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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•. Zvi REVIEWS � ! 4 • .• : ` • F G +` I PERVISOR PLANS �•• CO R VI .• EVIEW REVIEW V EVIEUT1grr SfL DATE - 9�'' 6�,� RECEIVED y/ ••'•, DATE di COMPLETED FANGROVE REVIEW