HomeMy WebLinkAbout202 NE Bracken - Application Page 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ' Plat 4.PAC-dtlle MORIGAGL COMPANY: Not Applirabie
Name;
Address: r Address
fiery - St.i1W:---- City. State:_
Lip Nhone L-p; Phore:
FEE SIMPt.E TiTLE HOLDER;
_ Not Applicattle BONDING COMPANY'
barn[.
Name:
a c ress:
Address
City: —
,'.Ip.
zp: phone:
Not Appiicaole
OWNERf CONTRACTOR AFFIDVIT; Applica: on s hereby rnade to obtain a purnid to du the .yolk arc ir-Aailabun as anll[atvd.
cutely tnyt np work Orin tlallatnn has-vrrnrncrd prior rQthe �SSa a of. of a P.A. rrrit-
St rile Cnunry makes no representation that <s grantinQ ape -'nit wil out•-urtrt the er •rmt Adder to bw.Ila the s,rblect structure
wi•Ifh Is M Canthct Wrt^ 3W 3pAlr:able Horne Owners Aasucwtior r _ les. by aws ran? � usKnants that may res _riot or proh bit such
Struct4rf. Meese ;onauit yvrtts your Home O mers Aswivafion arc rrrirwyour •d of anv resuictions ytsch may arrAy-
n rnnyi7rt�on of the Brant *,g or thi. •equrvedl permit I du bviet:v agree that I will +r all recperts, prr+7•n, thr wrxk
r a u urd+ncr vmtli it it appruvvd Oam. the Flcrlda UJIlding Codes and St. tut a I:cs. my 4rnrnrimen11;
Iltowir.�;.arii, lea II""I,l .rigs I.1t.41r"., I -yr I1l ' fraln a full cG�Cur`encv review. -O'Urr Mdtion%,
CS"?v S[rllr'U rei. SWimnNne On(' %ftmcf 5, W!r I � Riem Sr fm-m'am%3^d ar"zory u5cs to ancKher nc- rniocrtlal uyR
WARNING TO OWNER: VOUT fluor[ to Reuxd • Notioe of Cornmencemcnt rnav result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public reccrds of St.
Lucie Cmnty and posted on tree jobsi;e befpre the f rbt inspection. if you intend to obtain financing, consult
-,with lender or an att 'Marl rommenc M work or recordirig yvitir Nutilce ut Ccmnienceme�l—..
., - -- - --- - - - - - r
a d t}wnerll e1Car+tractor as ?der t =or Owner 5iR • re of ! nry rar-nr, retie Ii SIAP
STA► E OF FLORIDA STATE Of FLORIDA 1
COUNTY OF {;I COUNTY OF-
Svv^rn to ter ,{f-rnM1 lne %.iri:tHhed bf4nr r, err• r+j Sw•Jrn [•;',Inn of ifrnee! and subscribe, bete-e -e -ii
_p'lyiicaf rrrsrntr or x Online An'ari2Atlary PhYSIC3. n•e5ence Of r On4nt Nolar :alion
day ut • — :02) U-0 tis,s �r _ daV of +� - ?t7]fl '•)v
N ar ne of person snaking state-, ent.
Persona i}r Known ' OR
�?� RF den+ncc : 1 1
commission
REV EW-S
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Rev, 5r1612-0--
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