HomeMy WebLinkAboutbuilding permits SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ERJENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY. _Not Applicable
Name: 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,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
commencing work or reco-cding your Notice of Commencement.
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Signature of Owner esse /Contractor as Agent for Owner Signature of Contractor icense Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF COUNTY OF
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The fo Ding instru en was acknowledged efore me The for wing instrumgnt as acknowledged before me
this day of 20 l t by this I day of 20 �by
qysl�a_ llt�
(Name o erso ackn wledging (Name of pe ac owled ing)
Ignature o Not u -State of Florida ) ( ` nature of Notary P I' Sta of Florida)
Per na P now + J NATHAN RAYWOND FITZPATRICK
J'�I�RA4 ,rd� ard� ratification Personally Know
Typ 1 hica�i p� Type of Identifica i o dceod"
I_�+ = MVMhI � MY COMMISSION#FF233682
�� EXPIRES May 21.2019 ;, �2019
Comb s •No. �oR (S I) Commission No. ;�w,, EXPIRES M(& }
.Hi:l1 35S i;'S3 1401) Fksndallotar yServiect.corc
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS