HomeMy WebLinkAboutMESSER PERMIT APP 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:- _Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: �Not Applicable
Name.
�•�1�1 ITS._ Address.
City;
Zip: Phone*
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
city:
ZiP; P h
Stake:
BONDING COMPANY: Not Applicable
Name-,
Address:
City;
zip.d Phone:
OWNER/ COApplication is hereby made to obtain a er it to do the work � � and installation as indicated.
I cert'ify that no work or installation has commenced prior to the issuance of a permit.
t. Lucie Court makes no representatian that is granting a permit gill authorize the permit holder to build the subject structure
which is in con fist with are livable Home OwnersAssocati r
'� ��� rules bylaws r a n d covenants that restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restricts ons h ich 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 Building 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 fender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Q r lessee/Contractor as Agent for Owner
STATE OF FLORIDA It
COUNTY OF
LU
Sworn to (or affirms j and subscribed before me of Physical Presence or Online Notarization
ti,is�� day of , zaa 1 by
0
Name of person making stag rat.
Personally Known OR Produced Identification
Type of Identification Produced
(Sfgnature 4f NotAy Public- State of Florida }
commission IVo. &G 2,���I°l� (5eaI)
NOW ry P ublic Sta to of F bride
Margaret E Montepare
my o mM sloe GG 214990
Expires C)10102
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