PERMIT DOCUMENTS 111111 11111 11111 11111 11111 11111 III 111111 till
AFTER RECORDING-RETURN TO
•oit.' C:FN 20170044328
s�, OR BK 28876 5F;2G4
1579
RECORDED 02/06/2017 15:
Palo Bench Counts, Florida
PERMIT:4 MR% K.26)6/ Shoran R. Bock'CLERK & COMPTROLLER
/ b NOTICE OF COMMENCEMENT F's 1779; (log)
The undersigned hereby given notice that improvement will be made to certain real property,and in accordance with Chapter 713,
Florida Statues the following information is provided in the Notice of Commencement C� (�
DESCRIPTION OF PROPERTY(Legal description and street address,P1if available)TAX FOLIO NUMBER: a ci 3 I SI6O I 0 9IO� / O
SUBP ISION BLOCK 03 t TRACT LOT O ISO BLDG UNIT
n iv ) '' Yep BLOCK,
1_ E—ADD 1n p_e, 2-11 PSS 0_0c11
2.GENERAL DESCRNOF IMPROVEMENT: 31 1,01- O 1 S 0
reap to i-h L' (Dor.
3. OWNER INFORMATION OR LESSELTOWpTION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a Name and ant=
'9 art fgVire o '79.0 NF 2 d, l meL goyymvi Beach
W cam ie pmpmy: r
c.Name an minxes
of fee ample aaeholde(i1)f` e
diffeMannt WOnce lived above):J` �/ ,1 / '���
a. CONTRACTOR'S NAME: 0 I\e .\ flcy�Jf`C( /Y in-,- ( rO
bCmaamw'a ainm I $?O h) E `2n ef Lel F4 3v-I3 SaPlanamrae: sf 70C' 45CcL
5. SURETY(if applicable,a copy of the payment bond is attached):
a.Name ad atlmm:
b.Pone number c Ammar of bond:S
• & LENDER'S NAME:
b La der'a addrma. c Marc number:
7. Persons within the State of Florida designated by Owner upon whom notices Or other documents may be served as provided by
Section 713.13(I)(a)7.,Florida Saanes:
a.Name and address:
A Phone numbers of designated pawns:
8. In addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b),Florida Statutes.
b Panne samba of designated pane ar any:
9. Exphation date of notice of commencement(the expiration date may not be before the completion of consouction and final
payment to the contractor,but will be I year from the dam of recording unless a different date is specified): ,20 •
WARNING TO OWNER.ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 71.3.PART I SUTTON 711.0 FLORIDA STATUTES.AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVFMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MIST BF
RECORDED AND POSTED ON THE JOB SITE BFFORF THE FIRST INSPFC170N IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH YOUR LENDER OR AN AITORNFY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
Under Penalty of pajury,I declare that I have read the foregoing notice of commencement and that the facts stated therein arc Due to
the bat of my Imowlydge and belief.
SigoatureaOiler'6r lJFsse or Owoer'e or Lessee's Prig Name aha Provide storyT d0it ice b
Authorised Oflieer/Director/Parmer/Maaager
Slate of Florida
County of Palm Beach �E..,,� ^/F
The foregoing immanent was acknowledged before me this CiffiTh_ day oft et S-i0'A
By�-�fa Abr Wv CCC!!!
(name of person) J (type oolauthha,tty',,.....e.g.officer,ansa,money in fact)
For -
(name of parry on behalf of whom imoument was executed) FL •
Personally known orgl Produced the following type of identification: 1 L Dv
yp.... f7, SHARYLALEAS PATTERSON
w a kAYCOM18SSgy/Qc 048075 Signature of Notary Public
i SIRES;Nowt.8,2070 (Pont type [�j�commissioned name of Notary Public)
eta.
Wean Up!wry fa tai `beirL PATTERSON
•• ei+ STAT1E01rlellOF FLORIDA • PALM BEACH COUNTY
SMevetopmenBUILOWWbrmrhmphtesW
Sigesotic ofCom ®
madadoc
^% sit!
l ° o I hereby certify that the foregoing is a
Rp(f1 4�n true copy of the record in my office with
1l
redactions,if any ass,-Jrequired by Ia�
•,;tet'/'e°••THIS DAY OF < .
coutR` SHARON R. BOCK
CLFMPTROLLER
By
DEPUTY CLERK