HomeMy WebLinkAbout9125 Pumpkin Ridge Permit0002SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
N a me: Suzanne C Kohler
MORTGAGE COMPANY: _ Not Applicable
N aisle: Manuel Duran
Address: 9125 Pumpkin Ridge, Port Saint Lucie FL34986
City: Port Saint Lucie State:
Zip: Phone
Address: 9125 Pumpkin Ridge
City: Port Saint Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add ress: 1687 SW South Maoedo Blvd
Address:.
City:
Zip: Phone:
City:
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 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
comm ng_wor_ or in our Notice of Commencement.
Signature
STATE OI
COUNTY
for Owner
The forgoing instrument was acknowledged before me
this day of 'k 20 1% by
Name of rs n making statement
Personally Knc OR Produced Identification
Type of Identification
Produced
(Signature of Notary Phbiic- State of Florida )
Ariana Veneziano
Commission No. t p NOTAft4(�LIC
-STATE OF FLORIDA
` b Comm# GG 185914
Signature of
STATE OF FLO Di�4
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 k Z by
Name of rs n making statement
Personally Known OR Produced Identification
Type of1dentification
Produ d
(Signature of Notary Publicf State of Florilla )
Z Ariana Ven i
Commission No. TARY POP°' STATE OF FLORIDA
= Comm# GG 18591 a
Rev. 8/2/17
t 1
Expires 211412
22
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17