HomeMy WebLinkAboutCompaction Test From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections 'Fax: (772)462-6443 Page 4 of 5 0511012017 2:45 PM
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Planning&Development Services
. 2. Building&Code Regulation Division
2300 Virginia Avenue
Fart Pierce,FL 349$2
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit 9 � � t` 1
,r �j � I
1,- 1(Cflp, 4 I ( l fLA/. S licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
*General,Duilding,Rteesidenti//al or Raofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about J
f--
(o — / -7, 1 did personally inspect the roof deck nailing
(Date)
-1 work at: 163 LG CA
(lob site address)
Based upon that examination i have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 613 or the product approval submitted (whichever is
most strigent).
-..- Z(--
Signature
(--Signature and Seal license#
STATE OF FLORIDA
COUNTY OF :51GC,,r fes* 7
Sworl�•�and subscribed before me this T�) day of � 2012
by fid , d//."�tG F..� Who is personally knnwn to me or who has produced
as identification.
Notary Public,State of Florida _
Signature of Notary_ EiOaiLz
pY fp
Commission Number: ''`• �Sl +tl'!t'ssSlUVrC8Eis74
v a C HiwS;r AP 13.2017
En 03/19/2021 ..Y" o dsd:.": M#3iL sne ice
RECEIVED APR 112917
From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: (772)462-6443 Page 5 of 5 0511012017 2:45 PM
JOSEPH E.SMITH,CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
AFMiR RFC,,QRDTNG.RMj*-RN TQ:
FILE 9 4307094 05/101201712:11:17 PM
DR BOOK 3994 PAGE 2404-2404 Doc Type:NC
RECORDING: $10.00
PERMIT NUMB1111:
....... ....
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be ninde to certain real property,and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1.DESCIUMON OF PROPRRTY(Legal description and strectaddress)TAXP01,10 NUMBER: 1428-702-0017-000-4
SUBDIVISION----BLOCK---TRACT-----JOT ---BLDC�--UNIT-SAN LUCIE PLAZA
SID-UNIT ONE-BLK 10(2546,2554 SENECA AV)8 12.6 FT LOT 15 AND 64 FTVAC LOWELL RD LYG BTW ELKS 1C AND 1DANDBLKID N4.6 FT LOT 16(MAP 14133N)(OR 2088
2.GENERAL DESCRIPTION OF IMPROVFMIENT. reroof home
3-OWNER INFORMATION: a.Name Joe and Gina Noelke LLC
b.Address 480 River Prado Fort Pierce,FL.34946 eiy ne,
C.inro
interest in pp
d.Nae and address of tree simple titleholder.(if other than owner
4.CONTRACTOR'S NAME,ADDRESS AND PHONE N-UMBER: Fdchte the Roofer 6704 Santa Clara Blvd Ft Pierce FI.349517724736197
5.SURETY'S NAME,ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6.LENDER'S NAME,ADDRESS AND PHONE NUMBER:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as Provided by
Section 71113(1)(a)7.,Florida Statutes:
NAME,ADDRESS AND PHONE NUMBER.
S.In addition to himself or herself,Owner designates the following to receive a copy of the I.ienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
NAME,ADDRESS AND PHONE NUMBER:
9.Expiration date of notice of commencement(die expiration date is I vear from the date of recording unless a different date is
specified) MR-1 is 20.17__.
1111ARMNCTOONVNER:ANY PAYWNTS MADE BY'NiE OWNER AFTFRTHF-PXPLRATIONOFTHE NOTICE OFCOMMFNCEMEM
ARL'.ONS 111FRED IMPROOER PAYMj--,Nrs uNTt)E.R CHAPTER_yuPART.1.SECTION 713 I i.*(-I`0RTDA STATUTES AWY71 I'A7-J T?P-QTl—
INY UWPA"YTN --TWICE 'OR IMPROVEMENT..TO YOUR PROPERTY.A NOTICE OF C0MNffiNCFMENT MUST BE RECORDED ANII)
P() ON Tift'JOB 0tLREF(Qj) Tk1F FIRST INSPR(MON IF YOU FrrFND TO O'BTATN FINANCING, CQNSMT WrM HOUR
k,A ATAA&ItY BEFORE COMW-NCING NVORY,OR RECORDING YOUR NOTICE OF COMMENQ13-MENT.
Sig aturra 0-11,er or Print Name and Provide Signatory's Title/Office
OF nees Authorized 0 cer/Director/Partner/Manager
tate of Florida
County of St Lucie
The foregoing instrument was acknowledged before me this-----t--, day of— 20—yi2—
By AA4,-1 b,f- owner
(Name of person) (Type of authority...e.g.Owner,officer,trustee,attorney in fact)
For -3`e -I r—-
(Name of party on behalf of whom instrument was executed) Personally Known-4 -NEWLAW
RNAMY
MY COMMISSION#G000907
EXPIRES A01 03,2021
(PAted Name of Notary Public) I (Signature of Notary Public)
Underpenalties of .1 d"'
I that I have read-die foregoing and that the facts in it are mie to the best of my knowledge and
p M" -
bpi-6f:(section 97TZIrd-i&Statutes),
,v4)or Owner(s)'Authorized Of*ficer/Director/Partner/Manager who,fined ahoy.:
Fove!
I'By: z By
RLT 130P (Rtxordin.