HomeMy WebLinkAboutBuilding Permit Application,+tr� - u v'3 xn .Gr• s, k f tr � .- u ti�� fi-�aa J 4,.y.'� ".%f v s: �- `` r>i r �
�.AW INFORMA�TzfONT
y�S�IJPPLEMENTAL,CONSTRUCTION LIEN Y{3 F3 v jt,
-DESIGN ER/ENGI NEER:
_ Not Applicable
. MORT-GAGE COMPANY(:- _ Not.Applicable
Name:
Name:
Address:
Address:
City: State:
City: Stag
Zip: Phone
Zip: Phone:
FEE -SIMPLE -TITLE-HOLDER:
_ Not Applicable
90NDING- COMPANYc Not Applicable
Name:
Name:
Address:
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_followi ng'.building .permit_appl ications_are_exempt-from .un dergol ng.a_full.conciirrency. review:-roDm.arlditions, .
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 S IMPROVEMENTTO-YOUR PROPERTY: ANOTICE OF COMMENCEMENT` MUST- BRECORDED AND-
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO�TICE,9!5COMMENCEMENT."
ee/Contractor as Agent for Owner
STATE OF.FLORID
COUNTY -OF ,
The for oing instru ent was acknowledged before me
thi day of- 20 1Q by
Nam of person making statement.
Personally-Known OR Produced Identification
Type of Identification
Produced
rise Holder
STATE OF FLORIDA
-COFUNTY-OF'C—
The forgoing instrument was acknowledged -before me
this Xkday ofby
Name of p rson making statement.
Personally_ Known OR Produced Identification
Type of Identification
Produced
i
REVIEWS.
,FRONT
ZONING_
SUPERVISOR
PLANS.
VEG-ETATIQN
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED -
DATE
COMPLETED
Rev: 2/7/19-