HomeMy WebLinkAboutPermit App Page 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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FEE SIMPLE TITLE HOLDER: _ Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
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BONDING COMPANY: _Not Applicable
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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 t 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 concurrenry 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 jobslte
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cigrias.0 o _ wner/ Lessee/Contrartor Fs Agent for owner
STATE OF FLORIDA
COUNTY OF SJ • WC ( e—
The f rg mg Instru nt was arknowledg efore me
this ay of _ 2019 by
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Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
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of Notts ,blit- State of Florida I
Commission No
REVIEWS FRONT ZONING
COUNTER I REVIEW
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23, 2018
STATE OFF LORIDA
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The fujigiiiing rostrum A t waspcknuwledge foie ;n,this ay of 2J by
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Name of person making statement
Personally Known Z7 OR Produced Identifiretlon
Type of Identification
Produced
C—�1( t( ( I l LI P Va L
(Signature of NotaryPOlilic State
SHELLYABARRE T S
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EXPIRES Apnl23, 2018
DOWN TAN NM" Pubic UIikn rs
SUPERVISMANGRO
REVIEWOR I REVIEW PLANS I yEGETATIATURTEVIEWON I SEREVIEWLE I RE EWVE