HomeMy WebLinkAboutPA2NEER: Not Applicable I MORTGAGE COMPANY:
Name: Name:
Address: Address:
City: State: City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the
I certify that no work or installation has commenced prior to the issuance of a permit,
Not Applicable
Not Applicable
and Installation as Indicated.
St. Lucie County makes no representation that is granting a permit will authorize the permit holde to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that ay restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrici ions which may apply.
In consideration of the granting of this requested permit, 1 do hereby agree that I will, in all respe s, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendme its.
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 an Aher 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 inter to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
�� leu�lrl'R.t
Signature of Contractor - of- Owner Builder as applicable
STATE OF FLORID/�
COUNTY OF + L L4- i e
Sworn to (or affirme )and subscribed before me of Physical Presence or OnlIn
a Notarization
this day of 20 7 7
�
M
Name of person making statement.
dentification ✓
PersoE2zfT
Type U-) u.
(Signature of Not ry - State of Florida)
Commission No �(5ea1) aA1(I
J `M:•J'r �.C+K Surf 0ilor6J
ap (a.+ri�trnr(A416J1/
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�t^OK:^'�' ♦L Y�I tid•r} ESN
REVIEWS
FRONT
ZONING SUPERVISOR
I PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
L COMPLETED
Rev 10/12/21