HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building& Code Regulation Division
* 2300 Virginia Avenue
UNT Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVED
FEB 0 7 2017
ROOF INSPECTION AFFIDAVIT PERMITTING
St. Lucie County, FL
Re: Permit#
I, /� `� licensed as a(n)Contractor*/Engineer/Architect
(Please print ame&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 7 fik—,,10 0 , I did personally inspect the roof deck nailing
(Date)`
work at: �` ff-&f�M-YA;d
tl(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of theFlori a Existing Building Code Section 611 or the product approval submitted (whichever is
most strig t).
) —n�-,C-
e and Seal License#
STATE OF FLORI A
COUNTY OF 1
Sw rn tQ and subscribed beliorek me this_ day of 20_Lq
by \J m Who is personally known to me or who has produced
as i ntification.
Notary Public,State of Florifia
Signature of I A J KAREN S. NIELSEN
Commission Number: � l I'J f'o`��I �s _ Commission# FF 115637
Q; My Commission Expires
June 12, 2018 i
En 01/19/2011
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4274876 . OR BOOK 3961 PAGE 431 , Recorded 02/07/2017 01: 58:41 PM
MEF ' I
NOTICE OF COMMENCEMENT
��
Permit No. 5 L C' . 1�a" Tax Folio No. FEB APER!J7177 101
TING
State of Florida County of St.Lucie St. Lucie County, FL
The undersigned hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
thefollowing information is provided in this Notice of Commencement.
Legal Description of Property:(and street address If avalE le):
l3r�i -6o� • o03k -UUbZ0 311 1_4 v-y
General description of improvement:
Owner information or Lessee informati n if the Lessee contracted for the Improvement:
Name v+ ;� -
Address 5`3', ( �-
Interest in property:
Name and address of:fee simple titleholder(if different from Owner listed above):
Contractor's Name:
Contractor Address: 1r/14 Phone Number:
Surety(if applicable,a copy of the payment bond is attached):Amount of bond:$
Name and address: Phone number: w
c/7
Lender Name: Phone Number: Cn u...
Lender's address: }
d U
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by�ti x m
713.13(1)(a)7.,Ftorlda Statutes: y g
Name: Phone Number: G N
ui
Address: Z_v
O p w
In addition to himself or herself,Owner designates of to receive a c6�yrof �p
Lienor's Notice as provided In Section 713.13(1)(b),Florida Statutes. CD
z
Phone number of person or entity designated by owner: WLU
CD m o
cc
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to theme
contractor,but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY,A�NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR-NOTICE OF COMMENCEMENT.
Under Pena perjury,I lare that l ha read the foreg 'ng notice of commencement and that the facts stated therein are true to the best of
my know) g nd belief.
i
EILEEN LANKFORD
(Signature of Owner or Les ,or Owner's or Lessee's Authorized Officer/Director/Partner/Mana F, _ Notary Public-State of Florida
';v+ = Commission#FF 227469
My Comm.Expires May 12,2019
(Signatory's Title/Office)
r-� r
The foregoing Instrument was acknowledged before me this day of f C IO fu.:�20 I I
By iC, m —.as 4'0?yf for N rd 1 (4 A
Namef ersor� Type of authori (e.g.offrcer trustee) Patty oat half whom instrument was executied
�`— � Personally,known or produced Identification
(Signature ofNotary . lc-State of Florida)
(Print,Type,or Stamp ommissioned Name of Notary Public) Type of identification produced