HomeMy WebLinkAboutBuilding Permit Application (2)SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE: TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
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 permit holder to build the subject str, cture
which is in conflict with any applicable Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Nome 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
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA_ � STATE OF FLORIDA
COUNTYOF S7- ilL ! COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this qday of u 20 14 btthisday of � . 2 by
ell
(Name of person acknowledging) (Name of person
acknowledging)
ignature of Notary Public- state of Florida ) Pgriature of Notary Public- State of Florida )
Personalty Known.R Produced Identification Personally Known OR Produced Identification
Type of ldentificatio roduced 'type of Identificiltion Produced
Commission No. (Seal) Commission No. (Seal)
SANDRA HOHMANPi
f cta y hudiic orate u; raonaa Ot: ry Public state of Florida
Revised i5'/i 5/2024 = :7 Comm. Expir . `.1ar 14, 2013 MY 4 rnm €>: i* = '.lar 14, 2011
commis
s.on FF 071631 t i F 071680
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