HomeMy WebLinkAboutOwner Builder Affidavit NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 3 Y2-5 _ moi. nn2 D do
State of Florida County of St.Lucie 4 7p,ow / 2 03 F T 11S15-
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1ShyThe 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 street address if available):
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General description of improvement: REROOF
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Owner information or Lessee inform ti n if the Lessee contracted for the improvement: 0
Name , �J O
Address 13-7 ���_ l' S L,. i"� 3'/ySL U Z
Interest in property: OWNER
Name and address of fee simple titleholder(if different from Owner listed above): _ PU.
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Contractor's Name: Treasure Coast Roofing
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Contractor Address: 1816 SW BILTMORE PSL,FL 34984 Phone Number: 772-370-9770 V i a�U ' $
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Surety(if applicable,a copy of the payment bond is attached):Amount of bond:$ u N "'
Name and address: Phone number: w� z
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Lender Name: Phone Number: o
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Lender's address: 0 w r,
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Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself,Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
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 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 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.
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ignature of Owner or ssee,or Owner's or L see's Authorized Officer/Director/Partner/Manager ��°` Q��•��•. .... �'Z
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(Signatory's Title/ ice)
g g �A �- AFF 122434 tThe fore oin i rume as acknowled ed before me this Jdayof 20
By " as ^ for
NaVVn Type of authority(e.g.officer,trustee) Party on behalf of whom instrument was executed
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Personally known_or produced Iden ' ' tion
(Signature otary Public-State of Florida)
(Print,TypeVor Stamp Commissioned Name of Notary Public) Type of Identification produced ���//��✓//