HomeMy WebLinkAboutCCWPB LLC Supplemental Construction Lien Law Informationf
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DESIGNER/ENGINEER: X� Not Applicable
MORTGAGE COMPANY: X
Not Applicable
Name: Ruben D. Marts Architects LLC
Name:
Address: 628s Pine Terrace
Address:
City; Haan State; rL
City:
State;
Zip:33317 Phone954sm7819
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: X
Not Applicable
Name: = ventures, LLc
Name:
Address: m H• MilitaryTrail
Address:
City: Haverhill, FL
City:
Zip: Phone:
Zip:33415 Phone:(954)428-8919
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
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 Commencem nt must be r
ed in the public records of St.
Lucie County and posted on the jobsite before the first in on. If yoto obtain financing, consult
with lender or an attornev before commencine work or r c di our f Commencement.
_ 1�' �-- '- 14='
Signature of Owner/ Lessee/Contractor as Agent for owner
STATE OF FLOR
COUNTY OF r.
Swo o (or affirmed) and subscribed before me of
�ysical Prese ce or Online Notarization
this day of _ °✓ 202f by
Name of person making statement.
Personally Known �OR Produced Identification
Type of Identification •.
V Natary PWft State of Ronda
Carlos Young
Com ir�iii;�
Fxprces t)9l2orx022
REVIEWS FRONT ZONING SUREFr1rOSOR
COUNTER REVIEWREVIEW
DATE
RECEIVED
DATE
COMPLETED.
Holder
STATE OF FLORIDA
COUNTY OF(%`
Swo to {or affirmed) and subscribed before me of
P ical Presence or Online Notarization
this day of ' tl 20201by
Name of person making statement.
Personally Known OR Produced Identification _ V
Type of identification
Produced Ft Or Ae
{Sig tur of Notary Public- State of Florida )
Commission No.
TRANS VEGETATION
RVIEW I REVIEW
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REVIEW I REVIEW