HomeMy WebLinkAboutPg 2 signedTRUCTION LIEN LAW INFORMATION:
DESIGN R/ENGINE R: X No Applicable MORTGAGE COMPANY: �_ Not Applicable
Name: Name:
Address Address:
City: Mate: City: State:
Zip: Phon Zip: Phone:
FEE SIMPLE TITLE HOLD R: X No Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR A FFIDVIT: Appli ation is hereby made to obtain a permit to do the work and installation as indicated.
I certify tha no work or install tion has comm ced prior to the issuance of a permit.
St. Lucie Co my makes no rep r sentation that granting a permit will authorize the permit holder to build the subject structure
which confl cts with any applic ble Homeowne s Association rules, bylaws or and covenants that may restrict or prohibit such
structure. ease consult with our Homeowne s Association and review your deed for any restrictions which may apply.
In consideration of the grantin of this request d permit, I do hereby agree that I will, in all respects, perform the work
in accordan a with the approv d plans, the Flo ida Building Codes and St. Lucie County Amendments.
The following building permit plications are Exempt from undergoing a full concurrency review: room additions,
accessory s ructures, swimmin pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNINGTO OWNER: Y -ur failure to Record a Notice of Commencement may result in paying twice for
impr111111nder
ements to you property. A otice of Commencement must be recorded in the public records of St.
Lucieounty and postod on the job ite before the first inspection. If you intend to obtain financing, consult
with or an attornev hpfnra r mmonrina %Amrle nr rornrAina vn"r kintirn of /'nm monremen�
applicable
Signature
f Contractor - or - wrier Builder a
STATE OF
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REVIEW
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REVIEW
REVIEW
DATE
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DATE
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