HomeMy WebLinkAboutmisc documentsSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
�cnvivcn/ ciWUYcc1c: _I1401 v.ppucame MORTGAGE COMPANY: _N amicable
Name: Name•
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 I 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
Lessee/Agent
STATE OF FLO IDA I STATE OF FLO DA
COUNTY OFA . �� , o COUNTY OF 10 2
The for oing instrument was acknowledged before me
this f dayom_'_ (� i'1 , 20 $
_fZby
(Name
Notary Public- State
Personally Known ✓
Type of Identification Pro
The f�2ordgoing instrument was acknowledged before me
this �. - day of I a C?� 20 1 by
(Name
Notary PubTic—State of Florida
onally Known ✓ OR Produced Identification
of Identification Produr�_
Commission No. 1y M�JQWMISSION #FF14551 ommission No.
or` 1
i''•.,, oev�°F'' E PIRES July 27, 20181 1
Revised 07/15/2014 1"103 dG<<11
L RYCKMAI
MISSION #FF1455
EXPIRES July 27,201
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Re: Permit # 1703 ` o(o2%
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
I, DGky%; CA�--- e S licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle licen a type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about t ' L- 1 did personally inspect the roof deck nailing
(Date)
workat: 2-70-1 r--SSeK Ci 9 1?S t-1 F L_ :Lt91�1(p
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
m st strigent).
Cc C. 1 33 oci t
Signa and Seal License #
STATE OF FLORIDA
COUNTYOF r%UC Z.1?__
Sworn to and subscrjd before me this (� day of j`I ( 20 I�
by _- Ylj I L' Y ''C'iCY� Who is personally known to me or who has produced
T% as identification.
Notary Public,
Signature of N
Commission N
En 01/19/2011
;�°'"�"'��ana
ANy.l�)g'�45513'`-�.'.+'or�,,�.+r
078f�or1399�atsam
COUNTY
F
L
O
R
I D A �-
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Re: Permit # 1703 ` o(o2%
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
I, DGky%; CA�--- e S licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle licen a type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about t ' L- 1 did personally inspect the roof deck nailing
(Date)
workat: 2-70-1 r--SSeK Ci 9 1?S t-1 F L_ :Lt91�1(p
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
m st strigent).
Cc C. 1 33 oci t
Signa and Seal License #
STATE OF FLORIDA
COUNTYOF r%UC Z.1?__
Sworn to and subscrjd before me this (� day of j`I ( 20 I�
by _- Ylj I L' Y ''C'iCY� Who is personally known to me or who has produced
T% as identification.
Notary Public,
Signature of N
Commission N
En 01/19/2011
;�°'"�"'��ana
ANy.l�)g'�45513'`-�.'.+'or�,,�.+r
078f�or1399�atsam
2707 Essex Dr.—DECK RE -NAIL
2707 Essex Dr.—DECK RE -NAIL
2707 Essex Dr—IN PROGRESS
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