HomeMy WebLinkAboutRoof Inspection Affidavit From:Richc+rd Newlarrd Fax:(866)610-8652 AP To: Fax: +1(772)462-6443 Page 3 of 4 03/07/2016 1:11 PM
M rr.R Rrr:CrRDTNG-RETUR-t MJGSEFH E.SO.CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE A 4165034 O 02.20 to at 08:37 APO
OR BOOK'3841 PAGE 2704-2 704 Doc Type:NC
/ �ry RECIiKt
PFRMI'l NUMBER:
i tJ i�(_o z--
L1
NOTICE OF COMMENCEMENT
The w,dersianad hereby liven uutice that improvement will tx made to certain real property,and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
L DESCRIPTION OF PROPERTY(I.e_al description and street address)TAX FOLIO NUB-MER: 2321-501-0001-000-7
SUBDIVISION BI,OCR TRACT LOT BLDC UNIT
FORT NIFNCc iP OENN OF)l ail>51.NAHION, "v(bt.OT- -t..Y...Fi.I.SI Vi;:Y'•()fry 1..C,—SIY:9C..IT.I.Fl/..'—T'1l,I" TIN,t F11 101."FN11;:TOS—: —117-.til 1-11.:: I IF
2.GENERAL DESCRIPTIO`OF IMPROVEMENT: Reroof home with metal roof
.01VNLK INFORMATION'-. a.Narae--A�------- CJ
ILI—
b.Address 2220 JERNIGAN RD Ft.Pierce FI.34951 m c.interest in property owner
d.Nance and address of feesimple titleholder(if other than owner)
4.CONTRACTOR'S NAME,ADDRESS AND PFIONiE NUMBER: Richie the Rooter&Co)nc 8004 Georges std Ft Pierce FI 34951
5.SURETY'S NN.ME,ADDRESS AND PHONE NUMBER AND BOND AMOUNT: / "
6.LENDER'S NAME,ADDRESS AND III-TONE NUMBER:
7.Persons within the State of Florida desismate(t by nwner upon whom notices or:other documents may be served as Provided by
Section 713.13(1)(:I)7.,Florida Statutes:
NAME,ADDRESS AND PHONE NUMBER:
S.In addition to himself or herselfL.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 1 year from the date of recording unless a different date is
specified) 20
WARNING TO OWNER:ANY PAYMENTS MADF.BYTHE OWNER AF'T'ER THE EXPIRATION OF T'11F NOTICE OF COMMENCEMENT
.ARE CONSIDERED IMP.R01.h.R PAYMENIN IINDER CHAPTER 71'I.PART I SI:C"CLQyv 7 t3_t3.FI-ORIDA STATt1IFS.ANT)CAN RtiSt_rLT
IN YOUR PAYING;TWICE FOR IMPROV FMENTS TO YOUR PROPERTY.A NOTICE OF CONIMFNCFNIFNT M1IST'RE RECORDED AND
POSTED ON THE J013 SITE BEFORE 't11F, FIRST INSPECTION. IF YOU LNTEND TO OBTAIN FINANCING.CON;iCT WITH YOUR
LENDER OR AN A17ORNEEYY BEFORE COMMENCING WORK OR RECORDING YOUR NOT'ICF.OF COMMENCEMENT'
L
Signature of Owner or Print Name and Provide Signatory's Title/Office
Owner's Authorized Off'icer/Director/Partner/Manager
State of Florida
Countv of st Lucie
the foregoing instrument was acknowledged before me this 5 _dav of February
By Wallace Cooley —_ — as owner
(Name of person) (Type of audrority...e.g.Owner,officer,trustee,attorney in fact)
For self
(Nance of party on behalf of whom instrument was executed) Personally Knowtt or produced the following type of ID:
MISTYBOBILiN
Misty Bobilin ! -130,b.L MY COMMISSION#EE8E3700
EXPIFitS.MAK 13,
(Printed Name of Notary Public) (Signature of Notary Public) Bended ierouph 1s'State Insury�ce
Under penalties of perjury,1 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).
Siignat�urrets)of Owner(s)or OwDer(s)'Authorizer]Officer/Director/Partner/Manager who signed above.
By: �G /��_ �_-- By -- -- _.
Rc;c.UFii3fr2fX17(Rr.:nrAiny)