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Home My WebLink AboutDoc Nov 01, 2017, 1456Re: Permit # ! Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT licensed as a(n) ontractor Engineer/Architect *FS468 ulIng Inspector (Please print name & circle license type) *General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. On or about t' © �v ' o li 1 did personally inspect the roof deck naing (Date) work at: (Job site address) ng to the current Based upon that examination I have determined tone611to�1the prodution was ct approvalone slubmitted (whichever is Prlition of the Florida Existing Building code Sect most strigent). Signature and Seal STATE OF FLO TL'U C,'p COUNTY OF f� '� hafnre y107 �PCo?�O�Z Lice se # ( day of 261,this produced ,k. Who is personally known to me or who has p Notary Public, State of Signature of Notary:_, Commission Number: En 01/19/2011 �,• Y "�e'•, ANNEMARIE SINGER Notary Public - State of Florida Commission # GG 085884 '•.',��F�ds'� My Comm. Expires Mar 22. 2021 (Seal) "MR E • SIAYTK t CLERK OF THE CIRCUIT COUR CLE # 4366484 OR BOOK 4060 PAGE 84, RecordedAINT 11/01/2017 02:52:59 PM NOTICE OF COMMENCEMENT 5�3 Permit No. _i 1 n Tax Folio No.� rte` D 041 - 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. �eal Description of Property: (anti street address if available): 0, U A 1 D nidi d (tee p�,Olrw 3 General description of improvement: ee Owner information or Lessee information if the Lessee contracted for the improvement: Name Addressit b Ar sift I C� i 4�JC�1111 pat MjZL-&- interest in property: A IAC — Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: Contractor Address Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ ,__,_ Name and address: Phone number: Lender Name:— Lender's addres! Phone Number:—_ --_—_ IQL Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 7I3.13(11(al7.,Florida Statutes: Phone Number: Name: Address: of to receive a copy ofthe in addition to himself or herself, Owner designates Florida Statutes. Lienors Notice as provided in Section 713.13(1}(b), Phone number of person or entity designated by owner: Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the 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 YOU R 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 BEFOSRE COMMENCING jAjEFDOARK OR RECORDING YOUR NOTICE OF COMMENCEMENT, 51. LUCIE COU141NT H T THIS IS A Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the fa &8�Y��f �F THE TRUE AND COR CLERK my knowledge and belief. ORIGINAL MITH re of Owner or Lessee, or Owner's or Lessee's Authorfzed Officer/DirectorlPartnerlManaGer PH E (Signatu By; Deputy Clerk t)Git IIr (Signatory's Title/Office) � D(7tO The fo going instrument was acknowledged before me this day of20 i� as -h-h AILA fori]/1{�� 1 btu �+'► ame of Person i r ee Party on behalf of whom instrument was executed t„rrna ANNEMJIRiE SINGER P sonally known_or produced Identification Neto Public •Slate of Florida j Q ignature of Nota Public- State of nda) ConNnisNort / GG 083t8� T e of Identification produced C.� �,. {print, Type, or Stamp Commissioned ame c� Comm. Eortt Afar 22.2021