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SCANNED
PERMIT NUMBER: BY
St. Lucie Countll
JOSEPH E. SMITH, CLERK OF THI- _„s;UIT COURT
SAINT LUCIE COUNTY
FILE C 4286417 031141201710:44:34 AM
OR BOOK 3972 PAGE 1789 -1789 Doc Type: NC
RECORDING: $10.00
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 1418.231-0001.000.3
SUBDIVISION BLOCK TRACT LOT BLDG UNIT
Healherway Apartments 4985 to 5001 Sparkling Pines Circle, Fort Pierce Florida
2. GENERAL DESCRIPTION OF IMPROVEMENT: Remove existing shingle root, re -nail wood, dry In and install new shingles.
3. OWNER INFORMATION: a. NameHeatherway Ft Pierce. Ltd
b. Address 200 Witmer Road, Horsham PA 19044 c, interest in property
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: The Roof Authority, Inc.
.6771 North Old Dixie Highway, Fort Pierce, FL 34946
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND 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 713.13 (1)(a) T. Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
S. In addition to himself or herself. Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is
specified) ,_, 20_
1'fjBt:N„a]me�f1"d�byiae8jgiratDk�"Ysi7p,•tt�/Otr�c �"7C"O�• iflg'(
State of Florida
County of St. Lucie
r
The foregoing t ing instrument was acknowledged before me this 31 day of 97CLI-e .20 17
By F(x U-R0. B1a 02. Ri1r, .as Teo I
{•
(Name of person) (Type of au ority...e.g. Owner, of cer, wstee, attorney in fact)
Forthecdherryj .vl FF. Reoee.. U.1
(Name of party on behalf of whom instrument was executed) Personally KnownZor produced the following type of ID:
frM,elsf Diann,+ M AGAAt6A/ L( / A . � eALI � MY COMMISSION 1.2020793
� Fi .9[an i 1 4l e1�11tFs:rmrzt.zaza
(Printed Name of Notary Public) (Signature of Notary Public) . .d
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the. best of my knowledge and -
belief (section 92.525, Florida Statutes). - -
Sigitdt MelSjiof 0 er s�;er ser{s�f 'oflAorizx�tl; er/Di cfb �.fr n /1�IaB�g7r'.tvhSSjgtr�H tile:
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