HomeMy WebLinkAbout121 Princess Drive Permit App0002SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Helen Girroir
MORTGAGE COMPANY: Not Applicable
Name: Manuel Duran
Address: 121 Princess Dr Port Saint Lucie FL, 34952
Address: 121 Princess Dr
City: Pert Saint Lucie State:
Zip: Phone
City: Port Saint Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1997 SW South Macedo Blvd
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 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
coynrnencing wprk or recording your Notice of Commencement.____
Rev. 8/2/17
Signature of O ner Lessee[ConbE actor as Agent for Owner
Signature of ont ctor/License Holder
STATE OF FL RID
STATE OF "R1A r
COUNTY OF
COUNTY OF - . ''k11-2 �'-C_)
The forgoing instrument was acknowledged before me
The forgoing' instrument was acknowledged before me
this t qday of vc .an h�,� , 20 1.-C) by
thist4""�day of 5.. car , 20_\7T5 by
i
Name of p�rslon making statement
Name of person making statement
Personally Known �.7 OR Produced Identification
Personally Known QCT OR Produced identification
Type of Identification
Type ofldentification
Produced
(4, A A A.
Prod ed
AA i �'-/A
(Signature of Notary Pubii�- St t� WP0 ana
Signature of Notary Pu$,a9►r dioziario
NOTARY U IC
Commission No. oTATE t RIDA
NOTARY PUBLIC
Commission No.STATE q* RIDA
Conal#GG1$5814�Comrr#GG185914
211412022
Ex ires 2114=22
Expires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17