HomeMy WebLinkAboutKillday Shari - Shawn Signed Building Permit CPSL (3)SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: _ Not Applicable
Names.
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City: —
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Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone: _
State
Address:
City: State:
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Not Applicable I BONDING COMPANY: _Not Applicable
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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 an� applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t 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 Florid Building Codes and St. Lucie County Amendments.
The following building permit applicatio s are a mpt from undergoing a full concurrency review: room additions,
accessory structur s, swimming pools, ences, Ils, signs, screen rooms and accessory uses to another non-residential use
WARNING T WNER: Your fai re t ecord a Notice of Commencement may result in paying twice for
improve e is to your pro rty Notice of Commencement must be recorded in the public records of St.
Lucie Cwou intend to obtain finan
.th leo a oradn attorneo of e ccommen� n the
work or reinspection.
Tour Notice of Commencement.
consult
ner/ Lessee/Co traitor as Agent for Owner
STATE OF FLORIDA
COUNTY OF t A-L-M 13 ELL C-A-4 /
Sworn to (or affirmed) and subscribed before me of J Physical Presence or Online Notarization
t h i s q-!t day of �jOjC__b: =1Z 2021 by
W W O L-P C
Name of person making statement.
Personally Known `// OR Produced Identification
Type of id'ela fication Produced
l iA
SA
(Signature of Notary(F)Mc- State of Florida) Alicia J. HID
NOTARY PUBLIC
Commission No.62''i`1 12 0 (Seal) STATE OF FLORIDA
a Comm* GG949120
Expires 3/29/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED