HomeMy WebLinkAboutSIGNATURE PAGESUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: Not Applicable
MORTGAGECOMPANY: NotApplicable
Name:
Name.*
Address:
_
Address:
city: State:
city.. State:
Zip: Phone:
Zip: Phones ,,.._...�
FEE SIMPLE TITLE HOLDER: ER: � Not Applicable
BONDING OMPA : Not Applicable
Name:
Name:
Address:
Address:
city.
a.
City:
Zip. Phone.
Zip: Phone-
I certify that no work or insta Ilation has commenced prior to the issuance of a permit.
which Lucie i�� County
th �� reaprel�a��iHrrthat
►�r , �e�'rr�it will autl�orize the permit I�r�ldr t wild tl� subject trtur
pP ation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Hone Owners Association and review your deed for any restrictions which may apply,
Inconsideration of the granting of this requested permit, i do hereby agree that I will, in all respects, perform the wort
[n accordance vwrfth 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 TES OWNER: : `our failure to Record a Notice of Commencement may result in your paying twice for
improvements ement to your property. A Notice of Commencement encer ent must be recorded and posted on the jobsite
before the first inspection . If you intend to obta in fins racing, consu It with lender or a in attorney before
cornmencinp,word or reco r i m, your Notice of Commencement.
Signature of one-
ee `contractor as Agent for Owner
STATE OF FLORIDA
34-CSDUNTS' oF
The forgoing instrument was acknowledged before erne
this day of by
h
(flame of per
cknowledgi
(Si'pn aitu re of Notary Pub . kc- State of Florida
r�
Personally Known .'*uced I deft'
Type of Identification Proc�
May 2021
Ir UL
Commission iso. . ....*W. �', � a
ru
'" too �Aaron
Revised 151201
Signature of ontr�eforLicense Folder
STATE OF FLORIDA
�
� jjrr T O 5
F �.�1,4L'
M
4
9
The forgoing instrument was acknowledged before me
this day of 4A/ b
i
_ 4 {
(Name of person -ledging
W
e_
i r6 ture of Notary Publf =
Personally Known
Type of Identification Produ
Commission No.
to of Florida
ldentificf '
ur"Uga
..�._
(�ojMlles,'May 4, 2021
trL, Aaron UIT
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