PERMIT DOCUMENTS •
AFfPR RN-OWING-RETURN To ' ' CFN .20160154940 •
• OR BH 28272 PG 1177
RECORDED 05/04/2016 10:43:15
Palm Beach County, Florida -
Sharon R. Bock,CLERK 6 COMPTROLLER
PERMIT NUMBER; (L/V_
( 5t( -
Pp 1177; Opp)pl
. NOTICE OFCOMMENCEMENT
The undersigned hereby gives notice that Improvement will be made to certain real properly,and In accordance with Gupta 713, •
Florida Statutes,the following information is provided In this Nalce of Commencement.
08
I. DESCRIPTION OF PROPERTY(Legal denoiptlon of the property do Weet adder;If available)TAX POLIO NO.: 43 45 33 25 000 0621
SUBDIVISION Los;, Mangos Villas 62 'A
�/1 BLOCK TRACT LOT BLDGUMR�
V
I.GENERALDESCRIrrION OPIMPROYEMA'rr: Home improvement
' 3. OWNER INFORMATION OR LESSEE INFORMATION If THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
,.H',n,.ed.gden,: Mary Hughes, 501 SE 27th Lane, Boynton Beach, Fl 33435
a Interest 1,popery: I Owner
c.Nuns ted eddra,atm simple deebnwa(If alfrueet earn Cana hoed Mor): N/A .
t. a.CONTRALTON'e Nome: Bailey's Home Services, Inc.. •
co,ac,ar•,addeme: 1 P.O. Box 476, Boynton Beach, F1 334MoMnumba: 561-738-5933 .
('' 3. SURETY(Ifamllab,e,a copy of dm payment bend Iiatttsdl: - .
v e.Nome and add..o: N/A
e Phone number: A Amainof bond:S
d.a.LENOER'L NAME: N/A
Lmdc't.ddren: b.Phan*number
7. Persons within the State of Florida designated by Queer upon whom notices or other documents may be served as provided by
Section 713.13(I)(a)7.,Florida Statute,: .
a.NamuM tidea,: . N/A
b.Phone number of dedwted rwnr: •
S.a.In addition to himself or herself,Owner designates N/A of
to receive a copy of the Lienor's Notice as provided In Section 713.13(I)(b),Florida Statutes.
b.Phone number of paean or entity dedaxad by Omni:
9. Expiration date oflootlae of commencement(the expiration date may not be before the completion of construction and final
payment to the contractor,but will be I year tom the daze of recording unless a different date I,specified): 7-30 201 6
• e' 'd, . *..o.tc .. . . M.r ..,,, : .d,'; ,a- .. a 9. •' I,I' alp ry' M' M„b p. "..cote
.-.. .t• h, . ew'd! JO,-L e „ale l t M
1: e M, .; •• 'I. tau .aI
1 isM '. t.. B. ' 1.: tu':e EJd u ' I; •.. .. a _ ...se ' ' y....9. '.FIN R ..
RFMORDPD AND POSTED ON TT 105IP SrBP BEFORE THE FIRST INCPFeTOON YOU INrPNU TO OBTAIN FDIANCNQ CONSULT
WITH YOUR LPNDFR OR AN ATTORNEY BEFORE fOMM 4 WO WORK OR RPf0.DW0 YOUR NOTICE OF COA.NENCEMENT
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein ere true to
the best of my knowledge and belief.
(Signature a of 0e or lc.GCc,or Owner's or Lessee's (Print Name and Provide Signatory's Tite/ORice)
Authorized Ofa'u_r^�
/Dlrector/PartnerfManager)
Stale of r(,I�H1304---
County of Pak, MACa •
•
�nys,'/
•
_. .._The f soirelors(uJmq.,-.i..w9's,.cccknewledged before me this Oa day of 404/ 20 6
by (nit of person) —_--,u.., � _.._._. ._ -
( P ) (type of authorily,...e.g.officer,trustee,attorney in Tia)
for
(name ofpany on behalf of whom instrument was ex�ecuted�) p �s /�
Personally Known_or Produced Identification I�Type of Identlficatlon Produced r C'�-1/^L'oy v/COI/Ce=
p":-. WTIIEWT.RFID /
•t��31.lILdd:Ouun EE ESISB
EIPIRES:Oaumbu,,Alb (Signaturetory Public)
S. YW,Nn Rood Mur Sada
Rer.,00lI l(S.aemtelnU (him t,T type,or Sump Commissioned Name of Notary Public)
nR STATE OF FLORIDA • PALM BEACH COUNTY
-•S ,c A'4
r, I hereby certify Ina,me laregoing is e
V Q J,'l� True copy 01 the record in my office with
1I• red II sit any es rep 'red by law/i
M,.ori. iH15 pAY 0ARON([((4C .RO
SHARON R. OC
/�CyCLLEEfRK 6 C /OOLLEER���/y�
BY / EaUTv CLERK