HomeMy WebLinkAboutBuilding Permit ApplicationI SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
NEER: — Not Applicab
Name:
Address:
City:
Zip: Phone:
State
FEE SIMPLE TITLE HOLDER: ` Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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,
accessary 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
com me nci nR-w-ork or recording your Notice of Commencement.
_ Sign re of ner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF S V Lm r.t l
The forgoing instrument was acknowledged before me
this day of . 20 --by
4'ry--1 C r..i e-c 5 a t l
(Name of person acknowledging)
—Lgi�
(Signature of Notary Public-Stsfh of Florida j
Personally Known OR Produced Identification
Type of Identification Prod ueed� r-�, _
Commission No.
Remised 07/ 1512014
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SSIDN r# FFI40529
EXPrRES: July 10, 2020
rm
STATE OF FLORIDA
COUNTY OF !3T
The forgoing instrument was acknowledged before me
this day of
�t� r��° ry C
20 by
{Name of person acknowledging)
t
(Signature of Notary Public- Stat orida j
Personally known OR Produced Identification
Type of Identification Produced
ATHER. RING
Commission No. JW.0 [SQ10J iM ISSION N FF1Af1929
ex EXPIM: MY 10, 2020
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