HomeMy WebLinkAbout7104 Maidstone Page 2r
Name:
Addre,
City: _
Zip: _
FEE SIMPLE TITLE
Name:
City:
_ Not
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City: —
state:
Zip: Phone:
BONDINGCOMPANY:
Not Applicable
Name:
Address:
Zip: ---____,,Phone: Zipi P ne:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permtt to dothe work and installation as indicated. )
I certify that noworkor installation has commenced prior top the Issuance of o permit.. er r
which is Inc onWicmt with anrepresentation applicable OwnerstAsssoc ationirulesabylaws or and covenantdethatt build
drestriict 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 gullding 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 your Notice of Commencement.
=,r c-lee/�cgTrpctor as Agent for Owner\_
STAT f FLORI A
COUNTY OFF
Swot- to (or affird) a subscribed befpr� me of Ph sical Presence or
this day of._, 2�l by y Online Notarization
Name OF Person making statement.
Known OR Produced Identification
(Wature of Notary
Commission No.
REVIEWS CO� .. l •'r� ERVISOR� PLANS
REVIEW VEREVIEWON SEA TURTLE I REVIEW