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Home My WebLink AboutGuerrero permit application p.2SUPPLEM, ENTAL CONSTRUCTION LIEN LAW INFQ ,N1A f DESIGNER/ENGINEER: X Not Applicable MO- GAGE COMPANY: x Not Applicable Name: Nam• Address: Addavm:, City: State: lap: Phone Cft :: State: Zip,: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable B01NDIN6 COMPANY- x Not Applicable Name: N "., Addrenz Cr Address: - City: Z. Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madetoebtaiinapermit to do the work and installation as indicated. 1 certify that no work or installation has commenced prior to the issuauarsse i''au pe -mit. St. Lucie County makes no representation that is granting a permit vvgl{ayd"tw.ermit holder to build thesubject structure which is in conflict with any applicable Nome Owners Association rull a*s w covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and rev fe r rdb li for any restrictions which may apply. In consideration of the granting of this requested permit, I do herebl ree-thatPoWN, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes aMf:. U. xd'. etxty Amendments. The following building hermit applications are exempt from undergoi0g a: 11cenrurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen roaman.arm--mory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of COmmemmmemst may result in payibg twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the firstInspection, If you intend to obtain financing, consult ----w+th lendpr nr an afrtnrnpu hpfnrp crimmpneing work arrPenirdVnip. vnur Notice of Ceinamencement. Rev_ 5/b/1u �� of, C'a tractor/Lice, Holder 5 nature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORI A STATE'RGMVE COUNTY OF T y"1t� v O�L §yiorn to (or affirmed) and subscribed before me of swo i faffiimed) and subscribed before me of Physical Presence or Online Notarization =r-�� 6�esence or —4-4 Online Notarization this,,,2, day of 2020 by 'i IQ4 &Veil 2020 by 1. 1l&VLI Ali tYY %YD . e r' � . U - Name of person making statement. moe of ra r making !�� ♦� Personally Known OR Produced identification �statement. a`*% 0N vwon 1t OR Produced Id� rswwvl Type of identification TVwd1demiltation Produced KI 7 7___._e a �TAIQ� ;: �f L Ftoi G (Sig tune of Notary Publi - S to of EI '?%0" a Y - rrrrea�` 'Notary P11hlic State of Elori '+j�� 4'• GG95531 2Assion No. 9 S •' °c�m�"Sosi2p2" °Soils �•. .�,.v �II,.5+, At �Etell I11It a, REVIEWS FRONT JIIAWG SUPERVISOR PLWSv VEGETATION SEA TURTLE MANGROVE COUNTER RMEW REVIEW REWEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev_ 5/b/1u SUPPi_I=M ENTAL CONSTRUCTION LIEN LAW INFORMATION., I DESIGNER/ENGINEER: X Not Applicable lVIONTGAGiE COMPANY: x Not Applicable Name: Name. Address: Address-.: City: State: City. State: Zip: Phone zip: �- Phone: FETE SIMPLE TITLEHOLDER: x Not Applicable BONDING COMPANY: x Tot applicable Name: Name:. Address; Address: City: Com: _ Zip: Phone: Zip.. Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made torebtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuamc+e of 'a pxn'k. St. LucieCounty makes no representation that is granting a Permit wi'lil auth, Nits tikeermit holderto build the subject structure which is in conflict with any applicable Home Owners Association rule..byEaws pr mscovenants that may restrict or prohiblt such structure. Please consult with your Horne Owners Association and re%4ew4our dead for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that1will, in all respects, perforin the work in accordance vwith the approved plans, the Florida Building Codes and Sit.. Lucien Cmaty Amendments. The following building permit applications areexempt from undergoing.a foils concurrency review: morn additions, accessary structures, swimming pools, fences, walls, signs, screen rooms O rf accessary uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencesent may result in palpl; twice for improvements to your property. A Notice of Commencement must t be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspec on.. if you intend to obtain financing, consult wAh lender or ars attorrrkv before comcnencine worst or recorTibityour Notice of Commencement. as Agent for Owner STATE OF'FLORIi�A COUNTY OF 1'Y1�(il.�` 1 Sworn to (or affirmed) and subscribed before me of Y Physical Presence or Online Notarization this M day of 2020 by e VD Nb' me of person making st tement. Personally Known OR Produced Identification Type of Identification ProducedL 1oa1� (Sign tore of (Votary Public- $tafep i�ot>cY Qub��una 9x53 G lesion No. l i 0 r d g a p3 03rzo? 4 �rrJS� Y fir_ REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW RECEIVED DATE COMPLETED Signature STATEOF 'CO!u1�61'' ' i U Svwo t Jar �'med) and subscribed before me of sal P sence or Online Notarization this it y of 2020 by Baine of person making statement. `� 0"%01111#1114 PersonaPy R wn V/OR Produced ldot ., T -pe of Idleadflication S : a __ .r. OUNiAary Paibl ic- State of Nb. PLANS REVIEW I EGETATION 'REM. EW I S REVIEW l_l_ I MANGROVE fE 113 n V� ch0 r-- ----------- sit ---------- 00H ONMOH IVZGI ---------- VMMU 'ALN771-1 3 -H Ymampano 3Nvia I -v "Idaror:HOA A' A-SA.8nsA8V43Nnoe ad Is. ey all 1b oil IN] lwmza�=-Iph FRIO . 91 111 113 n V� ch0 r-- ----------- sit ---------- 00H ONMOH IVZGI ---------- 3 A' 113 n V� ch0 r-- ----------- sit ---------- 00H ONMOH IVZGI ----------