HomeMy WebLinkAbout5632 Spanish River Road0002SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Anne Smith
MORTGAGE COMPANY: Not Applicable
Name: Jae Duran
Ad d cess: 5632 Spanish River Road Fort Pierce, FL 34951
Address:
City: State:
Zip: Phone
City: PertSt Lucie State:
Zip: Phone:
FEE SIMPLE TITLE BOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1887 SW South MacedoBlvd
City:
Address:
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 thepermit 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
commencing work or recordin our Notice of Commenceme
i
Signatureiof OWrlhq Lessee/Contractor as r Signature of Contr ctor/License Holder
STATE OF FLORI
COUNTY OF
The forgoing instrument was acknowledged before me
this 1k. ` ay of 20_�% by
Name of person making statement
Personally Known OR Produced Identification
Type Identification
Prod c d
{Signature of Notary P Iic- e o f@I4a/bneziaao
NOTARY USLIC
Commission No. o ESTAWFLORIDA
Comm# GG185914
Exnlres 2/14/2022
STATE OF FL
COUNTY OF
%,�1_1 _e
The forgoing instrument was acknowledged before me
this LLa'''ay of 20_k& by
Name of person making statement
Personally Known 0(ORProduced Identification
Type of Identification
Produced
(Signature of Notary Public- State of F rida )
tARY Arias Veneziano
Commission No. oe NOTARY(StisoIC
STATE OF FLORIDA
? CWrr* GG185914
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17