HomeMy WebLinkAboutTucker Crabapple - permit 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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Si Lure ractor/License Holder
DESIGNER/ENGINEER:
Name:
X_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
The for oing instrume t was acknowledged before me
day U 20 by
Address:
this of
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
4Not Applicable
Address:
Produced
Address:
City:
Zip: Phone:
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Commission No. 7''s oP {�uNotuyPublla
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City:
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, consult with lender or an attorney before
commenting work or recording vour Notice of Commencement i--) s:?
Signature of Owner/ Less ee/C ntractor as Agent for Owner
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Si Lure ractor/License Holder
STATE OF FLORID _
STA E O FLORIDA.
COUNTY OF -,.. � LLA c,i i -
COUNTY OF ')E :
The forgoing instrument was acknowledged before me
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The for oing instrume t was acknowledged before me
day U 20 by
this day of I� h fL: 120 by
this of
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification ✓
Type of Ideotificgtion
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Type of IdeDtification
Produced _biL
Produced
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(Signature of Notary Fila) Sig ture of Notary Public- State of FI ' -*AdYCOMMISSION / FF 9T'IR
B Juns29
Commission No. 7''s oP {�uNotuyPublla
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,6FERNAN'DO BETA
Notarypublic -StatE
ission No.(;('-'
Commission; GG
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My Comm, Expires M
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
11 040
ar 0 2022
do v Assn.