HomeMy WebLinkAboutPETREVIC 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN E R/ENGINE ER Not Applicable
Name.
Address:
City: + State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
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Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
city: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Naas:
Address:
City
iP: Phone:
OWNER/ CON��licaton I hereby dt� obtain � permit
t to do the work and installation as a nd icat,
I certify that no work or installation has commenced prior to the issuance of a permit.
t. Lucie County makes no representation that is grantinga permit -will authorize the permit holder to build the subject
which is in con list with any applicable Home Owners„Associaton rules, bylaws r andcovenants that arestrict or prohibit such
structure. Please con u�It withyour Home Owners ot� i�
t � and r� your �� for any restrictions which �a apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, rform the work
R.
in accordance with the approved plans, the Florida Building Codes and St. Lucre 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 OWN ER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Not -ice 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 Notice of Commencement.
Signature wrier/ lessee/Contractor as Agent for Owner
STATE OF FLORIDA `
COUNTY OF � � JA C, 1e
Sworn to (or affirmed and subs ribed before me of Physical presence or Online Notarizationthis IS day of � 20 by
("\ Vr'VP,' s,, - - U 1 -7,. H ri4i-jL-\ c,
Name of person making state -Kent,,
Personally Known V OR Produced Identificat91
ion
Type of Identification Produced
(Signature of Notary blic- State of Florida )
Commission No. GelcomA(90 (Seal)
PL
REV
PUMIC Slate c)f Florida
Notary
MargaretE Montepare
itAy s1c1n
Expires jo0
4NS
IEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW