HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: +1 1772)4626443 Page I of 1 0712512016 4:08 PM
JOSEPH E.SMITH,CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE# 4213204 0712512016 03:15:42 PM
OR BOOK 3894 PAGE 384-384 Doc Type:NC
RECORDING: $10.00
C NOTICE OF COMMENCEMENT
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: 1301-608-0098-000-6
SUBDIVISION---BI,OCK—TRACT--LOT-__BLDG UNIT
LAKEWOOD PARK-UNIT 8-ELK 91 LOT24(MAP 13/02N)(OR 806-550:1340402:2897-980)
2.GENERAL DESCRIP'T'ION OF IMPROVEMENT- Reroof
3.OWNER INFORMATION, a.Nam-James Hoover
b.Address 8303 Coquina Av,Fort Pierce,FL 34951 c.interest in property owner
d.Name and address of fee simple Liaaholder(if other than owner)
4.CONTRACTOR'S NAME,ADDR&SS AND PHONE NUMBER: Richie the Roofer 6704 Santa Clara Blvd Ft Pierce FI.34951
2 22-- LIZ L6 /q7
5.SURETY'S NAME,ADDRESS AND PRONE NUMBER AND BOND AMOUNT:
6.LENDER'S NAME,ADDRESS AND PHONE NUMBER:
7.Persons within the State of Florida designated by Owner upon whom nnice.,or other documents may be served as provided by
Section 713.13(])(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 Section
713.13 MN,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) septemLer 51h 1 2Q 16 -
WARNING TO ONVNFR:ANY PAYMENTS MADE BY THE OWNER AFrt--,R THF EXPIRATION OF THF NOTICE OF COMMENCEMENT
ARE CON',51DERET)IMPROPER PAYMENTS UNDER CHAPTER 71"t.-PART T,5Et(MQN 713.13,FLORIDA STATfm.q.ANI)-CAN RESULT
IN YOUR PAYING TWJCF FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON TIE JOTBI 1TE BEFORE.THF.FIRST INSPEC-1710N. IF YOU INTEND TO OBTAIN FINANCrNG, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING,WQRK OR RECORDING YOUR NOTICE OF COMNMNC-I--MFNT.
��Xature of Owner or Print Name and Provide Signatory's Title/Office
Owner's Authorized Ofricer/Director/Partner/Manager
State of Florida
County of St Lucie
The foregoing instrument was acknowledged betore me this b day of July 20_L6_.
By James Hoover owner
(Name of person) (Type of authority...eg.Owner,officer,trustee,attorney in fact)
For self
(Name of party on behalf of whom instrument was executed) Personally Known x or produced the following type of ID: FL
MISTY BOBIUN
My COIVIINS910N#EE8
Misty Bobilin E700
EXPIRES:MAR 1312017
(Printed Name of Notary Public) (Signature Wf—N, tary Public) State Insuraftep
Under penalties of perjury, declare that I have read the foregoing and that the facts in it are Ime to the best of nay knowledge and
belief(section 91525,Florida Statutes).
Signature(s)of Owner(s)or Owner(s)'Authorized Officerf.Director/Partner/Manager who signed above:
B
From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax. +1 (772)4626443 Page 2 of 3 0712512016 8:39 AM
`rA-n Planning& Development Services
Building& Code Regulation Division
F' 2300 Virginia Avenue
Fort Pierce, F134962
r 772-462-2165 or 772-462-2172
fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# G t,',°7_ ,� /�1
licensed as a(n)Contractor*/Engineer/Architect
(Pse print name&circle license type) *FS468 Building inspector
*General,Building,Residential or Roofing Contractor at any individual certified under468 F.S.to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
e ' I
work at: j ,
(Job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.5.)
-
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn To and subscribed beforepe this da of s1 C� 20
by �'�_ d ;.. -1m0V rrt0-me or who has produced
as identification,.
Notary Public,State of riorida
Signature of Notary-j � L-,
Commission Number: ' i r' 2 (Seal)
En 01/19/2011 -
.?�;� MISTYBOBILIN j
My COMMISSION#EE883700
EXPiRiS:MAR 13,2017
. `�"` Banded through 1st State insurance