HomeMy WebLinkAboutScan_20220218 (11).pdfSUPPLEMENTA
L CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:---------Not ApplicableANYMORTGAGE COMP
Name,.
Address: State:
City:
Zip: _ Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: ..
Phone:
Not Applicable
,Not Applicable
Name:
Address: State:
pity:
Zip: Phone:
BONDING COMPANY:
None:
Address:
city.
i : Phone:
Not Applicable
OWNER/
CONTRACTOR AFFIDVITob Application �s hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
5t. Lucie County makes no representation that is granting a permit �I��� will authorize
coven permit
that mr to ay build
restrict or prohibit b t u� ect re
which conflicts with anY app������e Homeowners Associat, Y
structure. Please eonsult with your Homeowners Association and review you deed for any restrictions which may app Y.
in all respects, perform the work
1n consideration of the granting of this requested permit, l do hereby agree that I will,
in accordance with the approved plans, the Florida Building bodes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a�� �°ncurrency review: room ad cessary uses to another non �res dential use
accessory structures, swimming pools fences, walls, signs, screen r
TO DWNER: Your #allure to Record a Notice of Commer�terr�ent maYecouded lt in pn the pUbi caying twice for
e�ords of St.
WARNING_ � „T r��,�,.,�,nnrpmRnt must be
_ __ _��
obtain
improvements to your property. ►A ,Wu���� �� �-�� � �� � ��-. ���, � .-..- -- -d.
-
l.ucie Ca� my and posted on the jobsite before the first inspect±n�- �ou�Nvtice of Commencement. � ��
with l�fider or an attorne before commencingwork or record
_'0_0
Sig ature of Owner/ LesseejContractor as Agent for Owner
STATE OF FLORAQ
A
COUNTY OF r
Sworn,to (or affir L--f
ed) and subscribed before me of
this �day of L� , 202 L byZ!:�ieqkn 'c n P.:A
None of person making-Azitement.
Produced Identification
��
roan CJ
Type;of Isle + * ation Produce
r(SignatuN Public ate Flri
90AA PAPOLMST
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Cp 1.4 _4�� V%
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REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
Physics{ Presence or Online Notarization
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW