HomeMy WebLinkAboutOwner Builder Affidavit JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4630081 OR BOOK 4334 PAGE 414 , Recorded 10/17/2019 09:49:04 AM
RECEIVED
NOV 12 2019
ST. Lucie County, Permitting
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds$2,500.00(Recorded copy needs to be submitted to the permitting office)
PERMIT#: -----_–JAX FOLIO#353.5ld-oo63 Mom-q--
STATE OF FLORIDA COUNTY OF MARTIN
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 STREET ADDRESS,IF AVAILABLE);
G&E%RALOVE5SCRIPTIONOFIPROVEMENT- �Ptn'ONX aw ft.
ft V�a&A �0-5
OWNER IN MAT ON 0 EE INFORM TION,IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name,.
Address;
eAVT, rVANn
Interest in property: UAN-Af
Name and address of fee simple title holder(if different from Owner listed above):
CONTRACTOR'S NAME: -VTN1 A35 Gzji,-%)kMal- PhoneNo.: -4--�t-qxu of
Address;1531Q Aciol --
SURETY COMPANY(if applicable,a copy of the payment bond Is attached):
Name and address:
Phone No.: Bond amount
LENDER'S NAME: Phone No.:
Address:
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 No.:
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 Statues.
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 I 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 71-3 PART 1,SECTION 713 13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUSTBE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSEE—MON. IF YOU iEE—ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING-WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty erjare that I have read thefore oing and that the facts in(tare true to the best of my knowledge and belief.
Signature of Owner o4Lestae,or Owner's or Lessee's Authorized Officer/Director/PartneyManager/Attomey-in-fact
Signatory'sTittle/office
Th ad before me this day 0 20 IL�
B�aregol Inst nt was acknowledg
(D t9 a as for
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5 Name of person
75 C6 ' Type ofauthority Name of party on behalf ofwhom instrument was
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executed(e.g.officer,trustee,attomey-in-fact)
uj az
m MPersonalty known� or produced i tion
0 Notary's Signature Type ofidentificati
0 on produced
o
(Print,Type,or Stamp Commissioned Name of Notary)
ADA Accessibility Disclosure Statement— This document May be reproduced upon request in an
alternative format by contacting the County ADA Coordinator (772) 320-3131, the County
Administration Office(772)288-5400, Florida Relay 711,or by completing our accessibility feedback
form at ww.martin.fl.us/accessibilb-feedback.
Rev.01-19