HomeMy WebLinkAboutST Lucie CO 002SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: _ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
as Agent
STATE OF FLORIDA STATE OF FLORIJ�A
COUNTYOF I��I r� COUNTY OF R�1Q c"-\
The forgoing instr ent as acknowledge before me
this day of , 20 I_by
Personally Known OR Prodced Identificationy
Type of Identification Produced orille;hyx'' ,o
Commission No.
1 � 1 LISA E. VASQUEZ
Notary Public - State of
The forgoing instrument was acknowledged before me
this day of -40- 1 20 U_ by
(Name
(Signature of Notary Public-St#e of Florida)
Personally Known OR Pro9�duced Idegtification
Type of Identification Produced I)n 1i P J�(�p,�SL�
No. CF6160�
LISA E. VASQUEZ
t 1., " I' ' if N ll _ My Comm. Expires Jan 27, 2018
4
Revised 07/15/201 u1 Commission N FF 086647 - Commission S FF 086847 t
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ended Through Nation I N
flooded Tnmunh National Nmary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS