HomeMy WebLinkAboutBUILDING PERMIT w
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ALL APPU L CNFO `8FD FOR PPLIr"TION 0 BE ACCEPTED
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Perm 'l't Number,
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Pliann and
But Code
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Pie�rce 34982
Phonee (772) 462�1553 Faxe 772 4626*1578 Co ercia esi entia
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State or Coun y icense ,
If Value of construction Is $2500 or more RECORDED Notice .
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DESIGN ER ENGINEER : . Not Applicable MORTGAGE COMPANY: 6� ot Applicable
Name : Name :
Address : Address :
City : State : City :
zip : Phone : State :
Zip : Phone :
FEE SIMPLE TITLE HOLDER : N...... ------ ot APplicable BONDING COMPANY: Not Applicable
Name : Name :
Address : Address. ,
City : City :
zip : Phone : zi p: Phone ,•
certify that no work orinstallation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that Js granting a permit will authorize 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 ma y annly.
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 review : room additions,
accessory structures,, swimming pools, fences, walls, si gns, 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 pay ing twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the job-slate
before the first inspection . If you intend to obta in f inanc ing, consult with lender or an attorney before
commenc *ingwork or recordin our Notice of Commencement .
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ature of Owner/Lessee/Contractor as Agent for Owner Si ure of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF - COUNTY OF
The forgoing instrurrtent was acknowledged before me The forgoing instrument was acknowledged bef111:1111re me
this � day of \ 20 ,�;�.by t his � day of �(�� 20 � by
(Name of person acknowledging ) ( Name of person acknowledging )
(Signature of Notary Public- State of Florida ) (Signature of Notary Publio- State of Florida }
Personally Known � OR Produced Identification Perso nally Known �Q OR Produced Identification
Type of Identificat' Type of Identificat*104w
CHRISTINE CULPEPPER
��►�:."� CHRISTINE EPPER �• � '%
Commission No . � COMMi3� GG 0617$0 Commission No . _ � � MY COMMI�� # GG Q61780
_0 M%__W4
6r EXPIRES: January 11 , 2021 =; ;a� EXPIRES: January 11 , 2021
;o;
•, ••� � if OF;,oF F,;;� Bonded Thiv Notary PW* Undewhem
Revised 07/ 15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS