HomeMy WebLinkAboutBuildling Permit Application 2SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State: _
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
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 permn noiaer to Duna the suoject structure
which is in conflict with az 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
commenciKi-ilvork-or recordin¢ vourNotice of Commencement. i
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /nfl e-/ N I COUNTY OF �i r�
The forgoing instrument was acknowledged before me
this _,T day of TU N E . 20 h_ -by
j"' 9ef— L A1-6 a �Fi 7 -
(Name of person acknowledgi )
(Signature of Notary blic-State of Florida) / •a••---•- -•---- ----- Z• •- --, ` /
Personally Known OR Produced Identification V I Personally Known OR Produced Idne{itiflcation
Type of Identification Produced r9 Z- Type of Identification Produced YL I /T7
The forgoing instruent was acknowledged before me
this 2L day of , 20 & by
Commission No. oIjana Leon Commission No. i=p ! `� / (Seal)
tate of FloridaMY COMMISSION# 17411811
LISA E. VASQUEZ
Expires: April 2, 2017 o city u c -
Revised 07/15/2014 P My Comm. Expires Jan 27. 20`18
`o Commission # FF 086847
i f OP
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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