Loading...
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 •,.�:" '_� �= MY COMMISSION# GO 638 ,,II Commission ; ,, LIBERTY A. KING •� _ Y MMISSION#GG,Q9� �_= S: May nT ,hii•ii,N• lorded Thru Notary Pabk Undenvrilers bJ 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