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ST LUCIE COUNTY WATER & SEWER DISTRICT (SLCU)
NEW CUSTOMER APPLICATION
NAME
ACCT. #
SUBDIVISIONLOT d BLOCK 3
BILLING ADDRESS ZDA) &1V
EMAILADDRESS: p 2nfT�
PHONE # 905- 81-9 MOVE IN/CLOSING DATE
This:application hereby requests and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present orfuture rates, rules and
regulations, which by reference are made a part of this contract. Applicant agrees to pay Utility promptly for
such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
APPLICANT AGREES THAT APPLICANT WILL BEGIN PAYING BASE FACILITY CHARGES FOR TBE UJTY SERVICE
APPLIED FOR ON THE DAY THE WATER METER OR. OTBER LI TLITY SERVICE CONNECTION IS INSTALLED AT
APPLICANT'S PROPERTY, REGARDLESS OF WHEN APPLICANT STARTS UTILIZING THE METER AND/OR SERVICE.
CUSTOMER SIGNATURE SOCIAL SEC/FED ID
NAME OF SPOUSE
SPOUSE SOCIAL
OFFICE USE ONLY
DATE RECEIVED CASH CHECK.# RECEIVED BY
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MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4855671 OR BOOK 4600 PAGE 2244, Recorded 04/29/2621 09:46:26 AM
Prepared by and after recording return to:
John W. Monroe, Jr.
Emmanuel, Sheppard and Condon
30 S. Spring Street
Pensacola, FL 32502
Waterstone PH 3
Permit No.:
Tax Folio No.:
NOTICE OF -COMMENCEMENT
State of Florida
County of St. Lucie
To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real
property, and in accordance with Section 713 of the Florida Statutes, the following information is stated In this
NOTICE OF COMMENCEMENT.
Description of property: Legal Description: Lot 17, Waterstone — Phase Three, according to the Plat thereof, as
recorded in PIat Book 91, at Pages 21 through 31, of the Public Records of St. Lucie County, Florida.
Street Address: 8332 Amalfi Circle, Fort Pierce, FL 34951
1. General description of improvements: Single Family Dwelling
2. Owner's Information: Name: Adams Homes of Northwest Florida, Inc. Attn: Daphne Fincher
Address: 3000 Gulf Breeze Parkway, Gulf Breeze, FL 32563
Interest in Property: Fee Simple
Name and Address of fee simple titleholder (if other than owner):
3. Contractor Information: Name: Adams Homes of Northwest Florida, Inc., Bryan Adams, President
Address: 3000 Gulf Breeze Parkway, Gulf Breeze, FL 32563
Telephone No. 850-934-0470 Fax No. (Opt.)
4. Surety Information- Name: N/A
Address:
Amount of Bond:
S. Lender information: Name:
Address:
Telephone No.:
6. Identity of person within the State of Florida designated by owner upon whom notices or other documents
may be served as provided in Section 713.13 (1) (a), Florida Statutes:
Name: N/A
Address:
Telephone No.:
7. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes:
Name: Grant Frierdich
Address: 751 SE Port St. Lucie Blvd., Port St. Lucie, FL 34984
8. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless
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
713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR
AN ATTORNEY BEFORE COMMENCEING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
Adams Homes of Northwest Florida, Inc.
10
Sig?1Mre of Owner or Owners Authorized Officer/Director/
Partner/Manager
State of Florida Glenn H. Schnelter, Asst. Controller
County of Escambia
The Foregoing instrument was acknowledged before me this 20th day of April, 2021. by means of (x) physical presence or
() online notarization, by Glenn H. Schnelter, Asst. Controller, of Adams Homes of Northwest Florida, Inc. a Florida
Corporation who is personally known to me and who did not take an oath.
Notary Public (Signature)
24T.m... °°mG MARY C. HART
tt Ho Notary Public, State of Florida
�RQeP M CO"Imiss oniNo. GG11s571 2t
I HEREBY CERTIFVTIIATTHISDOCUSIENT LS.\TRUEAND CORRECTCOPY,TAN OFFICL%LRECORDOR Digitally signed by The Honorable Michelle R. Miller
DOCU.IIE:YTAUTHORIEEDBYLAN'TOBE RECORDED OR FILED AND ACUALLYRFCORDED ORR IN THE OFFICE OFIIIE ST. LUCIE COUNTY CLERK OF THECIRCUITCOURT. Date: 2021.04.29 09:57:08 -04:00
TWS DOCUMENT MAYRAVE REDACTIONS," REQUIRED BY LIM Reason: Electronically Certified Copy
VTffrHTrR•J/STI.UCIECLERK.CO.%MERVICESR:.CERTIFYoFFICLu,RECOMSTOVAUDATETHU nocunlENT, Location: 201 South Indian River Dr, Fort Pierce, FL 34950