Loading...
HomeMy WebLinkAboutInspection Docs Planning & Development Services Building& Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 ; ED 772-462-2165 or 772-462-2172 RECEIE Fax: 772-462-6443 MAR 2 2 2017 .. T ROOF INSPECTION AFFIDAVIT Re: Permit# i licensed as a(n)Contractor*/Engineer/Architect (Please print na e&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 1 "'� �'�� , I did personally inspect the roof deck nailing (Date) work at: (Job site address Based upon that examination I have determined the installation was done according to the current edition of th Flor a Existing Building Code Section 611 or the product approval submitted (whichever is most strig - CGS /.��•���� i nature and Seal License# STATE OF FLORID COUNTY OF n Swo n to and subsc ' ed Wore me this �� day of -G 20/7, b Who is person known to a or who has produced as identification. Notary Public,State of Florid Signature of Notary: Commission Number: e— Za;�2�(Se En 01/19/2011 ,�e• AUDREYB.HUMPHREY '; += MY COMMISSION#FF 174772 P EXPIRES:March 6,2019 of °` Bonded Thru Notary public Underwriters JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4289276 OR BOOK 3975 PAGE 1984 , Recorded 03/22/2017 02:53:15 PM CIV E Fk VIF MAR 2 2 2017 r FRt -!IIT 1NG NOTICE OF COMMENCEMENT > '1 ,cin t'C'mty, F;- Permit No. l / Property Tax ID No. 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 address if available �[�zA General description of improvements 4e OwnerAessee t. ,, 1J Address 71 ©,L ���'^ 17i�- �jYL�"�G/fe Interest in property: Fee Simple Title holder(if other than owner) Address Contractor k'gle-m2i Phone# Address— S->-06 Fax# Surety . _ Phone# = i Address Fax# F' � Y Amount of Bond = w i ~d J Lender Phone# ¢o x Address Fax# —w Persons within the State of Florida designated by Owner upon whom notices or other documents may be servlgl Wged ui a' by Section 70.13(a)7.,Florida Statues: rr cW-3 U Name Phone# ��o 0) t W Z J Address Fax;l o E5 53� ED In addition to himself,owner designates Q CZ iz m CDp Phone# Fax# ~ to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADG BY THE OWNER AFTER THE EXPIRATION OF THF.NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CH.713.13,F.S.,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 I.ENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMF.NT. OwncrlLessic,or Owucr's or Lcssee's Authorized Officer/DirectorlPartner/Manager!Signature Slgnatary's TitirJOf@ce State of Florida,County of S.f• L(,�t '-i Acknowledged before me this^2 Lr ,day of er &V-C"11 20 J1 7,by e v. C wh ers Wally known tome or who has produced C tw I1_ -7XI 3-yj.-n as identification. Siynaturi of Notary Type or Print Name of Notary (Seal) Title:Notary Public Commission Number `;*WsN4eNtsapaeNepVa OZOZ'6LudY:93yIdX3 ' 4 EOEtt6 jj 1 NOISSIFYWOO AO ` A9L4JMM.hUSSA N NIPS m'"YM9Y , *a * IMI'COMMISSION t FF942303 EXPIRES:Amt 9,2020 'Ea.no* 14etNobry54ryke1