HomeMy WebLinkAboutRoof inspection affidavit(Please print
Planning & 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
licensed as a(n)Contractor*/Engineer/Architect
me & circle license type) *FS468 Building Inspector
*General, Building, Residential or
Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about ` " z `,Tdid personally inspect the roof deck nailing
,,Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the' xisting Building Code Section 708 or the product approval submitted (whichever
is most str' --__
License #
STATE OF FL
COUNTY OF
Sw n to and sul: scribed before me this VI-Aday of � 20@0
by( Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: r� MELISSAVBROTHERS
Notary Public State of Florida
�' Commission M GG 213104
En My Comm. Expires Apr 11, 2021
Bonded through National Notary Assn.
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4698886 OR BOOK 4409 PAGE 767, Recorded 04/16/2020 01:03:35 PM
AFCER REMEDIN : - RETURN TQ
PERMIT NCIMEER: a 0310
NOTICE OF COMMENCEMENT
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. DESCRIPTION OF PROPERTY (Legal description of the property & street address, if available) TAX FOLIO NO.: 3321-80044-000-6
SUBDTVISIiON Marsh Larding 0 the Reserve Phase II BLOCK TRACE LOT 79 BLDG t1Nr r
7247 MARSH TERR. PORT ST. LUCIE, FLORIDA
2. GENERjIL DESCRIPTION OF IMPROVEMENT:
3. OWNED INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a. Name andladd_ RICHARD SACCO 2 ALDEN GLEN DR. WEBSTER, NEW YORK 14580
b. hat""pmpedy: HOMEOWNER
c. Nem- an address off" simple titleholder (if diffb t from then -t listed abeve):
4. a. CONTRACTOR'S NAME: STEVE FRONTERA ROOFING, INC
Contnctot s add_: P -O. BOX 9661 PORT ST. LUCIE, FLORIDA 34985 b. Phone number. 772-336-3880
5. SURETY (if applicable. a copy of the payment bond is attached):
a. Name end'iaddress- N/A
b. Phone number.r� c. Amount aT bond'.
6, a. LENDER'S NAME: NIA
Lender's edd- b. Phone
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served I s provided by
Section 7 � 3.13 (1) (a) 7., Florida Statutes:
a. Name mid address: N/A
b. Plwne nu': bets of dmg—t-d peesons:
8. a. 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.
b. Ph— ..pt- of person or entity designated by 0-
9. Expiration date of notice of commencement (the expiration date will be I year from the date of recording unless a different date is
specified)] , 20_
��..X
it c l rn
t�agnatu'iIe'of
Owner o r� ner's or Lessee's
(Print Name a d Provide Signatory's Title/Office)
Authortzq
OfBcer/Direetor artner/Manager)
.
State of
(FLORIDA
County of MARTIN
The foregoing instrument was aolmowledged before me by means of physical presence oroonline notarization,
this 8T�_dayofAPRIL 2020
by91 r�Qlz� ilc o
as HOMEOWNER
(name of person)
(type of authority,...e.g. officer, trustee, attorney in fact)
for I
(name of party on behalf of whom instrument was ex ted)
._
Personally Known or Produced Identification
Type of Identification Produced t�r- Lr C--
_0
tinny'71 NciF^y r ok,1io State or Floj,ida
.
(Signature of Notary Public)
,,r ;R,f Ci;IthT•;8 i=rHYllarlir)fit
(Plat, Type, or Stam Commissioned Name of Notary Public)
p
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Rev. 10-15.12 -., « .'• •�j��''`'' '``e"'+jY'`R•"`atar'ti!' S/'1."e-res
MEE NO(ORRECI(oOr,worlRIAERECoanOR
III %I rt
inr:REMCI.ancrrmn
Digitally signed by The Honorable Joseph E. Smith
ooTMENlutaORl7.Enlnr.vtCTOR1RUIOROEDORWrknnSntCRAu.eRECORnEVORFILb:nIN
uuOErutorrxrSr.ItcOcorNrticltr(horrmurzcEtTcot.Rc
-'. Date: 2020.04.16 13:04:15 -04:00
)`�=
Tnlsuoa tr�TatarutrrRrtt cTulrtitsar: wRlnBtt.ac
Reason: Electronically Certified Co
Y Copy
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