HomeMy WebLinkAboutRoof inspection affidavitPlanning & 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
Re: Permit # 1911-0553
lJ EDWARD LECHNER licensed as a(n)Contractor*/Enginee r/Architect
(Please print name & circle license type) *F5468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 12/12/19 i did personally inspect the roof deck nailin
(Date)
work at:
5541 TEAL TERRACE
(Job site address)
Based upon that examination 1 have determined the installation was done according to the current
edition of the ida Existing Building Code Section 708 or the product approval submitted (whichever
7::i��
iCCC 1331308
License #
STATE OF FLORIDA COUNTY OF/I�7 ✓Q'_
e
Sworn to and subscribed before me this day of DEC 20
LI
by Who is personally known to me or who has produced
as identification.
Notary Public, State of Flori
Signature of Notary:
Commission Number: �G
En
(Seal)
•pAL ?.7 i� J P:�1lC SI9!B Of Fl4fIC!a
.r:,:iif55$a�GG302181
for tiu� Eat}ir�:s 02,1'1!2023
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4646088 OR BOOK 4350 PAGE 2803, Recorded 11/25/2019 04:09:14 PM
NOTICE OF COMMENCEMENT
TO BE COMPLETED WHEN CONSTRULMON VALUE EXCEEDS $2,500.00 OR
WHEN HEATING OR AIR CONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,9=0
Permit th T Tax Folio m 114,0 q - 5b'l — 60 11— PP-0 A _
State of Florida, Canntyof Indian Ri4air, 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.
1. Legai rdescription of theprop" (and complete street address if available): ��
O i i�t T-C3fi ice' . 5 `&Ic! LbT' %r S-C-6 I �L�t-
-2. General description of improvement: - %kA4t & 2i
RE ROOF
3_ (}Owner information or 0Lessee information (if the Lessee contracted for the improvement):
a. Name:l
I
b. Address: S`.;? S& 1 � 0QUe a
(street addressl (complete city name) (srclte) (zip code)
c. Interest in property:
d. Name & complete address of fee simple titleholder (if different from Owner iisted above):
4. Contractor:
a_ Name: EDIFICIUM CONSTRUCTION LLC
b. Address: 1215 CASTAWAY BLVD VERO BEACH FL 32963
(street address) (complete city name) (state) (rip code)
c_ Phone number: 7720643-4513
5. Surety Company (if applicable, o copy of the payment bond is attached):
a. Name & complete street address:
b. Phone number: Bond amount:
5. Lender/Mortgage Company:
a. Name & complete street address:
b. Lender's phone number: _
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 7 ? v (1)(a)7_, Florida Statutes:
a. Name & complete street address:
b. Prone number: _ _ Fax number:
8. in addition to himself or herself,
a. Ownerdesignates of
to receive a copy of the Lienor`s Notice as provided in Section _{1)(b), Florida Statutes.
b. Phone number:-
9. Expiration date of notice of commencement:
(the expimtfon date 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
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR I MpftOVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTEOON THE 10B SITE
BEFORE THE INSPECr1ON. IF YOU INTEND To OBTAIN FINANCING, CONSULT W ITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMNiE CErt
ME
(Sigaoture of Owner or Lessee, orOWner'5 or Lessee's Authorized G r%LDlrector/A(irtner/Manager) (signotory's Tile/office)
The foregoing instrument was acknowledged before methls�,a day of 20_/f,
fly-. (printed name of person sign! ngabove) k- i
As: For
ftype of (?uthority, e.g. officer; trustee, attorney in fact) f rmme of party an behalf a,F whom instrument was executed) CPersonally Known OR duced Identlrication Type of identification Produced -�6 36
f Notary Sea I
rvotarySignature �.>P% No:ary Pubic Stave cf Florida
Ranny G BIa6
/ ry MY `;arr7mss5i0n GG 302181
Notary Printed Name �'+a,�oe 1= pNs02,,1412023