HomeMy WebLinkAboutPermit application Page 2OWNER/ 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 Cori
improvements to your property. A Notice of Commencement
before the first inspection. If you intend to obtain financing, f
Signature of
STATE OF FLORIDi7-`-/
COUNTY OF MARTIN COUNTY
as Agent
The forgoing instrument was acknowledged before me
this 17 day of MAY 20_ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
(Signature of Notary u lic- State of Florida
Commission No, FF 095121
MARTA M.
of
FLORIDA
result in your paying twice for
ded and posted on the jobsite
ider or an attorney before
The forgoing instrument was acknowledged before me
this 17 day of MAY 20_ by
OSCAR A CALZADILLA
Name of person making statement
Persona Ay Known x OR Produced Identification
Type of Identification
Produced
of Notary
MARTAM.AGUIRRE
No. FF095121 IY6G04MISSI0N#G!;'19f.
iz- EXPIRES: March 9, 2022
REVIEWS
FRONT
ZONING
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD 'k WAYPOINT RESIDENTIAL
MORTGAGE COMPANY:
Name: OSCAR A CALZADILLA
Not Applicable
Address'. 1630 TIFFANY CLU5PL
Address: 3475 PIEDMONT RD NE STE1640
COUNTER
City: ATLANTA State:
Zip: Phone
City: STUART
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Address: 25 SW CABANA POINT CIRCLE
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 Cori
improvements to your property. A Notice of Commencement
before the first inspection. If you intend to obtain financing, f
Signature of
STATE OF FLORIDi7-`-/
COUNTY OF MARTIN COUNTY
as Agent
The forgoing instrument was acknowledged before me
this 17 day of MAY 20_ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
(Signature of Notary u lic- State of Florida
Commission No, FF 095121
MARTA M.
of
FLORIDA
result in your paying twice for
ded and posted on the jobsite
ider or an attorney before
The forgoing instrument was acknowledged before me
this 17 day of MAY 20_ by
OSCAR A CALZADILLA
Name of person making statement
Persona Ay Known x OR Produced Identification
Type of Identification
Produced
of Notary
MARTAM.AGUIRRE
No. FF095121 IY6G04MISSI0N#G!;'19f.
iz- EXPIRES: March 9, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17