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10 Virginia Avenue, • - •c R.34982
462-1578
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E-Mail: N: 1 • • i •
RII in fee simple - Holder on •:•- different
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from - Owner listed above) n B0 aunty Ucense;
valueIf of construction or • - a 'E•O i■E■Notice of Oommencerrent is required.
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03/16/2017 THU 8: 09 FAX 7728782717 Art Stover Plumbing X002/003
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MEN."IM. 1: 'IM I;J
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D ff�1BVGIN Not Applicable MORTGAGECOM PANY Not Applicable
Name: Name:
Address Address:
aty: Iq ate: aty. ata:
Zip: Phone., ZIp. Phone:
FEF_SIMPILETITLE HOLDLR- Not Applicable BONDINGOOMPANY: Not Applicable
Name: Name:
Address Address
aty: aty:
Zlp: Phone: Ap: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
a.Lucie Count mak na re r ntptlon that is grantin apermit ill ut�tori�thefc
ermlt hold® to build the�ub ed ru�ure
which is in con ict wits any�ppjT e Home CNvllersfi nation ru�sp,�Yiaws qr anoovenantsth2 m resEnct ar prohibit such
structure,Aease consult Wlth your ome Ovvners Association and review your deedr any restrictions ihlch 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 Cbdesand a.Lucie(bunty Amendments,
The following building permit appllcatlons are exempt from undergoing a full concurrency review:room additions,
aco=ry structures,swimming pools,fenoes,walls,signs,screen rooms and accessory uses to another non-residential use
WARNINGTO OWNER Your failure to Pacord a Notice of(brnmencement 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 inspe n. If,you intend to obtain financing,consult wit a an attorney before
commencin wor r In our Notice of Commencement.
Signature o Owner/ Agent gnature of Oontrac1or/ cense Holder S
STATE OF FLORI D-A STATE OF FLOR A
COUNTY OF ST l.��C�l _ C>OUNTYOF -L'UC !G
The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this_LUday of20 J-Iby this_Llp dsyof WW60GH �20 —
A2z�(
(Name of pFson acknowledging) (Name of person acknowledging)
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(9gnat0of Notary Rbllo-Rat Florida) (891Wure of Notary Publ State of Florida)
Personally Known L,"� ORProduced Identification PersonallyKnown V"'LCRProdr , entif
Type of Identification Produced,w Type of Identification ProducedFF Ot
. ' MI66lOtV FFOb9801 IRES:0=14r 16,2017
Commission No. 2017 Qbmmis ion No, O(A�I �e
OcIft 1®,
��eonna� 90AOadThruBvdgeiNcdry9�rvluo
Revised 07/15/2014
FEVIIVNS FRONT ZONING SJPERASJR BANS VEGETATIM SFATURRLE MANG;DVE
OOUNTEP, I VIEVI/ FSAEAI FEMEIN FEMS/N 1 1/1EVV I' VIBN
COM RETE
INITIALS