HomeMy WebLinkAboutpermit app 2nd pgOWNER/ CONTRACTOR AFFIDVIT: 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 pemnkwill authorize the ermit holder to build the subject structure
which is In con ict with any applicable Home Owners Association rules, bylaws or an 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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice ofiCommencement.
Signature
c
of0 ner/Lessee/Contractor as Agent for Owner
SI n ture of tractor/U rise Holde
STATEOFFLORIDA
STATE O7LORIDA/
COUNTYOF ST• 4. 1'iQ
DESIGNER/ENGINEER:
X Not Applicable
. MORTGAGE COMPANY:
x Not Applicable
Name:
this I dayof sCfore. S. A 2020 by
Name:
A&P L. /—C2e Z.6A2s�—
Address:
Name of person making statement.
Address:
Personally Known_ ORPrciducedidemilication
City:
State:_
City:
State:_
Zip: Phone
Zip: Phone:
,e;:7w•,, OSMEL VALDES
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
Name'
REVIEWS
Address:
ZONING
Address:
PLANS
City:
SEATURTLE
City:
Zip: Phone:
REVIEW
Zip: Phone:
REVIEW
OWNER/ CONTRACTOR AFFIDVIT: 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 pemnkwill authorize the ermit holder to build the subject structure
which is In con ict with any applicable Home Owners Association rules, bylaws or an 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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice ofiCommencement.
Signature
of0 ner/Lessee/Contractor as Agent for Owner
SI n ture of tractor/U rise Holde
STATEOFFLORIDA
STATE O7LORIDA/
COUNTYOF ST• 4. 1'iQ
COUNTY- J7 Lrncle
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Z Physical Presence.or - Online Notarization
_' Physical Presence or Online Notarization
this I dayof sCfore. S. A 2020 by
this Ab dayof AktjUrTT .2020 by
A&P L. /—C2e Z.6A2s�—
fVl Al Nt2'.
Name of person making statement.
Nameofperson making statement.
Personally Known_ ORPrciducedidemilication
Personally Known, OR Produced Identification_
Type of Identification
Type of Identification
Produced
Pr uc
)
,e;:7w•,, OSMEL VALDES
U „�^�.,,.
(Signature of Notary - I _ o one
.y on M GG 358648'
.(Signature of NotaryP t 6f VMS' blic-Stare of Marids
My Commission Expires
Commission N4 f+ M08111 8, 2023
.. - omml Bion MOG 368648
Commission No. (a6 3 C y M Cpm aelen E% I red
l7g( 58230
REVIEWS
FRONT
ZONING
SUPERVISOR--
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rsev, o/o/m