|
<br />.
<br />FLA. 1977 ~AWS
<br />FS 713.13
<br />
<br />NOTICE OF COMMENCEMENT
<br />
<br />SEMINOLE FORM 408
<br />
<br />State of Florida }
<br />
<br />County of -thSC"u \
<br />The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
<br />with section 713.13 of the Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT.
<br />
<br />
<br />Description of property ,:?( ,0,~, k.. .&~,0.', f.l-f.}.. bfPCK" C.f? '1:?,~r:.~<:~ ,t}. ?(':{.}. .c?. ,~d t;.QO,'?:J...,..
<br />
<br />
<br />. . /.0 .~.o . .$.C!: , . ft. , . , h .Q. 0:,~ . . , . , . . , , , . . . , , . , , , , , . , . , .: . , . . , . . . . . . . . . . . . , , . . . , . . . . , . . . . . . . , , . . . . . . . . . . . . . . . . . . .
<br />
<br />CPREPARE IN DUPLICATE'
<br />
<br />.................................................................. I..............................................................
<br />
<br />General description of improvements ..,.."....,......,..,...,...,.,.......".."...,.,..,........"",.,."....."..".....,..
<br />
<br />Owner. 5..0 N. Q.~ ~. . , J.. .1< .I. 0), ,Q .0, ~ ~ . . .. . .. , .. . .. , . .. . .. .. .. . . .. ,.. .. . . . . . . . . .. . . . . . .. .. .. .. . .. . . . . . . . . .. . .. .. .
<br />Address .3fJ.3~J", .5th. ,A.v.~n,0~. ,/,., 2. ~ Ph'(i,R,h.t.// S/... .i:-:.~... .3.3S.lj,~."..,.....".."..
<br />
<br />Owner's interest in site of the improvement. . , . . , . , , , , , . , , . , , . , . , , . , , . , . . , . , , . . . . . , . . . , , . . , . . . . . . . . . . . . , , . . . . . . . . . , . . . . . . . . , , . . .
<br />Fee Simple Title holder (if other than owner)
<br />
<br />Name ............,..........,....,...,....,...,..,.,.,....,,..,..."..,.......................... ..............................
<br />
<br />Address .................,....,.,....,..,',.,."..,",.,.".."..,..........,..................................................,.
<br />
<br />Contractor. . . , . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . , . , , , . . , . , . . , . . . , . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . .
<br />
<br />Address ...............,...............,.......,.,..".."....,..".."",......,...,...............................
<br />
<br />Surety (if any) ',.......,......,......,....,...,.,',..........,.............................................,....................
<br />
<br />Address,.,.."...,...........,..,..,.,...,....,......,...,...,..."...,.."..,..... ......... .Amount of bond $ ........ .......
<br />
<br />Any person making a loan for the construction of the improvements:
<br />
<br />Name ...................................,...".....,..,...,,..".."..,.....................................................,...
<br />
<br />Address ........................,.......,...,......,.,.,..,...,...,....,.......................................................,
<br />
<br />Person within the State of Florida designated by owner upon whom notices or other documents may be served:
<br />
<br />Name..........,... ,....,.. ..... .... ,...., ..... .,..,. .... ..... .,... ,...,..,................. ..... ... ... ,...... ... ........
<br />
<br />Address .,.."...,.......,...,.....,..,.......,..,..,...,...,.."..,...,.................................................,...,..
<br />In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Sectiol}./
<br />713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option). .
<br />
<br />Name .........,.....~,..... "'." ..' .,..,...__. . , . . . , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
<br />
<br />Add,"" T~'~ ;;;~"OR~;C~~~;~~ ~~; ~~~~ . . . . . . . . . . . . . . . . . . . . . . . ~. . . . . . ; . . . . . . . i / . . . L j. ;. . . . . . .
<br />. .....~~A.-:-...A..~.~..........
<br />~\DL~KSt4 -(Cia. -L,)-53o \:::l Owner ~
<br />
<br />Sworn to and subscribed before me this. . . . . . \ g. . . . . . . . . . . . . . . . . . . . . .
<br />
<br />","'V'~"'"
<br />/~'1l:ifi"~<:,
<br />::..: .....-:
<br />~'" ..~i
<br />V.~iif.'j..lf,.'
<br />
<br />..........w....w..d.y.t ~... . .... .. .... ..
<br />
<br />
<br />ffiACYFM1JiONV~~"
<br />
<br />MY COMMISSION # DD 305063
<br />EXPIRES: April 15, 2008
<br />Bonded Thru Notary Public Underwriters
<br />
<br />~w c:'
<br />..~..........~
<br />
|