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HomeMy WebLinkAboutcross 2 . ............... DESIGNER/ENGINEER: ~` Not Applicable MORTGAGE COMPANY: Name: `Npt Applicable Address: Name: City: Address: State: City:Zip: Phone —State:Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Name: ,Nat Applicable Address: Name: City: Address: 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 mendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures,swimming pools,fences,wails,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 payirig twice for improvements to your property. A Notice of Commencement must be re«r©rded and posted on the jobsite before the first inspection. If you intend to obtai fi ancingLconhc sult it lender or an attorney before encin work or recordingour Notice of C menc Signature of O er/Lessee/Con ctor as Agent for Owner Signr/License Holder STATE OF FL OR DA. STATE OF FL COUNTY OF COUNTY OF The forgoing instru gent was acknowledged before me The forgoing instr ent w s acknowledged b fore me this day of 20 l q by this day of za_g by (Name of person acknowledging) (Name of person ack owledging) i 4(51enure of Notary Public-State of Florida} (Sign�of Public-State of Florida J Personally Known OR Produced Identification Personal) Known Type of Identification y OR Produced ldent�fication Produced p"""° fCIMBERLYMENdEZ Type of Identification MISSfON#GG234874 Produced o1�&Yp4 MENDEZ Commission No, �� , O(P&S. UL 04,2022 #GG234874 Bonded tllydfi �s�State Insurance Commission No. �R (Sep)- ?4,2022 }rate insurance REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED ev.