HomeMy WebLinkAboutSnoberger Permit App 2SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION:.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Narne:_
Address:
City:
Zip: -
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Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 is in conflict with any 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.
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
rnmmPnring wnrk or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
L e
STATE OF FLORIDA s f Luc;-
OF
COUNTY OF UGi
COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
66Tob
this i-h day of �L�i'Cl r 20�1 by
p
this P,O day of e_r , 2021 by
Name of person making statement
Name of person makin tatement
onal y Know Y' OR Produced identification
OR Produced identification
ersonally Kn�cation:�
Type o e t fcation
Produced
Produced
(Signature of Notary Public- State of Florida a
S• ture of ;Votary Public- Stat
NO. f �JbbS �"1 44 ea otary Public State of F
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Public Slateni Ffi
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Ghri5 L Woolley
My commission GG 1 8
mission GG 1851
665 nor �o Expires 02/26/2022
,,. Of moo} Expires 02126/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETES?
Rev. 8/2/17