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HomeMy WebLinkAboutBuilding Permit Application page 2� � � C�7�' STRUCfIO � WJE H LAU'i� I G�ORrvl `r�10k: - �r�n�r�nnRr r r a X90 Ari iicabOe a ©� C G%GE COM ,ti M, Not Applicable Name: Name., ,._� .. Address:Mate. — - Address: State:. ZiZip: — Phone: Zip: -- -— Phone:_ FEIE so (E HOLDER: ��.... foot Applicable f-3(0�0g[me co vgpamv- Not Appricab Name: - - — FRONT ZONING SUPERVISOR Name: .._,_._..,_.,. Address- SEA TURTLE Address. City; F City. Zip: Phone: REVIEW Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no represen tion that is granting a ermit will aut orize the permit holder to 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, l 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 accessoiry uses to another non-residential use WARMING TO (OWNER— ?our ftoguire to RGggrrd @ li DOCS Of COMOweweerfaent may vesut In V@ur paying twice for improvements to your property. A Notice of Commencement rest be recorded and posted on the jobsite before the first inspection. N you intend to obtaki financing, consult with leader or an attorney before comrnencingwork or recording your Notice Of Commencement. ti �---- S nature of Owner/ Lessee/Agent Signa a of Contractor/License Holder S7,97E OF FLORODA SME OF FLORIDA COON (OF . 24 - /—, � -e CGUM OF 114 - / L. C ...� The forgoing instrument W acknowledged before me The forgoing Instrument wa acknowledged before me this I� day of L 20 12by* this J�± day of 311 L 20 by r (flame of person acknowledging) (blame of jArson acknowledging) :i its,�......_. _ (Signature of notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identificatio a,,.►�v �"�..,, MIKE MARTIN Commission No. •: Notary - Stab of JKWWI 1114102.1 commission a FV211d"'41 Revised i�l,tlj (Signature of NotaryPublic- State of Florida ) Personally Known �✓ OR Produced Identification Type of Identification PiAe d_ _ MIK MARTIN Commission No. Y Notar¢$VIA - Siate of Fio W Commission # FF 2+16951 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW! REVIEW REVIEW DATE COMPLETE INITIALS