HomeMy Public PortalAboutContractor's Final Affidavit BJL IncCONTRACTOR'S FINAL AFFIDAVIT
STATE OF FLORIDA
COUNTY OF OkaIOOSa
BEFORE ME, the undersigned authority, personally appeared Jerry Rolison who, after being by me first duly
sworn, deposes and says of his personal knowledge as follows:
(1) He is the President of BJL Sources, Inc.
. which does business in the State of Florida,
hereinafter called the "Contractor." 3/13/2012 City of Crestview
(2) Contractor, pursuant to a contract, dated with hereinafter
referred to as the "Owner", has furnished or caused to be furnished labor, material and services for the construction of
certain improvements as more particularly set forth in said contract.
(3) This Affidavit is executed by the Contractor in accordance with Section 713.06(3)(d) of the Florida Statutes for the
purpose of obtaining a final payment from the Owner in the amount $166,369.00 Dollars.
(4) All work to be performed under the contract has been fully completed, and all lienors under the direct contract have
been paid in full, except the following lienors:
NAME OF LIENOR AMOUNT DUE
Note on plat as follows: Current law provides that no construction, filling, removal
of earth, cutting of trees or other plants, shall take place waterward of the jurisdictional
wetland line as depicted on this plat without the written approval of okaioosa County
and other regulatory agencies with jurisdiction over such wetlands. It is the
responsibility of the lot owner, his agent and the entity performing any activity within
the wetland area to acquire the necessary written approvals prior to the beginning of any
work. This wetland jurisdiction line may be superceded and redefined from time to time by
the appropriate governmental agencies.
Signed, sealed and delivered this l9 day of
BY:
, c2D1,3
7\K
Sworn to and subscribed before me this g day of �- �Fvru u^41, , a 613 by 372 t r i rU I 5 6 ✓)
who is personally known to me or produced driver licensidentification. r c 0 L tt 4o_ 0- s 2 - 3 23- v
My Commission Expires:
OFFICIAL NOTARY SEAL.
Latta A. Scalia.
Commission No. 909032E i
My Commission Expires June 29, 2013
riot Name:
Notary Public
Serial Number
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