HomeMy WebLinkAboutOwner Builder Affidavit JOSEPH E . SMITH, 'CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4559770 OR BOOK 4261 PAGE 2342, Recorded 04/29/2019 10:28 :23 AM
RECEIVED
'The Home Depot
6500 NW 12th Ave#110 MAY ® 1 2.019
Ft. Laudedale,FL 3330.9
ST, Lucie County, Permitting
NL•RAACTNUAF.t3F,R:,_„_„ _
'nie wrdedslgned hereby gives notice that Ilnprovertlent Wit be made to cerialn real propxfy,and In accordanr*with Chapter 7.13,
Flor lda Statutes,ttt:follming tnforneacm is pr oAd:-Id in this Notice of Coianwxd3wskA.
i• Q`25CR1FTICN tx PR'3Pk'R7Y.(Lellel dE,crip8rxi m�p.'rogsty�sircyt atid�,If avail,�lc)'I7:K FCtt3c7 tta.: 3409-808-0006-000-1
501601WSION Q ftwood Mannor tiectioyl Threg BLOCK '172ACT ;_LOTS [tt.QL: UtdEr
1104 Driftwood Lane Ft Pierce,FL 34982
2. GENERAL 13ESCRIFT1Ob1OF'IMMOVEMMM - .
Windows/Doors/Storm Protection
3. DIMMER INFORMATION OR LEhg.EE INFORMATION BF 7FIE LESSER CONTRACTED FOR THE i116PROVEMENT:
�.Name ami address; Shelfon Peters 1104 Driftwood Lane Ft Pierce FL 34932
b, r,lerast In property: owner _
c Name and addri-s of fez simple tillelmlder(Ir dfrrerent from Ovines listed gave);_same
a, a.ccmlTpccTolrsnarAmF, THE F9UsME DEPOT --
cOntrador's edren; 6500 NV'v'12th Ave#110,Ft.Lauderdale,FL 33309 b•Phone nombf.: 754-224-2010
5. WRE-rY(If applicable,a copy of the payment bond Is attach"l):
a.Name sad address
N/A
b.Phone number,, C.Amount or lwnth S
6,a.LEEWER'S P1AnMM N/A
Lender's address: b.Phom lumber;
7. Persons wlthtn 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:
a.Name and address
b.Plwne numbeM of designated persons. ----
8.a,in addition to himself or herself,Owner,designates of
to receive a copy of the L-lens's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b.phare rmmber of person or entity deslgnaled by Owner: '
9. Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final
payment to the contractor,but wl11 be 1 year frau the date of recording unless a different date Is sped Fled): ,20�
_ rArRnni Inv�'n numico. qNy pgyMpNTS NIAp�t3Y THE OWNEfi.AFTER THE EXPIRATION OF THE NOTICE pF COMMENGEME�
,n,nc�rue
��F CONSII}cRED IMPROPER PAYMENT�L• D'E'ER 714 PAF2T 1 SECTION 713 13 FLORIDA STATUTES AN C
�e{3LT^:{OUR PAYING T4"11GE FOR IMPROVEMENTS TO YOl1R PROPERTY. A Nf�TICF OF GOb^h".ENGEh�ENT MUST BE
F^ORi�c^^ ""�.G^n"-n;F�nB SITE FOf3ETHF.FIRST INSPECTION, IF y0U INTEND TO OL�TA_IN FIf�IAIdC1NS�OS7 S I
i in r�, r< L1r� v ��uTT^A��v ttFFORF GOh^MENGINC WORK OR R CORDING YdUE2NQTtOES�J=�OMMEtJCEMENT.
Under penalty of perlury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to
be my knotMefge and belle
S tvz f-��yrt^E
I t>Iare f r or Lessers,ex OMer's er Lessee's (Print plane and PrWde Simtatory's T113elOMce)
i zed Officer/DirectorlPet trtetRUfana�r)
State of FLORIDA
County Of tit.Lucie 00,11M,nte,gJ,p
SMgDj°°,o
The foregoing Instrument was acknowledged before me this day of'' 'may
by_ Shelton Pete c a5
OWNER
(name of person) (type of a ,. . 14Qeb4ruste�'a ar�ey In fact)
�plltEsz o to ,.
for (dame o;party on behalf of whom Instrument was executed) fr'?°e rj°z' o =.
- •. orbs sS• ��
Personally Knaamor Roduced identification Type of I tiflcatlon Pr
r
r�n'�ii'4t11i11►��•t�
Notary
(y atum of Notary Public)
(Print,Type,tx mp Commissioned Name of Notary Public)
Rov.10•ei-t1¢.Ra�xdlny) -