HomeMy WebLinkAboutMcCormickGlassPermitAppSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES!GNERlEWNFER: x Hint AnpfirahlP
Name: seaside En I-slEdwam Roue
Address: 42G5 cW, c:
City: vW080I State: Fl.
Zip. am., Phone
FEE SIMPLE TITLE HOLDER;
Name:
Address,
City:
Zip: Phone --
x Not Applicable
MORTGAGE COMPANY:
Name. -
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:
I Address:
City:
7ip• Phonp _
K Not A.rn,Ylir2b!e
State:
x Not Applicable
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie rnlinh/ rr 3jri5 rn f-pprpcantatlnn that is arantln� a piprrnitwill ailthprgL% rhA pprmit hnlrinr to build the Srihiart ctrilftura
which is in canl'lict with ant applicable Home Owners Association rules, bylaws or and covenants that may restrict 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 Building Codes and St. Lucie County Amendments,
i he foiiowing building permit appiwaltions are exempt from undergoing a Tuii concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, Strecr; rooms and accessary uses to another r izin resider:t:a! uW
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 our Notice of Commencement.
Signature of Own r/ Les a/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF —
Sworn to (or affirmed) and subscribed before me of
x Physical Presence pr Online Notarization
this� day of , 2024 by
Jonathan starratt
Name of person making statement.
Personally Known x OR Produced Identification
i ype of Identification
Prodused i �-LL
I f5ignatrira nf(�,Intary Plr�lif- 4h t�� f
ryy t.rr,ay t°..bBC Slate of FVarida
Commission No. G=5102` d Aj5eW�Wles
My Comm scion GG 235102
r '•;,� .. of FFPI,es 07'04i2022
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REVIEWS I FRONT ZONING
. MINTER I REVIFW
DATE
RECEIVED
Signature of Con facto V
icense Holder
STATE OF FLORIDA
COUNTY OF --
Sworn to for affirmed] and subscribed before me of
x Physical Pres rice or Qn!ine Netarizati^_n
this laday of 2021 by
Jove:^al Slarnit
Name of person making statement.
Personally Known x OR Produced identification ^ —w
Type of Identification
Produced- n _A n
'I Nniary PlblK State of
No GG23510,2 ,-4' (5ealbele staples
My Cortlmisston GG 2
1' _1 Fw,Iles o7:o4t2o22
SUPERVISOR I PLANS VEGETATION I SEATURTLE ! MANGROVE
RFVIFW REVIEW REVIEW GE`!EW REV! EIA!