HomeMy WebLinkAboutSECOND PAGE OF PERMIT FOR 7304 BAYAN STSUEPEMiTA3STfia �f�i���kTi#�
DESIGNERf ENGINEER. _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: 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.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structis in ure. Pleasiecconisulany t with pypoiurHlome Owners Association Association
drreview your or
for ny restrinants ctions s whiat may ch may strict alprohibit such
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 financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ ee/C A�ctors Agent for Owner Signature of Contra ice Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF . 57 L41 S Q COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Phy 'cal Presen or Online Notarization � Physical Presence or Online Notarization
this day of 2024 by this day of r 2020 by
a.\b�► � M
te.
Name of person making sta
Name of person making statemen
ment.
Personally Known_ OR Produced Identification
Type of Identification
Produced
Gi
Signature of Notary Public- State oAlorida )
Commission No. 7 (Seal)
REVIEWS FRONT ZO INC,WCOUNTER IE
DATE
RECEIVED
DATE
COMPLETED
Personally Known �— OR Produced Identification
Type of identification
Produced /]
(Signature of Notary Public- State of 5forida
Commission No. 74t`a4I (Seal)
5 t f Flo Ida TATI U � Vi t
X�}r� /0 g l E W ry
No. GG 27