HomeMy WebLinkAboutBuilding Permit Application Pg.2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER:
Name:
City:
Zip:.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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 ygur property. A Notice of Commencement must be recorded and posted on the jobsite
before the first ipWeglon. If you intend to obtain financing, consult with jeftr qr*� n attorney before
Lessee/Agent
STATE OF FLORIDA
COUNTY OF rkipmt f)AOr,�
The forgoing instrument was acknowledged before me
this ZS day of i eK11. , 20 L(. --by
ALr-x A
Public -
INALVIS MARTII
MY COMMISSION #FF1
EXPIRES August 14,
STATE OF FLORIDA
COUNTY OF MA01rytl ( nr
The forgoing instrument was acknowledged before me
this 25 dayof A1p7211_ 20 1(,D__ by
of
Notary
A Lf1_ Z_
INALVIS MARTINEZ
MY COMMISSION #FF151518
Personally Known OR Produced Identification A I Personally Known OR Produced Identification �
Type of Identification Produced �i5'W ' 000-%'-�- 3�G -I Type of Identification Produced G 5211- 000 - )4 -,16C 4
Commission No. (Seal)
Revised 07/15/2014
Commission No. FFI S I SI i (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS