HomeMy WebLinkAboutSUPPLEMENTAL CONSTRUCTION LIEN LAW INFOSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name: Ress,,. Chambem
Address:- sv 39Vh St Ft. Piero Fla.
Address:-26047th Ave
City: Vero Beach State:
Zip: Phone
City: 'keechobee State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:.132 NE 12th St.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 Florida Building Codes and St. Lucie County Amendments.
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 another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before 0
commencing work or recording voiaf Notice of Commencement. W
Ld U m .r
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
U.
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OKEECHOBEE
COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 28 day of FEBRUARY , 20 Ippby
this 28 day of FEBRUARY 2019 by
ROSSA CHAMBERS
ROSS A. CHAMBERS
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produce�d�
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida j
FP150o6Y ,o"1Op• REEN ELARDI
Commission No. a,,, (SeaN)7
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Rev.8/2/17
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EXHIBIT "A" LEGAL
PARCEL 2
A PORTION OF TRACTS 105 AND 120 LYING EAST OF ANGLE ROAD, GARDEN CITY FARMS
SUBIVISION, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 2, PAGE
5, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIA, MORE PARTICULARLY
DESCRIBED AS FOLLOWS: COMMENCE AT A POINT 60.00 FEET SOUTH AND 30.00 FEET
WEST'OF THE NORTHEAST CORNER OF SAID TRACT 105; THEME S.00 DEGREES 08'51"
WEST ALONG THE WEST RIGHT OF WAY LINE OF NORTH 39TH STREET, 140.86 FEET;
THENCE S. 89 DEGREEES 56'51" W. AND PARALLEL WITH THE SOUTH RIGHT OF WAY LINE
OF SLOAN R (AVENUE H) 140.90 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE
S. 89 EGREES 56'51" W A DISTANCE OF 166.71 FEET TO A POINT ON THE NORTHEASTERLY
RIGHT OF WAY ON ANGLE ROAD; THENCE N.42 DEGREES 58' 18" W.ALONG THE
AFOREMENTIONED NORTHEASTERLY RIGHT OF WAY LINE A DISTANCE OF 191.76 FEET
TO THE INTERSECTION WITH THE SOUTH RIGHT OF WAY LINE OF SLOAN ROAD; THENCE
N 89 DEGREES 56'51" E. ALON THE AFOREMENTIONED SOUTH RIGHT OF WAY LINE A
DISTANCE OF 297.78 FEET; THENCE S. 00 DEGREES 08'51" W. A DISTANCE OF 140.86 FEET
TO THE POINT OF BEGINNING