servk:e by fax is acceptable) <br /> <br />6. lender name: <br />Address: <br />Phone Number: FaX#: (optional- if service by fax is acceptable) <br /> <br />7 Persons within the State of Florida (names and addresses) designated by property owner upon whom Notices <br />. or other documents may be served as provided by Section 713.13(1)(A)7., Florida Statutes: <br />Name: <br />Address: <br />Phone Number: FaX#: (optional- if service by fax is acceptable) <br /> <br />8 In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as <br />. provided by Section 713.13(1)(B), Florida Statutes: <br />Name: <br />Address: <br />Phone Number: FaX#: (optional- if service by fax is acceptable) <br /> <br />(Expires one year from date recorded unless a different date is specified) <br /> <br />Owner signat <br />Printed name: <br />SWORN TO AND SUBSCRIBED before me <br />thi ..2 <br /> <br /> <br />Owner signature: <br />Printed name: <br /> <br />200..L. by: <br /> <br />as identification, <br /> <br />//f/~.P~/ <br /> <br />.. ......--.....". ...-.......... <br /> <br />~'!3..I' <br /> <br />$""V'''!!t. <br />~A~.i <br />'~Of~'" <br />1-800-3-NOTARY Fla. Notary Services &< Bonding Co, <br /> <br />PATRICIA A. PULK <br />MY COMMISSION (I CC 739452 <br />EXPIRES: 06/2812002 <br /> <br />.-..-.. ...... '.' .~p~~.~&;.W;ihis.ii~e-~~~~;iiOr.iise-oith~.;~oo;:di~g.c;ii;ce.-. . <br /> <br />Name <br /> <br />Return recorded document to:""" <br /> <br />Address <br />