HomeMy WebLinkAboutBuilding permit application , WaWaSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Cuhaci & Peterson
Name:
Address:
Address:
City: Orlando State: FL
Zip: Phone 407-661-9100
City: State:
Zip: Phone.
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure, Please consult with your Homeowners 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.
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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/contractor as Agent for Owne
STATE OF FLORIDA
COUNTY OF S l , Z�UGi
Sworn to (or affirmed) and subscribed before me of Physical Presence r Online Notarization
this %0 day of QQJ.' �Q' 2Q4 by 3Uc �
Name of person making statement,
Personally Knowny OR Produced Identif!Fgtion
Type of Identification Produc 4N�u- f
(Signature of Notary Public- State of Florida)
Commission N � (Seal) 4',Ov,P`"�b MARK SPIEGEL
My COMMISSION U GG335907
EXPIRES: May 16, 2023
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Rev5/20/21