HomeMy WebLinkAboutpage 2 442 S NaranjaSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
t Applicable
Address:
OF FLORIDA
Address:
City:
Zip: Phone
State:_
City:
Zip: Pho
State:_
FEE SIMPLE TITLE HOLD .
Name:
_ Not Applicable
BONDING COMA NY:
Name:
_Not Applicable
Address:
Personally Known _ R Produced Identification _
Address:
City:
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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 yermit 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 recording your Notice of Commencement.
Rev. 8/2/17
Signat a f Owner/ Lessee/ContrMor as Agent for Owner
Signator ntmRar/Licenw Holde
STATE OF FLORIDASTATE
OF FLORIDA
COUNTYOF,�.I/Mlfi
COUNTY OF . `/j IJ
The forgoing instrum nt was acknowledgesbefore me
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The r ing instru n was acknowledg before me
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this ay of .201M by
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Personally Known / OR Produced Identiflcatkm _
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(Signature of No ry Pt blit- State -loyi a) *.
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DATE
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DATE
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Rev. 8/2/17