HomeMy WebLinkAboutPermit Application pg 2SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION.
ESIERN[ E t -NotApplicable
Name:
I. MORTGAGE COMPANY.- Not Applicable
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FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING MPWr Not Applicable
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OWNER/ rMR FFI IT. Appfi at n is hereby made to obtalz: a perm to do the vivor -ad i stNiation as indicated,
I certify that no wo nk or 1 nstallatiort has corn menced Prior to the issuance of a perrmit.
t. Lucie Countv m akes no representation that Is gras n1J ng a permit �! aunt prize the germit hoIder to b&dd Ehe subs st +
which is inconffict witany a ppilca bi e Ro me Owners Assodatian wles, bylaws or an d covemnts that may resvict dr prp t4itstich
t` re_ lease Consul with your Home Owners Assotiationand re ievv V v *- d e6 fQr any r mom vrhich may appj ,
I n com tivn of the granting of this requested permit, I do hereby agree that vi 1, in arespects, perform the work
:n accordame o itb tapproved plans, the F1 orida Building Codes and St. Luse Count+ Amendments.
T be foffoWmg buiJding p erm it applications a re exempt from undergoing a full co "rm rear: ►r_ roona addltiortsr
accessury res' 5mmming poals.j fences, vialts, �Ig s, screen zooms and accessory u5es to ana :ear
WING TO OWNER: Your failure o Reccrd a Notice *41 Commencement, may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public re'Cords of St.
Lucie County and posted on the jobsite before the first inspection- Ii }you intend to obtain financing, co'nult
with lender oran attomev before o e cir.work or recordirm vourNdtice of Commencement -
Signature ef [owner/ Leese r'
STATE T E F FLOPJDA
COUNTY OF
as Agentfor Owner
Sworn to (or affirmed) and sub cri d before me of
P lcal Presence or nine Notarization
this .— ., ay of ._2f by
Name & pma making statement
Per orailly KnogM L-�R Prcduced I endfi tion
Tie of Identification
produc'n
-1111LA) LOU J
SignaWre of Contra ctor/Wense Holder
STATE OF FLORIDA
..
COUNT F r
worn to (or affirmed) and subscnOed before me of
Ph-isical Presence or Online i otarizaoa
t*h1 :1 day ofDy
f arne of p 'san making statement.
Type af i nt cation
Produced --
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May 63, V "
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