HomeMy WebLinkAboutOwner Builder Affidavit i.
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4359261 OR BOOK 4052 PAGE 529, Recorded 10/12/2017 04:37:22 PM
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'°�'�°'�' courl�'afsGrrtde Permitting Department
She undms(gned��notice that tmprvverrrarstwit!be meds m certain reel pro ,en�reo �tt!(�t� r` .
*&ftkvft WORMUM is p COM In this Notice of Cbmmerrc hent.
�e fa1 Dt�pgon of PrnpeM�(a st�ee7 eddresa If-sveQahfe)' n \ � 3 1��c lCa,,,so,� �fie.�{�S�� L..
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Addraps St' Lc �,. a v,
.inDeriitlnproperty:-- �����-�� - - ._,....•,....
Name and address d tae simple lWahoider N dlRenwafrom Owner UaW abovO
ConUvAorAddrws: C Phone Number. C(Q a°�uRT
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&;city(NapplIcaWs.a mprGf the p9y�'nertUrA 1s a ► �7lno nt of hor+d$ n
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Name azd add(ess:_ Phone number:.
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Larldar Name: Phone Numbw: �� y
Lerldar'caddr�c: �'g1D
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Parsons vvithbt tM Shen of Fiorlda dash W owner upon whom notices ar other d=rnwts my be=rod to p vAded by Section.,¢„
Narnae Phone Number:
in addition to hinvO or herself,Ownerdesignates of to resolve s copy oft ik O
Llenoes Notice as provided In Section 2 7 1)(b),Florida Stad*m Q :,-w >
Phone number of parson orerrttty designated byownec t✓Z LL'a
`-EiWatlan date or notice of a mmumernertG(the expiration date may not be before the completion of cgrabuction and ilnel meontJ46
cantractor,b Aw8l be 1 year f m the data of nacording unless a different data Is specified} "" ,O ICO)J N
F-
wmfix$To OWNER:ANY PAYMEN75 MAnE BY THE omER Am THE EXPIRATION OFTHE Na=OFOOMMENCEMW ARE CO OLu Ur of
IMPRAPER PAYMwis UNDER ow ER 71%PART r,SECTION 733.19,FIARIDA sTATllI'E8,AND CAN RESULT iN YOUR PAYING TWKZ I> 0
iMPROYEMENIS TO YOUR PROPEW.ANOME OF COMMENC61101EWNIUST BE REOXM AND POSfID ON THE JOB SITE BEFORE THEPlitril'"0 m
W KMOil.IFYOU WMDTO OBTAIN FINANONe.came Twn YOUR UNDER OR AN ATrORNEY BEFORE COMMMNG WORK OR
RECORDiNGYOIfRTNOT CEWtO90INERCELiRT.
Under pem ft of perjury,I dedere that I have read the forepIng notice of eommenowtent end thatthe facts stated therein are true to the best of
my knawkdoe and belief.
Am A4
oraWre Of Owner or Lessee,or Owner's or Lessee's Authorized Officer/Dlrectar/Partner/Manor
Dw►r)er -
(Signatorys 1ZMJOHira?
the forea ft Listrtrnrent was admowtetpd bafore me ft22_dry oT.—"-X�-- 20 L-
BY jc - k"cmgswou)(y-Ar7 for
(�Namedg.
persar 7ypeofauthorlty(roftieer,trustee) Party ohbehaffofwhom mentvvesemxuted
k kp, PersonxW i wnL_or produced idem flcation
j9patime of ftotruy F ifs-M to of Florida)
(Prfrrt TYM or stamp t7ammildoned Name d Notary PON Type of IderltiRca lon produced cm O C"
VNICOLE ORTADO
NOTARY PUBLIC
STATE OF FLORIDA
Comm#FF160038
IE)colres 1211/2418