HomeMy WebLinkAbout200 Bimini Drive Building Permit Application0002SUPPLEMENTAL CONSTRUCTION LIEN LAIR/ INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:John Miller
MORTGAGE COMPANY: Not Applicable
Name:JOe Duran
Add rens: 200 Bimini give
Address: 200 Bimini Drive Ft Pierce FL 34949
City: Ft?fierce State:
Zip: Phone
City: Port St Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1687 SW South Macedo Blvd
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.
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
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Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of
STATE OF FLORIDA
COUNTY OF
STATE OF F[
COUNTY OF
Halder
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this day of 20_ by this 1'2- day of p'Z)N 1 20_l% by
Name of pe on making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Name of er n making statement
Personally Known OR Produced Identification
Type of Identification
Prod ed
'A -A -A A I il� kv'
(Signature of Notary Pub ic- State of Fl . nda J
t Adana Veneziano
Commission No. N0TAF%gy#LIC
STATE OF FLORIDA
4m, e Comirr*GG185914
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17