HomeMy WebLinkAboutBuilding Permit Application (2) 06/02/2017 FRI 14:52 FAX 7722933274 0002/002
DESiGNER/ENGINEER: Not App Icable MORTGAGE COMPANY. ^ Not Applicable
Name: Name:
Address: Address;
City. State., City: State:
Zip: Phone: Zlp: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name.,
Address: Address:
City: City;
Zip: Phone: 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�aermit holder to build the subject structure
which is in conflict with any applicable Home owners Associetlon rules,bylaws 4r an 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,i do hereby agree that 1 will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and St.Lucle 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 70OWNER;Your failure to Record a Notice of Commencement may result In your paying twice for
improve nt to your property.A Notice of Commencement a recorded and posted on the Jobsite
before t fir Ins a property.
you intend to obtain financing, nsuIt ith lender or an attorney before
comme cin oro ec din our Notice of Commencenfent.
s
Signet rFFILORIDA
w r Lessee antractor as Agent for Owner Si=EOF
Tactor License Holder
STATE 5RIDA
COUNTY OFS .�X C COUNTY OF �
The fo oing Instrument was acknowledged before me The forgoing instrument was acknowledged Before me
this day of tsr�i� 20 ►�".,by this day of 20 I'7 by
J, dl J /),
(WitFie of person acknowiedg ng ,4...,,. 4UL06 MARTINU (W e o pens n acknowledging lv P WWWRTINEZ
Commiselon tiY Q4 108801 �N',.•.., ,. Gens'a5'et�i�GQ 103341
Fapiree May 10,2021
'�oR�� aonaoetn�a aa+tNa�r T ilitpll$J t F 10,2021
(Signature of Notary Public-State of Florida) (Signature of Notary Public.sta iy (ori
Personally Known„t` f OR Produced Identification Personally Known �K K OR Produced identification
Type of ldentlflcatien,Produced Type of Identification Produced
Commission No. (Seal) Commission No. _ (Seal)
Revised 07/i5/20I4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS