HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
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ALL PP E NFO MUST BE COMPLETED FOR - , 7 Nb, '" EPTED
s 'ell
date. Permit umber:
Planning and Development Services -
Building and Core Regulation Division
2300 Virythio Avenue, Fort Fierce Fl 34982
Phone: (7i2) 462-1553 Fax: (772) 462-1578 Commercial Residentiai X,
PERMIT APPLICATION FOR: To Select from dropbax, click arrow at the end of line
Address,..
LegalDescription:
Property Tax I D
Site Plan Name:
Project Name:
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Name,
Company:
Address:
CRY**
Zip Code;
Phone Nc
E -Mail:
State or
my License,:
or more,, a RECORDED Notice of Commenceme-n-t- Is required, i.
Fax:
State: ....*
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certify that no work or installation has commenced prior to the issuance of a
permit.
St. Lucie County,snakes no representation that is granting a permit will authorize
which is in coarct tth an a' . e the permit holder to build `
y pplicable Home Owners Association rules, the uboect structure
structure, please consult with your Home Owners Association and revievbvylauvs or and covenants that may restrict or prohibit such
your deed for any restrictions which may apply.
In consideration of the •
granting of this requested permit. I do hereby agree that I will, in all respectserform t
in accordance with the approved plans, the Florida Builds �` f P he work
Building Lades and St, Luce County Amendments.
The following building permit applications are exempt from undergoing a full co
accessory structures, swimmingg concurrency review: room additions,
pools, fences, walls, signs, screen rooms and accessory uses to another non-residential
w 4RNi idt al use
I� �o owNtR: �lau�r failure to Record a Notice of Commencement
improvements to your property. Notice of may result �r� your paying twice for
before the first y .,. Commencement must be recorded and posted on the jobs*te
nspection, if you intend to obtain financing, Consult with lender or a
cc�mmencin work or recordingour Notice of Commence n attorney before
rncnt.
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF---- ST_
Si�fure of Contractor/License Holder
to.
��� � I STATE OF FLORIDA,
COUNTY DF
The forgoing instrument was acknowledged before me
this ,� day of 20 by
.j
(Name of person acknowledging)
{Signature of Nota
Personally Known
Type of Identifical
Commission No.
Public- State of Florida i
Revised 07/15/2014
OR Produced Identification
CWRISTi ECtLPEPAER
Y COMMIflWGG pg1780
EXPIRES: January 11, 2421
The forgoing instrument was acknowledged before me
this day of 20 by
N M EfS Fa..
(Name of person
acknowledging
s
---- •__ ,
Personally Known OR Produced Identification
Type of Identificativna.
Commission Not
CHRISTINE CULPEPPER