HomeMy WebLinkAboutst lucie county appl 10.13.2017SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
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City: State:
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City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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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
commencine work or recordine vour Notice of Commencement.
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Signature ner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA i
COUNTY OF l�
The for oing instru e t W�Gacknowledged)-before me
this day of G� 20 �by
(Name of persona owledging
(Sig ature of Notary Public- State of Florida )
Personally Known V OR di,iiced Identification
Type of Identification Pro:'�;f9
10/y���/�
�' lifi':': •. Y GGIO1442
Commission No. (Sefti%: --4 4, 2W
•• ,; a ;:��~ �Oftd6d : ru Aaron Nobly
Revised 07/15/2014
5;�� s
Signature of Contract License Holder
c.,
STATE OF FLORIDA A.
COUNTY OF u
The for oing instrument WasacknowIedged before me
this day of C�c�� , 20 R by
(Name of pers9a6e�owledgi
of Notary Pii�Iic)State of Florida )
Personally Known '� oduced k e tKi tion
Type of Identification Pr �''�. End pmt
Commission No. c EyfAn1Pay 4, 2021
3onded thru Aaron Notary
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