HomeMy WebLinkAboutBuilding permit application (2)SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State. City: State:
Zip:_Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name: _
Address:
City:
Zip: Phone:
BONDING COMPANY- x Not Applicable
Address:
Zap:
I certify that no work or installation has commenced prior to the issuance of a permit
St.. Lucie Couirt makes no representation that is granting a permit will authorize the permit holderto 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 revlew: 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 Owneree/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST L tGI�
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STATE OF FLORIDA
COUNTYIIF Sl rtc/
The forgoing instrument was acknowledged before me 1 The forgoing Instrument was acknowledged before me
this 11!'6V Of uwrul 20 /�bp tj thisday of ArrY 20 ff— by
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"nature of Notary Public- State of Florida) Pgnature of Notary Public- State of Florida I
Personally KnownR Produced Identification personally Known OR Produced identification
Type of identificatio roduced Type of Identific6tion Produced
Commission No.
No. (Seat)
SANDRA HOHMANN"` ttRraNN
Notary publictate or
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Revised 07115/261 My Comm Expir '3ar 18 Notary Public Slate Of FWrida
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