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Re: Permit #
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2.72
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
It E . I)Pi, . licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential r Roofing Contractor or any individual certified ander 468 F.S. to make such an inspection.
On or about f
I did personally inspect the roof deck nailin
(Date)
work at:
FT- (Job site address)
3 e7(95
Based upon that examination I have etermined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product anoroval-ujhrnittQrI (whichever
STATE OF FLORIDA
COUNTY OF adc,4
Swot and s ubscr,ibeo befpre rna this Z- day of ZQ j
by a;rr—a t_u1�, Who is personally known to nfe or who has produced
as identification.
Notary Public, State offlorida
Signature of Notary:
Commission Number: S' G ir3 {Sea])
En r'►'•
CHRISTINA MARIE ROMO3
MY COMMISSION # GG 15
EXPIRES. Otto
6 r18,
•�'� 116 o Based Ttrrl�ry Pub* a zaicd w*
P.
NOTICE OF COMMENCEMENT
i`
Permit No. `% V Property Tax Ill 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 app l�rp7i 0
L01' i 1 (nor 2 I & 11 rA'-) W
General description of improvements Reroof home
OwnerA
Address
Interest i„ Iia v,PeA cy:
Fee Simple 'Title holder (if other than owner)
Address
Contractor Richie The Roofer
Address 90513th St S.W. Vero Beach, FL. 32962
Surety _
)Phone #
Fax #
Phone 4
Address Fax #
Amount of Bond
Lender
Phone #
Address Fax #
Pel -sons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7„ Florida Statues:
Name Phone #
Address
In additions to himself, owner designates
Phone #
Fax #
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 MADE BY THE OWNER AFTER THE EXPIRATION OF THE 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
CO-MAIENCEI TENT MUST BE RECORDED AND P087FED ON THE JOB S E BEFORE TfIE T INSPECTION. IF YOU INTENT} TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO) ORE COMMEN WORK OR RECORDING YOUR NOTICE OF
COMM€NCNIENT_
r A w
nr
State of Florida, County ofd d; cAC\ (:kl V C
Acknowledged before me this --1-2 day of Ma+ c. 20'� , by
who' ersonal own to me or who has produced L'
p _ as identifteation.
Print, Name of ryvSignature o Notary Typeor
(Seal)
Title: Notary Public Commission Number
iNerNiiy.,, PHILIP DASCH
NotaryPublic- StateofFkxida
• (�� w Commistan p GG 106425
`•'"s +'I MyComm'ExpiresMayt8,2)2i
Ildnded through National Nota;y Am,