HomeMy WebLinkAboutUntitled 32 Slu 0 D!.4 EML� NTALCONSTRUCTION LIEN LAIN INFORMA7lQN : - Oi
DESIGNEIVENGIr4EER, � Not Applicable MORTGAGE COMPANY * Not Applicable
Name " Name: WO
address. Address :
State: Caty: State :
Z7i P� - - ,. phone Zip: Phone :
JE SIMPLE InT HOLDER: Not Applicable BONDING COMPANY: Not A pploica-ble
Na e.. Name:
Address.-----
Address.
City: city&
Zip : Phone .• z*1P0 Phone .•
ow N R/ [ONTRQCTOR AFR P Icaton is hereby made to obtain a permit to do the work and i Hation as indicated.
I cerfify that no work or installation has commenced prior to the issuance of a permit
Stcie Count� makes no represQntation that is granting a permit will authorize the ermit holder to wild the subject structure
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which is in con'flIct with any applicabte Home Owners Assoc►ation rules, bylaws or and� covenants that m ay restrict or prohibit such
structure. Please comft with your Horne
Owners Association "and review your deed for arty restrictions which may a pply.
In Consideration of the granting of this requested pel sit, I do hereby agree that I will, in aft respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building pelmit applications are exempt from undergoing a full conculrency review: room additions,,
ory structures., swimming pools, fences, walls. signs, screen rooms and accessory uses to another, non"-residential use
G TO OWN ER: Your i�a*llure tO Record a Nance of Commencement may result in haying twi+� r
Improvements to your property: A Notice of Commencement must be recorded in th e pu blic records of St
Lucie County and posted on the jot)s1te before the first inspect ion . if you intend to obtain finanang, consult
with lender . or an . a1ttorne before commencin work or recordsyour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as A$ertt for Owner Sig nature of Contractor/LicensederHol
E OF FLDRIDA
STATE Of: FLORID cou pF
U OF �.-�►
o (of affirmed) and wbscribed before me of swor o (oraffirmed) and subscribed bef°re meof
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Name of WroWmaklng statement
Name ()f per&bn making statement. Personalty Known OR Produced tdwtifkat�
OR Produced Id��fi tton peq� tdentifttion
t�dflY KnownProduced
Type of Identi��n
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pubi� State of Florida ) * � , pioride-Notary
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