HomeMy WebLinkAboutProduct Information i
i
i
M f✓.q'Xo' U'�'4
.::�i,. '9: �t•;r. i e^:i'etirt:tih.J- '-:+rtes-,. �4V
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: . Name: j
Address: Address:
I
City: State: City: State:
Zip: Phone Zip: Phone: i
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: city:
Zip: Phone: Zip Phone
OWNER/CONTRACTOR AFFIDVIT:Application is hereby madeto obtain a permitto 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 theermit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules,bylaws or andcovenantsthat 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 I
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
commencine work or reco
rdingour Notice of Corn men cement.
Signature of Owner/LesseO&6ntrzrctor as Ag nt for Owner SIjnafure of contractor/license Holder
STATE OF FLORIDA r STATE OF FLORIDA /
COUNTY OF r' "`" COUNTY OF_
The folloing instr a twas acknowledged before me ThefargQing instru nt was acknowledg%before me
thisdayof 20 by this�day ofE20� by
j ` i a u l Aod r au) A4`3 c
Name of pe making statement Name of person making statement -
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
rgnature of Notary Public-State of Florida} Signature of Notary Public-State of Florida)
,f,sc !�"c^r TRAVIS SAT LDEP
Commission No.t t 27G { TRAVIS BAT WSl Rsion No. f%3 2`71.0
LITAIYP
NOTARY PU G U
3 STATE OF F RIDA Ln t STATE OF F1 0 IDA
-
REVIEWS FRONT ZONING ' SOERaW1 i2I NS VEGETATION SEA TURTLE
IEW MANE iOVF I {
COUNTER REVREVIEVI/ REVIEW I REVIEW i REVIEW REVIEW
DATE l f
RECEIVED
DATE
i
COMPLETED
Rev.8/2/17
i
4