HomeMy WebLinkAboutWeise app 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/EN GINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:Name:
Address:Address:
City: State :City: State :
Zip: Phone Zip: Phone:
FEE SIMPLE T ITLE HOLDER : X NotApplicable BONDING COMPANY: 2LNot Applicable
Name:Name.
Address:Address;
Cit.Ci.
Zip: Phone:Zip: Phone:
OWNER/ CONTRACTOR AFF lDVIT: 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.
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ln 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 bui ding permit app ications are exempt from undergoing a full c oncurreney review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fallure to Record a Notice of Commencement may result ln paying twice for
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c records of St.ancing,consultment.
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SUPERVISOR PLANS SEA TU RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/EN GINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:Name:
Address:Address:
City: State :City: State :
Zip: Phone Zip: Phone:
FEE SIMPLE T ITLE HOLDER : X NotApplicable BONDING COMPANY: 2LNot Applicable
Name:Name.
Address:Address;
Cit.Ci.
Zip: Phone:Zip: Phone:
OWNER/ CONTRACTOR AFF lDVIT: 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.
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ln 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 bui ding permit app ications are exempt from undergoing a full c oncurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fallure to Record a Notice of Commencement may resul t ln paying twice for
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c records of St.ancing,consultment.
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Name of person making statement,Name of person making statement.
PersonallyKnown `/ OR produced Identification PersonallyKnown \/ OR produced Identification
Type of ldentific ation Type of lde ntificationProduced .~1 Produced ,
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REVIEWS FRONT ZONING VEGETATION
I,
SUPERVISOR PLANS SEA TU RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
e!N.516n!0