HomeMy WebLinkAbout7220 Maidstone page 2SUPPLEMENTAL CONSTRUCTION
DESIGNER/ENrIIUF�Q• - .. .
Name:
Address,
City:
Zip; Phone
LIEN LAW INFORMATION:
Applicable
State:
FEE SIMPLE TITLE HOLDER: No
Name: t Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: � Not
Name: Applicable
Address:
City: State:
Zip: __. Phone:
BONDING COMPANY: Not Applicable
Na me:
Address:
City:
Zip:. _. Phone:
OWNER/ CONTRACTOR AFFIDVIT:
I certify that no work or Application is hereby made to obtain a permit to do the work and installation as indicated,
installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a Permit will authori2e 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 Horne Owners Association and review our deed for an Y pp 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 c
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCMIG, CONSULT
WITH YOUR LENDER OR AN 'rTORNEY BEFORE REiCtmaumG Y
r �
Signatu o Owner/ Lessee/Contr for as Agent for Owner
STATE OF FLORI
COUNTY OF
The f r I instr t s atknowled a efore m `
this �ay of 20 by
t
Name of person making statement.
Personally Known ✓ OR Produced identification
Type of Identification
Produced — A
OUR NOTICE OF COMMENCEMENT.
SignFt re of Contractor/Lice e H der
STA E OF FLOR A
COUNTY OF
The fo tr n w ackl
this �y of g insnowed g efore me
. 2aby
Name of person making statement.
Personally Known OR Produced identification
Type of Identification ---�•
(signature of Na ry ubli,'�'
\�" a
�� R �y (Signature of Not y Pu ``;
Commission No. �'� ��!• � ••..• � /.�
Commission No. ,•• ••.. ram•.
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REVIEWS � ! 4
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F G +` I PERVISOR PLANS �••
CO R VI .• EVIEW REVIEW V EVIEUT1grr SfL
DATE - 9�'' 6�,�
RECEIVED y/ ••'•,
DATE di
COMPLETED
FANGROVE
REVIEW