HomeMy WebLinkAboutTucker White Ibis - permit 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: KNot Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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, consultrider or an attorney before
with
commencing work or recording your Notice of Commencement. � 1i
of Owner/ Lessee/Contractor as Agent for OwnerI Sigf —Ore of
STATE OF STATE OF FLORIDA /
COUNTY OF FLORIDA-� LA G ( E COUNTY OF 5�. L _Uc"', C_
The forgoing instrument was acknowledged before me
this � day of 04,QLi~L- 204 by
\J, e-u,_t, r-, i i ,.(I: I—
c L L d�_, --
Name of person making statement
Personally Known OR Produced Identification
Type of Identification t
Produced 1 �' "�-`, Lm.. L
(Signature of Notary Public- State of Florida j
Commission No.'I?) q .,�:;iwtyyf (Seal) AypltE/kU?tA
WCOMMUMMIftEVM. JUN 28, 20I'o�lels�_ �.' 9ef1h% TNH! Ne1s11f Pu61� IIfIM
The forg,�oing instru ent was acknowledged, before me
this 4_ day of � 201 by
Name of person making statement
Personally Known OR Produced Identification V
Type of Ident' ' ation
Produced ;,> v �E, FERNANDO BETANCC
State of
• 1ti Notary Pubiic -
Commission x GG 19,
My comm, Expires Mar I
Bonded through National Not,
iature of Notary Public- State of Florida )
mission No.C_'&_ I`Itiozl o (Seal)
REVIEWS
16
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/17