HomeMy WebLinkAboutBuilding Permit Application (2)SUPPLEMENTAL CONSTRUCTION LIEN LAW I NFORMATiCN-
DEStGNERIENG1 NEER-- Not Ar
Name:
Address:
City: State:
�p: Rhone—
FEE SPMPLE TITLE HOLDER. Nat ApplicaNe
N-arne:--
Ad -drew
Cfty:
gip: Phone:
MORTGAGE COMPANY: Not-Applmablc
Name:
Addre,ss-
City;
Zip: ph onez
BONDING MANY: NGt Appl icable
Address:
City. --
Zip:
OWNER/ CONTRACtOR AF'FlDvrr: Apprir-htipn is 'NeFeby made to obtafin a permit to d4p the work and installation as indicatrd,
I certify that no work or installation thas commenced Drier Othe manor of a pqvrnift.
S -t- Lucie Co panty makes no reof esentatiDn that iy granting a per:mit will au9hvr[2e Ehc prn-mR huldRr to build th* subjE.Ct &,tructuriz
w1hieh is in pnflfct vift arri applicable Horfre- Ownern AVqciatinn ru.k-,, bylaws or and tovenants that mWy rict Or prohibfl Mjrh
sUucbjri-- Please 0CM=JtL with YWr FIQFne Owners As-sadation and F rVir-W YM Fdeed for any restriLfians wink -h rrwy.7pph{-
I n m ri sid e! r-ation of Th -t- gy-onjing of this reque-seed pcmEt, I do fwm h} agpee that I 'Will, in all respects, peribrin t1be work
irk w,-orclance ,with the approved pl;)Tk% the Flon4a Builciffig Cade; and St- L ucic. CQUMV Aniendment�
The WL7,wing building tide rift appi[mriqns are exempt from undergoing a full cwcurrency review- ra<3-m additions,
a cl:e ' o ty 3.tr u ctuFe.-_., 5wimirning pools, fence!, walls, sign:,, wmem rooms and accessory uses to another rbon-residenUal we
WARNING TO OWNER-- YcmJr f-jr'lurc to Record a Notice Of Camrnente.�ment may TesLdt in yoLw paying twift l' or
iirnprovernp-nt5 to your property. A Nafici- of Cornmencerykent mu st be recorded aid Posted on the jabsire
fare the first iinwectfon- it you jintend t -o obtain financing, c4onsu It witil lerkrJur or an aftorneyt*-f ore.
cammencfnp work p'r ,rqLvTdin g=)Dur- faire of Commencemerrt-
Signature of Ow. r
etw Agent for Owner SiErature of Con Ir r T
!STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF •CWNTY OF
The -r i n g in-,= rn e at -w knowled A - nw Thr farV
' 9 -r .64. Fore fn jE Fri -t ru rn
this;Sdavot L; 20 f bye
this time of
ORA P- i`lb
N a nve 4 p—vT,7qj1 okbiestatement Nwnr- cf pfr
Persmally WCwrk _OR Produced Icinntifi-cwtion _ Personally Known _
Toe of I d en Gri th oDtk Type of Id -r, n,tffi cHd o n
�Slaiat4we of
RIVIEWS FRONT
QATt
RECEIVED
DATE
CQ MPLETED
Rev- 812/17
ur rw,
My Cc --'-9. :ruDeC22,21
ZONING $UP1ERW5QlR
REVIEW REVIEW
C.
Mc
.aAKg stateme-Lt
OR Prcxiuord lde0fii76qn
{signature of N Dtar)r Pug'r10flprda) INE Fel
.!-iry Public _e !i
:Cjpm-nfv.i,3n Ml p, r1w (Sea*lt&i in
22.
PLANS VEGIETAMN SEAL TURTLE MANGROVE
REVD PIV I EW REVIEW REVIEW