HomeMy WebLinkAboutPSL Building Dept Property Owner's AffidavitCity of Port St. Lucie Building Department
Property Owner's Affidavit For Owners of Property
Who Are Contracting To Have a Dwelling Constructed
Name of Owners:
STACEY T. DYER and OLIVIA D. DYER
Owner's Current Address: 2310 NW SUNSET BLVD.
Street
JENSEN BEACH FL 34957
City State Zip
Address of Property 15360 SKY KING DRIVE, PORT SAINT LUCIE, 34987
Legal Description TREASURE COASTAIRPARK LOT 65 (5.68 AC) (OR 3855-1679)
Parcel rD (if available) 4224-501-0065-000-1
Name of Contractor
Svner9v Homes, LLC
Address of Contractor 1610 Yarmouth AVE. Wellington, FL 33414-8995
Contractor License No. CBC 1254289 14138
State of Fl. Lic # City of Psi #
We (1), affirm that we, (1), own the above property and have contracted with, and fully
authorize the above contractor to apply for and obtain all required building permit(s).
ly(�� � L7L130�Za1`�
Signatu of Owner
Signattxdof Owner .
Sworn and Subscribed before me this 30 day of ,-l/i -LP-- 20 /C
The above is personally known to me or has produced
As identification. Number nj 1A Exp. JDate
(�
Witness G — Notary Pu is
Sig a re State of — - • cir._ _Cou Ofg I i r
3l05nv