HomeMy WebLinkAboutGARVEY PERMIT APP 2rLCIVIGIV IAILLUINJIRUCTION LIEN LAW INFORMATION:
DESIGNE
R/ENGINEER:
Not Applicable
Name:
Address:
City:
State:
ZIP: Phone
FEE SIMPLE TITLE HOLDER:
Not Applicable
Name:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: —
Address.
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip:
_,Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
I certify that noworkor installation has commenced prior to the issuance of a permit.
whichisis Inc ontlictctawith any applicablelHome Owners Association rulesabylaws or and covenants that may restrict t oar 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 b died in the public records of St.
Lucie Coll pysted on the jobsite before the first insppe� rrOn-
with I der or an aEtorney before commencing work or reeSrdinv vny�u ntend obtain financing, consult
_-- -
of
STATE OF FLORIDA
COUNTY OF suaaa
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or _ Online Notarization
this _ day of 2020 by
Don J Miranda
Name of person making statement.
Known x OR Produced Identification
ratification �lt..G,U�a�
Lod Diodato
Commission b , 2021 G
Expires: Feb. 9 9, 2021
Notary Public -
Commission No. FF94s187 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
^^T^ COUNTER REVIEW REVIEW
DATE
COM
Of
STATE OF FLORIDA
COUNTY OF St Lnd.
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or_ Online Notarization
this_ day of 2020 by
Don J Miranda
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identific tion;AV'p�/Lon to o
Produce°y = Commission # GGOI
a' , Booded thru Aaron I
(Signature of Notary Public- State of Florida )
Commission No. FF945187 (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
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