HomeMy WebLinkAboutbuilding permit (2)Name:
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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 emit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Assocpiation rules, bylaws or anscovenants 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
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA — STATE OF FLORIDA
COUNTY OF-/+7�c CQ� t'✓e/' COUNTY OF Sndc� �r "✓P/�
The forgoing instrument was acknowledged before me
this _ day of 20 _by
Personally K
Type of Iden
Commission
Revised 07/15/2014
The forgoing Instrument was acknowledged before me
this _day of 20_by
(Name of person acknowl dgmg )
Known
Type of Identifcatio t�E Notary Public Stall
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Commission No. .�J Lommiiy�A rF
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