HomeMy WebLinkAbout130 LAS OlasOWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and inst
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
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restri•
structure. Please consult with your Home Owners Association and review your deed for any restrictions which rr
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform th
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 additior
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resi
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your payi
improvements to your property. A Notice of Commencement must be recorded and posted o
before the first inspection. If you intend to obtain financing, consult with lender or an attorne
commencing work or recording your Notice of Commencement.
as Agent
of
STATE OF FLORIDA f /� , "- C STATE OF COUNTY OF ORIf�A�
COUNTY OF ) " 11.1 Y , � � , ` ��' �
The fpWi
diofadng nstacknowledged before me
this -0y
20 by
Name of person pfaking statement
Personally Known�V OR Produced Identification
Type of Identification
Produced
(Signatureo H utifto g�
Commission .• MYCOMMiSSi0Nq fbt)2180
S JWY 22, 2019
REVIEWS I FRONT I ZONING I SUPERVISOR
COUNTER REVIEW REVIEW
RECEIVED
DATE
Rev.
The oing instr e w s acknowledg
this day of 20
�11ti �
Name of person Kaking statement
Personally Known 'y' OR Produced Idei
Type of Identification
(Signature
Commissioh
—11 m UELT
MY COMMISSION p pR1ncENA
�_180
-- July z2 201192
PLANS I VEGETATION SEATURTLE
REVIEW REVIEW REVIEW
—i
1`
DESIGNER/ENGINEER: _ Not Applicable
Name: RmEli Fmg Na 5 CM)
4', 9m
MORTGAGE COMPANY: 4� N('
Name: DEREK POWELL
Address: T741 N Md" TRL
City: SMART
Zip: Phone:
Address: 130 N LAS OLAS DR
City: WESTPALMBEA State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Nc
Name:
Address:
City:
Zip: Phone:
Address:7wsEs&ERNoaoAD
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and inst
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
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restri•
structure. Please consult with your Home Owners Association and review your deed for any restrictions which rr
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform th
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 additior
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resi
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your payi
improvements to your property. A Notice of Commencement must be recorded and posted o
before the first inspection. If you intend to obtain financing, consult with lender or an attorne
commencing work or recording your Notice of Commencement.
as Agent
of
STATE OF FLORIDA f /� , "- C STATE OF COUNTY OF ORIf�A�
COUNTY OF ) " 11.1 Y , � � , ` ��' �
The fpWi
diofadng nstacknowledged before me
this -0y
20 by
Name of person pfaking statement
Personally Known�V OR Produced Identification
Type of Identification
Produced
(Signatureo H utifto g�
Commission .• MYCOMMiSSi0Nq fbt)2180
S JWY 22, 2019
REVIEWS I FRONT I ZONING I SUPERVISOR
COUNTER REVIEW REVIEW
RECEIVED
DATE
Rev.
The oing instr e w s acknowledg
this day of 20
�11ti �
Name of person Kaking statement
Personally Known 'y' OR Produced Idei
Type of Identification
(Signature
Commissioh
—11 m UELT
MY COMMISSION p pR1ncENA
�_180
-- July z2 201192
PLANS I VEGETATION SEATURTLE
REVIEW REVIEW REVIEW
—i