HomeMy WebLinkAboutCERTIFICATIONCERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
MUST BE RECORDED BTAINOFINANCINSTED ON GC
COMMENCESCANNED YOJOBSITE BEFORE UR
FIRSTSPECTION. IF YOU INTEND TO ONT
CONSULT WITH
BY
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
St. Lucie County
COMMENCEMENT.
NOTICE TO APPLICANT:
IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE
PROPERTY
IS SUBJECT TO ATTACHMENT.
OWNER OR C4W0UA0WR SIGNATURE i EOiSiTIRA'�tR SIGNATVRE
STATE OF FLORIDA m Rf t
STATE OF FLO
COUNTY OF m i COUNTY OF
•
The foregoing instrument was acknowledged before The foregoing instrument v s acknowledged before
me this � day o y��� 20 ' ,V, me this 1�day of /� 2/0 -,a
by Q �,1of4- f • rL1/► $COU by D �d� n �kOCGt
who is personally known
��_ or has produced n who is personal) known _ or has produced
• J-__Ts
f as'deni icaJon 4 • %)0� a identlficatior
S g ature of�oory (/ Signat6re of Notav (/
Commission No. ( rG`•. AUDREYB.HUMPHREYom sionNo. (Seal)
Yn",1„'r h11' COMMISSION k EE 051159
?; ` EXPIRES: March 6, 2015
Sanded TAN Ndbuy Public Undernters
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNERIBUILDER, THE OWNER MUST PERSONALLY APPEAR.TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. '
For specific in'lstructions see appropriate permit 5hecklist. i
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