HomeMy WebLinkAboutNew Document (8)SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: -`""'�..�....•. -. .
DESIGN ER/ENGINEER:
_Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _Not Applicable
Name-4
:
Address:
City: State:
Zip: Phone:
BONDING COMPANY.,P _Not Applicable
Namee.-
Address:
CITY,
i P.d' Phone:
OWNER/ COWMACTOR AFFIDVITso Acplication is hereby made to obtain a perrnit to do the work and installation as indicated.
I certify that no work or i nstal. I atio n h as ComrnenCed prier to the Issua nce of a permit.
St. Lucie Coun makes no representation that is granting a permit Of authorize thepermit balder to build the subject stnucture
which is in mn�i�ct with any aRpflcable Hame Owners AssacEatiot� rub, bylaws or anGovenants that may reStrirt or prohibit Such
st�t��. 4�eas� eor�v� �h r'�4�rne �r►m� �ssoc�atio� at�d ��ra� yalx clued 4tn amp re�ttict� tech rc�aey appk� .
in consideration afthe granting of this requested hermit, I do hereby agree that i will, i n a[f aspects, perform the work
in accordance with the approved flans, the Florida Building Codes and St. Lucie County Amendments.
a'ras �-re ex6�' f-�� t�r� a �,W cn�F�w��- �-,aa�a ae�4dWoff'
accessory structures, swimming pools, fences., wall, signs, screen roams and accessory uses to another non-residential use
WARNING TO OWNERo:failurerd
Your to ecoa Notice of Commencement may result In haying twice for
improveffw.nts to your property. A Notice of Commencement must be recorded in the public records of St
Lucie County and
posted
on the jo bsite before
the first inspectian. If
you i nte n d to obtain tj nancing, cons uir
with
lender or an
attornev
before cammencin
work or recordinkour
notice of Commen. ement.
re of owner/ Lessee/CmtW
ORIDA
cou
Sworn to for affirm
J�s Pit al Pre�e
J,
r
forOmer �-mature vf to'--nTmctor/Litinsel4older
and subscribed before me of
ar, Online Notarization
7.— ---� 2D� by
Name of person making statement.
Personadly Known QR Prod u ce d Identi fication `r
STATE OT" FIC)TOD A
COUNTY OF.
Sworn to I or affirmed) and subscribed before me of
P pica! Presence or Onfine Notarization
this day of _��� . 202$ by
amp of person making statement.
Personally Known OR Produced Identification�
eV. 5/b/1,U
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:-
DESIGNER/ENGINEER, _Not Applicable
Namep
city-1 state.
7i p:
Phone
FEE SIMPLE TITLE H OLD ER _Not Applicable
Name6
:
Address,.,
Cityt
Zlp: Phone:
MORTGAGE COMPANY:
V"
Not fibs
None:
Addrew.
State:
Zip:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
OVYNEW CONMCTOR AFFIDVIT" Application is he-reby made to obtain a,�rn� to do the work and jrLatian as indicated.
l certify that no work or Installation has commenced prior to the issuance at a permit.
St. Luce County.makes r�o represer�tativn that is granting a fermi# wr'If aErEhorize thermft holder to build the subject �tructur�
isin canct with an applica6�e Home Owners Assvc�atiQn rues, b�liawsorano co�er��nt� that may restrict or prohibit such
� did far a�xy et�t;iet�s whith may a'p'A�Y
wst�'4�ea5e co�csv� �t� dome {�n�s ��im � s �
In ear�siderataan of the granting of this requested permit I do hereby agree that I �uc e County in
Amendme�tsperfarm the work
in accordance with the approved Qlans, tt�e FfaYida Bu�1ding Cod es a n d St, �
1�7r�lar�r",�g�'�g����v"3 are �x�+�r�"16��►�► t�r��a #� ��x'�r�i'��rs'�+''ra�ar�r ��+art�,
accessory structures, swimming pools, fences, wa#ls, Signs, screen rooms and accessary uses to anathernon-residential use
WARNING TO OWNER*. Your bilure to Record a Nodce of Commencement may � ��d in public records a� St
Unprovefor
�rns to your property,. A Notice of CDmmencement must
Lucie County and posted nr� the Jobsite before the fit�s� inspectton. If youintend to obtain financing, consult
With lender or an attarr�e before catnmenc�n work ar r�cordin ur Notice of Commen ement.
signanne of OWner/ lessee/
STATE aF FLORIDA
COUNTY OF �
I
as lint for Uwner
Lur,,,L
Swarm to f or affirmed,l and subscri6ed before me of
pI� W"al Rrese ce vr, Online Notaritatian
this ZJ!'6Y of _ 20� �Y
Name of person making statement.
Personally #Crtovrm DR Produced identification..
Type 0f Ide11f1fiC to G
Produced� � N UERLIN� MEJ1A
(Signature of Notary Public- Sta
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. SlBi2o'
Coromission # GG 12
IN
-fje- akure o ntractor/l.�fe+c��fiolrier
STATE ()T- TIORID A �l � �'�
COUNTY OF-
Sworn to for affirmed)and subscribed before me of
P ,deal Presence or Online Notarization
this day of 202s by
ame of person making s#atement.
Personally Known OR produced ldentificaban `wow�
Type of Identific n J
Produced _l_P
GUERLINE MEJ1A
Commission # GG 120
ida*Nmw 7%%+ Signature of Notary Public- Sta%W�a) Expires October 11, 21 i
OF f�n4 Banded il�u 9udget N�tery Sent
{Seal} Ummis5lan No. {deal}
FRONT ZONING
COUNTER REVIEW