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HomeMy WebLinkAboutpermit application - 2Si1FFEMfNTACCO.-NSTRUCTIQN C(EN CAW iNEORMATI©N DESIGNER%ENGINEER: .` Not Applicable 77777 Name: MORTGAGE COMPANY: Not Applicable Address: Name: —" City: Address: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: No Name: t Applicable Address: City. Zip: Phone: BONDING COMPANY: ,Not Applicable Name: Address: City: 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 ermit holder to build the subject structure which is in conflict with any applicable Nome Owners Association rules, p structure. Please consult with your Home Owners Association and reviewy our deed forr anen restrictions which ma oa prohibit such In consideration of the granting of this requested permit, I do hereby agree that 1 will, in alt respects, perform the work y in accordance with the approved pians, 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 tender or an attorney before Commencing work or recording your Noticp of r�,.,,monrn.,..,..} _:"Signature Owner/ Lessee/Agent STATE OF FLORiBA f COUNTYOFL1fP —__�_ The forgoing instrument was acknowledged before me this '�— day of M ` e c- ty Z0 J -1by Personally known K OR Produced Identification Type of Identification ProdorPri Commission ANNE BROWN WALMACH Revised d7O I4 EXPIRE8 AP6121, 2020 S Signature of con etorjlicense er Ho#d STATE OFF LO OFFLO ) The forgoing instrument was acknowledged before me this ;L day of 4 —e -t, 20 I i by (Name erson acknowledging) {Signature of Notary public- State of Florida } Personally KnownV OR Produced identification Type of identification roduced Commission No. - FRONT ZONING REVIEWS COUNTER REVIEW PLANS I REVIEW INITIALS -.-wVV RIO iWrCO3W1W1UIo1y �Ac�r acti r�o��3seo EXPIRES FF4663 r; VEGETATION SEA TtCOj� GRO REVIEW REVIEW REVIEW