HomeMy WebLinkAboutSWEENEY PERMIT APP 2SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORMATION:
DESIGNER/ENGINEER. _ Not Applicable
Name. -
Address.
City: State:
Zip: Phone
FEE SIMPLE TITLE HONot Applicable
Name:
Address,
City:
Z01 P* Phone:
MORTGAGE COMPANY,0 Not Applicable
Name:
Address:
Cit
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 installation as indicated.
i certify that no work or installation has commenced prior to the issuance of a permit.
t. Lucie Count makes no r pre ntaflon that I granting a arm it will authorize the Permit holder to build the sub-ect structure
in cwhich is *on fict with any p ! Home Owners oc efl rules, I es, bylaws or and covenants that m restrict r prohibit
structure. Please consult with your Home Owners soy ation and review your deed for any restrictions which may apply,
In consideration of the grant1rig of this requested permit, I do hereby agreethat I will, it all respects, perform the work
in accordance with the approved plans, the Florida Bujildi'ng Codes and St. Lucie Court
y Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: ream additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER.: Your failure to Record a Nonce of Commencement may result ire 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 attorne before comrnencin work or recvrdin your Notice of Commencement,
Signature of Owne
STATE OF FLORIDA
COUNTY OF
ssee/Contractor as Agent for owner
4
LU C.- I
Sworn to (or affirme and subscribed before me of
this 18—+6�ay ofQinbnc 20 by
Name of person making st meat, _.
Personally Knows OR Produced Identification
Type or Identification Produced-,-,,.
V.. Physical Preserve or Online Notarization
(Signature of Nat ry 0ublic- State of Florida }
Commission No. (:-feraiq!' qo (Sea fj Q+*'°"'�• notary Public state or Fiorlaa
ba r�' Margaret E Montepare
� IV�y Commission GG 2'�4990
�YIXMY Expires 061fi5i2022
REVIEW5
ev
FRONT
COUNTER
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW