HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
I City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
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, 1 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
commencing work or recording your Notice of Commencement.
as Agent for Owner Signature of Cont�ractrO_ r/License Holder
STATE OF FLORIDA' STATE OF FLORIDA
COUNTY OF b_� U " COUNTY OF ..-�
The forgoing instru ent was acknowledged before me
this day of -' 20 qby
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/201AIi1/13VC"
The forgoing instrument was acknowledged before me
this day of 20 p 7 by
y
1
(Name of per on a knowle ging j
re of Notary PGblV- State of Florida )
4---
Personally
/Personally Known OR Produced Identification
Type of Identification Produced
JdHhAv'i"l tAY0.'ONDFITZPATHICK Commission No.
MY COMMISSION # FF233682
53
JOHNA114MMYWOND FITZPAMCK
MY COMMISSION # FF233682
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS