HomeMy WebLinkAboutpermit applicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI
GNER/ENGINEEIt:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
tate:
_Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count y 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 orp rohibit such
structure. Please consult with your Home Owners Association and review your deed for an restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in allyY PP respects, perform the workY•
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 Comme ment may result in your paying twice for
improvements to your property. A Notice of Commencement u t be recorded and posted on the 'obsite
before the ' t inspection. If you intend to obtain financing on it with lender or an attorney before
commen work or recordingour Notice of Commence ent
_ Signa re of nel/ Lessee Agent
STATE OF FLORIDA
COUNTY OF_; 9 'a,,7
The fo��r.L oing instr ment was acknowledged efore me
this _—, day of .B , 20 Z 6 by
(Name of baron acknowledging )
(Signature of otary Public�State �Floda )
Personally Known _� OR Produced Identification
Type of Identification Produced
Commission No. Lf 993581 �� MARY ANN OAKL
NOTARY PUBLIC
_ STATE OF FLORI
Revised 07/15/2014 � e` COf rn* EE883581
Expires 3/13/2017
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
ractor/Li ense Holder
STATE OF FLORIDA ,
COUNTY OF a.;
The forgoing instrument was acknowledged before me
this 113— day of L>16 ern 41 20Z6 by
01 '
e'y
�a e ui person acknowledging )
( ig'natur�eNo�taryblic State of Frida )
Personally Known X OR Produced Identification
Type of Identification Produced
mission No. 33-81
SUPERVISOR I PLANS I VEGETATION I SEA TURTLE
REVIEW REVIEW REVIEW
REVIEW
-MARY AWN OAKLEY
NOTARY PUBLIC
ISTATE OF FLORIDA
Expires 3/13/2017
MANGROVE
REVIEW