HomeMy WebLinkAbout2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ N ot ApplicableI MO GAGE COMPANY:
Name.,
Address:
citys State -
Zip: Phone -
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address.•
City:
Zip: Phone.'.
Name:
,r Not Applicable
Address0
City: State:
Zip: Phone,.•
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip Phone:
OWNER/ CONTRA 0R AFFIDV11,88 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 friar to the issuance of a permit
St. ]Lucie Counmakes no representation that Is granting a permit will authorize the* permit holder to build the subject structure
which Is in con act with ary applicable Home Owr�s Assa�a�on rule;., �avrsgr and cants that may restrict or prohibit such
s#rutture. Plewe consuft with your Home Owners Association -and review your deed for any restrictions which may appzy-9
in consideration of the granti'ng of this requested permit! I do hereby agree that 1 rAHi, in all respects, perform the work
in accordance with the approved Flags, the Florida Building Codes and St. Lurie County amendments.
The following building permit applications are exempt from undergoing a full tflnaurency reyvw: roam additions,
accessory struetures, 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.
de County and posted on' the jobsite before the firstInspection.. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDn
COUNTY OF
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Commission No. (Seal)64
REVIEWS
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