HomeMy WebLinkAboutSHEILAS BEST 2M
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_Not Applicable
Name.
City:
Address:
Zi P -vo Phone State.
FEE SIMPLE TITLE HOLDER;
Not liar
Name:
Ad d r t
City'
Zipd il Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City.
Zip: Phone.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and in t Nation as indicated.
I certify that no work or installation has commenced prior to the issuance nce
� of a err Nt.
t. Lucie County lma es no representation that i granting � permit will authorize •
which i Iconflict ict with are a� � , r�� tJ�� rrr��t h�l��- t� build I� the subject structure
pliable Hone Owners �Iciation rules, bylaws or arr covenants that may '
structure. Please consult with your H�r� r��r F restrict �r �r�i�� ��t u�
' Association and review your deed for are restrictions which may apply.
n consideration of the granting of this requested permit, i d hereby agree } � e that 1 will, in all respects., perform the work
are accordance with the approved plans, the Florida Building Codes and St. Lucie
County Amendments,,
The following building permit applications are exempt from undergoing a full cvncurrency review: ream additivns,
accessory structures, swimming pools, fences, walls, signs, screen roams 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 firstinspection. Ifyou intend to obtain financing,, consult
with lender or are attorney,before commenci I ng work or recording Notice of Commencement,
.10
Signature bfAwner/ Lessee%ConfiractQr as Agent for Owner
STATE OF FLORIDA
COUNTY OFmogul=
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this day of k 20 by
N a me of Perso n ma ki ng state nt.
Personally Known
R Produced Identification
Type of Identification Produced
(Signature ai7Natary public- State of Florida j
Commission No. G&zq (seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
Notary Public; to to of Florida
Minaret E Monte are
My Commission GG 214990
Expires 0610512022
PLANS
REVIEW
VEGETATION
REVIEW
SEA TU RTLE
REVIEW
MANGROVE
REVI EV11