HomeMy WebLinkAboutBuilding Permit Application (2)P W � TAI,
1 KS'
kV,
�S,Olrli."i 1Sz$Ai�o
— Not App
City:
'Ap. _ Phone:
x-02 SoRRPLE NOt APPHcabie
Name; _
Address:City:
Ap— Phone:
PUROL I ARE WRI&AM
Not Appiicable
Naffle,
Address, State: -
City:
Zips Pig®rye°
nNoMMIF, Not applicabie
Names:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County make no representation that is granting a permit ilii uthhorize the permit holder to build the subject structure
which is in conflict wri any applicable Home Owners Association rues, aws or and covenant s that may restrict or prohibit such
structure. Please consult wr th your Home Owners Asssociation and review your deed for any restrictions which may apply.
In consideration of the granting of this requested ` arailt, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Flurida Building Lades and St. Lucie County Amendments.
The following building permit applications are exempt franc undergoing a full cancurrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessdry arses to another non-residential use
100, MING TO MWER: Your failure to Record & R9otieG 0.50 C051u j anceffaeuR M@U rmu6t? M your paying; ZmAea for
improvements to your property. A Notice of Commencement rest be recorded and posted on the jobsite
before the first inspection. If you intend to obtairt'financing, consult with Wider or an attorney before
cofT mencine work or recordinff vnur 111ntira of rnran ho, nPmmrwAQ
w Signature of Owner/ Lessee/Agent
MAY��'fyy�n�(OF FLORIDAWu\v 01F. W�
The forgoing instruperit was acknowledged before me
this L L) day of 20 L`Zby
(Name of 00fison acknowledging)
(Signature of NotaryPublic-State of Florida )
Personally Known L/ OR Produced Identification
Type of Identification PrPr
�+SN►Y+'��''b MIKE MARTIN
MiR
Commission Na. y
�+'• NYOubllc . State of fiorwo
a .. Commiaaton # FF 216931
!revised 07115/201
Signature of Contractor License Holder
STA7E M' FLORIDA ,
coupiry or 514 - k L.. C_ %'-
The forgoing fnstrumen was acknowledged before me
this ! ( day of 20L�Zby
'z- 0 `i c C-._-"' S r �""r i -"s
(Name of person acknowledging) e
%a'�t fio
(Signature of Notary Public- State of Florida }
Personally Known L--- OR Produced Identification
Type of Identification Produced---_ -_-._--._._.
6111,11"-
No. a Y °�O ( Pure- Stara
°S ure of
�•: Comm !doll # FF 21
Banded tiOUM Natimnl
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REMEW
GATE
COMPLETE
INITIALS