HomeMy WebLinkAboutBuilding Permit ApplicationNO SLAB TO BE BUILT OFF REAR OF HOME
N value of eu.narluction 0 $25099T morn,. aRECORDED Notice of Commencement_ Is -required.
SUPPLEMENTAL CONSTRUCTI,ON_LIEN-.LAW
INFORMATION
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE.COMPANYs
:.Not Applicable.
Name: 1.3cades134ofm. .. ....
Name:.:
Address: 4170wonutAYe.
Address:
City: >W" State: FL
City:
State:
Zip: '34996 Phone: (772)2a7-8268
Zip: Phone:
FEE.SIMPLE.TITLE HOLDER: _ Not Applicable
BONDING COMPANY:.'
_Not Applicable .
Name:
Name:
Address:
Address:
City:
City:.
Zip:' Phone:
Zip:' Phone:
.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:permitwill 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 l 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 your:paying twice for
improvements to your property. A Notice of Commencement must be recorded and.posted-on the jobsite
before the.first inspection.Ifyou intend to obtain financing, consult with lender oe-an.attoeney before-
comme I ricing work or recording : our Notice of Commencement.
s
Signature of Owner/ Lessee/Agent Signature of:Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA:
COUNTY OF stJ-uciE: COUNTY OF sTLucie
The forgoing instrument Was acknowledged before rite The forgoing instrument was acknowledged before me
this � day of D GT0�3 t�7C . 20 Eby this a8 day of �?'c,�-e 20 t> by
%AATTHEwLYLEWNNE MATTHEW LYLE WYME
(Name of person acknowledging) (Name.of person. acknowledging)
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(Signature of Nota ublic- State of Florida) (Signature of Not Public- State of Florida )
Personally -Known. x OR -Produced Identification Personally Known-. X OR Produced Identification
Type of Identification -Produced' Type of Identification Produced
Commission No. . <+�°!e:`"., DOROTH1sjMMPASIaN Commission No: "'YD'' DOROTH
f.1 ; MY COMMISSION # HH 045443 �.. ASKIN
_. EXPIRES October 2, 2024 =* *: MY COMMISSION # HH 045443
_.
''•.Fo t o••', .flooded •thru Notmy Pubiic e j OF RI�Q �- flooded PI R N otaiy RES., Oetnt
P+ablic Underwritew
Revised 07/15
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