HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(866)610-8652 To: Fax.: +1 (772)4626443 Page 2 of 3 06114/2016 11:57 AM
AF MER RECORDTNC,-RE.TUr.N To JOSEPH E.SMITH,CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE# 4200293 06!1412016 at 10:52 AM
OR SnOK 3879 PAGE 2748-2748 Doc Type:NC
RECORDING: $10.00
PLRMIT NUMUER:
fp NOTICE OF C"iniviniNLEIy EN1r
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.
I DESCRIPTION OF PROPERTY(Legal description and street address)TAX FOLIO NUMBER. 1301-608-0073-000-5
SUBDIVISION BLOCK TRACT LOT BLD(: UNIT
LAKEWOOD PARK-UNIT 8-BLK 90 LOT30(MAP 13(02N)(OR 2885-585)
2.GENERAL DESCRIPTION OF IMPROVEMENT: Reroof
3.OWNER INFORMATION: a.Name Kenneth B Eden
b.Address 8405 Paso Robles By Fort Pierce,FL 34951 c.interest in property
d.Name and address of feesimple titleholder(if other than owner)
4.CONTRACTOR'S NAME,ADDRESS AND PHONE NUMBER: Richie the Roofer 6704 Santa Clara Blvd Ft Pierce FI.34951
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 he served as provided 11y
Section 713.13(1)(a)7.,Florida Statutes:
NAME,ADDRESS AND PHONE NUMBER:
8.In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in Seccion
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) l,ny 5th
-2016
WAYRI�V''TNG/TO OWNER:ANY PAYMENTS MAUL BY THE OWNER AFTER THE FXPTRATION OF TITF NOTICE OF COMMENCFMFN7'
ARE,CONSIDERED IMPROPER PAYMENTS UNDFR CHAP'T'ER 713,PART I SECTION 713.13,17LORTDA.STATUTE.S,AND CAN RESUT,T
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
PnSTT;i).ON THE 1013 STTF,.BFFORE THE FIRST INSPECTION TF YOU TNTFNTI TO OBTAIN FINANCTNG CONSULT WITH YOUR
LENDER OR AN A BEFORE:COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Print Name and Provide Signxtorry's Title/Office
Owner's Authorized Oftieer/Director/Partner/Manager
Slate of Florida
County of St Lucie
The foregoing insuument was acknowledged before me this 9 day of June
By Kenneth Eden as owner
(Name of person) (Type of authority...e.g.Owner,officer,trustee,attorney in fact)
For self
(Name of party on behalf of whom instrument was executed) Personally Known x or produ d[l{ followinge
y A C 5TY t3061L,V
� � s EFtp 1320+7
Misty Bobilin b 2„nF �' a:Cc surzace
(Printed Name of Notary Public) natureo
(Sigf tart'Public)
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).
Signature(s)of Ogwner s)or Owner(s)'Authorized Oft3cer/Direetor/Partner/Manager who silm(ed above:
By: _`' By
Rcv.OV3012[W(Rt urdin)
RECEIVED JUN 14 2016