HomeMy WebLinkAbout409 EASE ERIE DR PERMIT APP 2SUPPLEMENTAL CONSTRUCTION LIEWLAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Address: N a m e:
Address:
City: State.
Zip; Phone
FEE SIMPLE TITLE HOLDERT
City:
State:
Zip%
Phone:
Not Applicable
Name:
Address:
City:.
di.0
p: Phone:
OWNER/ CONTRACTOR AFFIDVIT. Application is hereby made to obtain a permit to do the word and installa i
I certify that no work or installation has commenced prior to the 'issuance of a permit. tan as indicated.
5t, Lucie County mikes no representation that is granting a permit will authorise the permit holder to build the st�bor
ect structure
which is in Cvr�f�ict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict
stricture. Please consult with your Home Owners Associative and review your deed for an restrictions whi��j �ibit such
� v Y apply, In consideration of the granting of this requested permit, I do hereby agree that I wili, in all respect, perform the work
in accordance with the approved flans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full ccrncurrency review: room additions,
accessary structures, swimming pools, fences, walls, sins, screen moms 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 pasted on the jobsite before the first inspe�tian. If you intend to obtain financing, consult
7 with leader or an attorney before Commencing work or recording Notice of Commencement.
_ Not Applicable
Name:
Address:
_..__.
City:
Zip: 00-bPhone:
Signature
A
er/ Lessee/ �-vntractar as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
this l[g day of 2 4g2Z by
dam
Name of person making sta ent.
Personally Knows V OR Produced Identification
Type of Identification Produced
(Signature ofillotar Public- State of Flo�lda
Commission No. GG QJLA qq(4()
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev31ZD72-IF
FRONT
COUNTER
(seal)
ZONING
REVIEW
BONDING COMPANYIs
,..,�, Physical Presence or
SUPERVISOR
REVIEW
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. Online Motorization
Notary pijbl is State of F I GrWa
Margaret E Monte p are
My Cornmi ssiOr GG 21499()
Expires ()6/0512022
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW