HomeMy WebLinkAboutBuilding permit page 2UP.PL E,NITAL CONSTRL) CTION LIEN LAW I N FORMATION,
DESIGNERIENGINEER: Not Applicable MORTGAGE COMPANY: foot Applicable
Name:
Address:
I+ity: State;
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Narne:
Address:
� City:
k Zip: Phone:
5
Name=
Address:
City:
Zip:_
Rhone:
state;
BONDING COMPANY.- Not Applicabie
Name;
Address:
City;
Zip; Phone:
OWNER/ CON TRACTOR AFFIDVIT: Application is hereby made to obUin a permit to do the work and installation .as indicated -
I certify that no ark or installation has commenced prior to the issuance of a permit.
St- Lurie County akes no representation that is granting a permit will authorize the permit hdder to build the subject structure
which is in contli t with any applicable Home Owners Association rules, bylaws or and covenants that may restrict ar prohibit such
structure, Pleas consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration V the granting of this recIvested permit, I do hereby agree that I will, in all respects, perforrrr the work
in accordance wi h the approved plans, the Florida Building Codes and St. Lucie County Amendments -
The following bulid ing permit applications are exempt from undergoing a full concurrency review, room additions,
accessory 5tFuctq res, swimrrring pools, fences, waIIs, signs, screen rmins and accessary uses to another non-residential use
WARNING T(
improver
Lucie Cou
with lead
OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
ents to your property. A Notice of Commencement must be recorded in the public records of St-
�ty and posted on the jobsit4q before the first inspection. if you intend to obtain fi nancing, consult
r or an attorney. before com menci ng work or reco dingyour Notice of Com mencement. .-
of O*nerf Lessee/Contractor aS Agent for Owner
STATE OF F
COUNTY Oi
Sworn or a irmed) and subscribed before me of
hysical Presence or Online Notarization
this day 2020 by
NaRTe of perso making statement. I
Personally Kno n OR Produced Identification
Type of Id ppt#ixation _ j
(Signature of h o'tary Pubiic- State of FICrida J
Commission No, ($ _ . S:r1-J4T1
�•, � CormiSs
- I
3r
REVIEWS FRONT ZONING MYR
COUNTED REVIEW REVIEW
DATE
RECEIVED
DATE
of C❑ntractarjLicense Holder
STATE OF FLORID
COLDNTY IMF-- -- -U-j' C
Sw❑r (or affirmedI and subscribed before me of
Physical Presence or Online Notarix;ation
this _ day of 202-0 by
i
Name of person making statement.
Personally Known _OR OR Produced Identification
Type of ld 'fication
Produced 4 k
WVE4p
(Sig Motary Public- State of Florida j
1 Y
�91S1{ll NTAM
ire
�[70112i � .
VEGETATION SEA TUR `CV @411"
REVIEW REVIEW REVIEW
REIJIC