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HomeMy WebLinkAboutInspection Docs it 'RECEIVED Public Works Department FEB 0 2011 Code Compliance Division PERMITTING * 2300 Virginia Avenue St. Lucie County, f'i_ ; F L • Fort Pierce, FL 34982 . 772-462-2172 Fax: 772-462-6443 INSPECTION AFFIDAVIT Re: Permit# 170 Z d 1'Sq z , licensed as a( Contractor /Engineer/Architect (Please print name&circle license type) *FS46 nspector *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. On or about ��, 1 did personally inspect the ro�decknnd or (Date) (circ a ose t a apply) secondary water barrier work at: (Job site address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) 6 G/rns-s� Signatu and Seal License# STATE OF FLOR COUNTY OF Swo{n to and subscribed before me this�_day of Ia. 20jtj by O M©7 . Who is personally known tome or who has produced Ft as identification. Notary Public, e of Florid ; Signature o O- Commission Number: KAREN S, NIEL$EN � - En 09/17/09 ?_° Commission It 01 15637 aF My Commission Expires `f� °�' June 12, 2018 JOSEPH E. SMITH CLERK - OF THE CIRCUIT COURT SAINT LUCIE COUNTY FILE # 4275341 OR BOOK 3961 PAGE 1663, Recorded 02/08/2017 01 :43:48 PM RECEV� U NOTICE OF COMMENCEMENT FEB 0 8 2017 _[� PERMITTING Permit No. t 797 (��J / Tax Folio No. St. Lucie County, FL State of Florida County of St,Lucie The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of Property,(and stree`ad4 ss allabi): General description of improvement: IeG–RoOFi 8r. Owner information_pr Lessee information if the Lessee contracted for the Improvement: Name !Clg4C 2 Address i /d G 3 S�• Interest in property: Name and address of fee simple titleholder(if differentfrom Owner listed above): Contractor's Name: Contractor Address: 3 X)1W Number: Surety(if applicable,a copy of the payment bond is attached):Amount of bond:$ Name and address: Phone number: J O—4 Vs cn Lender Name: Phone Number: a c=Dt�; Lender's address: z a CR C.,� z m-n Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sectlo o C13–" 713,13(1)(a)7.,Florida Statutes: W: O C2 c Name: Phone Number: . n Address: In addition to himself or herself,Owner designates of to receive a copy of lllV�c x Lienor's Notice as provided In Section 713.13(1)(b),Florida Statutes. v Phone number of person or entity designated by owner: o= T y Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the =vn contractor,but will be 1 year from the date of recording unless a different date is specified) m a WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CO SIC) IMPROPER PAYMENTS UNDER CHAPTER 713,PART[,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 FI INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. (Sign r essee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager (Signatory's Title/Office) The foregoing Instrument was acknowledged before me this,_day of F g:A , 20J_7 By Ate,+ l M ldi`sg–r- as for Name of Person Type of authority(e.g.officer,trustee) Party on behalf of whom instrument was executed , MARIELAMOORE� rsonally known or produced Identification (Signature o Notary Public-State of Florida) MY COMMISSION I FF94i994 (Print,Type,or Stamp Commissioned Name of Notary Pu SF '' EXPIRES:January 3,IM of Identification produced Banded7NuBudsetNotary Servkes �`.."Y•POB�� MARIELA MOOM MY COMMISSION I FF 941994 EXPIRES:January 3,2020 Now/stakes