HomeMy WebLinkAboutsperanza 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
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 financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Sign a ur wner Lessee/ ontractor as Agent for Owner
Signatur of Contractor/ cense Holder
STATE OF FLORI �` �'
STATE OF FLORR4
COUNTY OF �, �1
COUNTY OFF'+
SWO2 to (or affirmed) and subscribed before me of
P ysical Pres nce or Online Notarization
Sw9r5.t6 (or affirmed) and subscribed before me of
!O ysical Pres ce or Online Notarization
this � day of 204 by
this ' day of 2024 by
Name of person making statement.
Name of person making statement.
al Know OR Produced Identification
i ersonally Known OR Produced Identification
Type of d ntification
Type o nti ication
P odu
Produc
Pk
Signature o
-
(Signature
Commission
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'_� �= MY COMMISSION# GO 638
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Commission
; ,, LIBERTY A. KING
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S: May nT
,hii•ii,N• lorded Thru Notary Pabk Undenvrilers
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o. S: May 4, 2 21
••.;;o� ....... Bonded Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20