HomeMy WebLinkAboutPERMIT APP (3)OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to clothe worK ana I115ldliouuii 0� �a«u-
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 permit will 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 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 firqhcing, consult
with lender or an attorney before commencing work or recording our Ngti5RTf Commencement.
Signature of owner/ Lessee/Contractor as Agent for Owner I Signature of pntractor/Li& n se H
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF 7
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization s)<' Physical Presence or Online Notarization
this day of 2020 by this day of 0by
Name of person making statement. Name of person mdking statement.
Personally Known OR Produced Identification Personally Known4�-OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
of
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Commission My COmmissron GG shoo)
SUPERVISOR I PLANS VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW