HomeMy WebLinkAbout192 JEFFREY LN 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not App
Name: rcable MORTGAGE COMPANY:
Address;
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Not Applicable
Name:
Address:
City: State:
Zip: Phone:MM.-
Not Applicable
Name:
Address:
City:
ZIP: Phone:
BONDING COMPANY:
certify Application Is hereby made t obtain permit t d • •
that has copriorthe issuance � t�r�r�r�� �r�t��l�t��r� � ir����t�
permit.
St. Lucie 'art Fakeno representation . p n that is granting a Br it will authorize i
�� ��� with anapplicable I��r � ��� t�� Permit holder t� build t�� subject
hi structure, owners Association rules, byiaws or • ufor try�t�r�
�r��lt �t� �r�r Hmnerg ss��and ���r��r�t �l��t � restrict �� r
Association and review your deed for a�may � �I����t � �
In consideration of the rantir� ftt�'
� ryU�tU �r'm+t� �� �r�� agree that F
in accordance with the approved la� � will, i� � � � � � respects, perform the �
plans., the Florida Building Codes and t.
building p r' it aPlal«ations are
exemptfrom ur�droina fu I cor��rr� t
accessory tructu re , f i n review: room additions.,
and accessory uses to another- nnn-resat
� �ntra I
_UW N L R YoUP fallure to Rurn..1 u...:__ _�..____.
improvements to your property. A Notice of Commencement must be regarded inin twice p
Lucie bounty and posted on the jobsit� before the first inspection. If you intend to obtain financ,ing,��s �� ���with lender or anattorne before cammencin work ar recvrdin our Notice of Commencement, consult
Signature'* Owner/ Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OFCol ta
Sworn to {or affirmed
this l 1 day of
and subscribed before me of
Uq�.0 2aa I by
VADf,-re'3 , Ha�l , \ n
Name of person making sta ent.
V Physical Presence or R.
Online Notarization
Personally Known OR Produced Identification
Type of Ident'Ification Produced
(S41�a C9 . f fl 2 L)Lp
gnature of Nv pry Public -State of Florida �
Commission Na. eG alkkq�o
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev 5720/21 -
FRONT
COUNTER
(seal)
ZONING
REVIEW
SUPERVISOR
REVIEW
or
Notary Public State of Florida
Margaret E Montepare
MY Commission GG 214990
Expires 06105/2022
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW