HomeMy WebLinkAboutbuilding permit (2).. rr�M+�*•sue
SU1"'P[EMLNTAL CONSTRUCTION LIEN LAW INFORMATION
ab
DESIGNER/ENGINEER.. Not Applicable MORTGAGE COMPANY.
N�inc
Addr es%
City -
Zip.
- - ----� - Phone
State
Not Applicabiv
Name. -
Address:
city. State
ZI" : Phone,
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANYAA _�—Not Applicable
Name: Name:
Address: Address: - - - -- - - --
� City:...�_ . --- - -- -- - _ _�.. City: --- --,—----------- --..__� _____ ~ _ ._ ----
z i P. _ Phone _._ zi Pd.� Phone.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
f certify that no work or installation has conimenced prig to the issuance of a permit
St. Lucie County makes no rEpresentatian that is granting a permirtwill authorize the permit holder to build the subject structure
which is in conflict with any applicable Hame �wnrrs Assoc�atir�n ru�e5, bylaws or and c�v�n�nts that may re�tr�ci or RrohGbat 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 1 will, in all respects, perform the work
in accordance with the approved plans. the Florida Btiilding Codes and St. Lucie County Amendments.
The following building perrntt applications are exempt from undergoing a fell eoncurrency review: room additions,
accessary structures, swimming pools, fences, wall, signs, screen roomy and accessary uses to another nor -residential use
"'WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINI
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MAST BE RECORDED AN
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION., IF YOU INTEND TO OBTAIN FINANCING, CONSULT
1�17TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of caner/ Lessel'e""/Contractor as Agent for Owner
STATE OF FLORIDA 1
COUNTY OF._.
The rgaing instrument was acknowledged before, me
this d a y of 201orCby
4e
Name of p&son making statement.
Personally Known � OR Produced Identifcation � �,,
w
Type of Identification
Produced
Signature of lontractor/License Holder
STATE OF FLORIDA
COUNTY OF P�_��
The forgoing instrument was acknowledged before me
this day of � - . , � 120 by
Name of pe on maOng statement.
Person. -illy Known CAR Produced Ideritificatiorr.
Type vt Identification
llro&)�ed —.- I %)-L _Uuqi�
L--- __ Irt: VW - -
na �+r��a
(Si�naii3�e oflNot#ry PublicSta�orida) V(Signature of o[ary Publc-
State of Honda
Commission No. f v � Z-=' I I_4'��,'+ AItS%MjI1jWpn EV'Res 10/20, ofm mISS101 No
� Wmission No, GG 40681 l
REVIEWS. FRONT ZONING SUPERVISOR
COUNTER REVIEW i REVIEW
DATE
RECEIVED
DATE
- -- --- --- --- -- --
COMPLETED
Re-- 2719'__
PLANS
REVIEW
VEGETATION
REVIEW
ate of F Stalte of Flonl1a
UMMISSIonEzpifQSl
a4.
wtiu�iu�on ova. u� �
SEA TURTLE MANGROVE
REVIEW E
VIEW