HomeMy WebLinkAboutVilla Permit 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
j Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Name:_
Address:
City:
Address:
City:
Zip:
Zip: Phone:
Phone.
Not Applicable
SJVV IYCK j 4UFV I KAL I UK AFFFUVI I: Application is hereby made to obtain a permit to do the work and installation as indicated.
i certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize 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 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 I will, in all respects, perform the work
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Coun y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with ,
1enc1e.TSV-aP-at-Wmey before commencin work or recording our Notice of Commencement
TSIgnat"Err'—e- 9—ofContrYctor/License
5ignatu of Owner/ see/Contractor
as A ritfor Owner
Holder
t
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF
COUNTY OF buC'
t
Sworn to (or affirmed) and subscribed before me of
ysical Pres ce or Online Notarization
'
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
I this day of Y`
2020 by
this day of — 2020 by
Name of person making statement.
Name of person making statement.
I
Personally Known OR Produced Identification V
Personally Known �R Produced Identification
Type of Ide tificati9p
Type of Identification
ducFd �(\
_
Produced
1� �.
(Si at re of Notary Publi o Fib g9aq • -
(Signature of Notary I- O F a
NotaryPc�blw tate of Fladda
Commission No.��
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Commission No, -1'�0 0'"`
ep
Expires „rasno 3
REVIEWS FRONT
COUNTER
° ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/