HomeMy WebLinkAboutbuilding permit (2) FF� z��b-LI cl i «G d c � � tIalal%l�N� 9 HER -�Not Applicable G�U�0�3��cr����O�`RPA �o ��i���ppia���le
Address: Addvess: State:
City: State: City-. --
dip: —
_Phone. Zip: Phone:.
6aELP SoR lPLE WILE HOLDER. __,_Not Applicable (BCH Dome C�00 0P&Rvl mot Applicable
Name- _ Name:
Addra= Address:
CKIn - - City: �.
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coup make no represenr�t Lion that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an applicah a Home Owners Association rules,bylaws or and covenants that gray 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 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 fall eoncurrency reviern room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessary apses to anothev non-residential use
%VAiRNINE TO 0W'JWER—your failure to RUGu'3 @ RIMOce of Came moncament unaV result in your pwyiag s,,ice for
improvements to your property.A Notice of Commencement must be recosrded and posted on the jobsite
before the first inspection. if you intend to obtain financing,con&It wft[(� iecadar or an attorney before
commendne,veoris or recording our Notice of Commencement.
_-Signature of Owner/Lessee/AgentS re Contractor/License r ose Holder
SUVE OF i:LOf ODA e 11 SWE OF FLORODA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this - day of_. . +.; - 20 why this�'7 day of 20 1:L by
0
(Name of person acknowledging) (Name of perli6n acknowledging)
} i L9r/ L!
(Signature of w atary Public State of Florida) (Signature of(Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known Olt Produced Identification -
Type of Identification Pro pe of Identification Prodkad—o-- --
Commission iNo. Impill e•11to of remission�No. � �Ii41aC•Steh W FlorConarrlssim•FF 2401 Co lesion#FF 21MI
My Cornet.Expires,Apr 5,201 Aty Comm.Expires Apr 5,201
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVS Evv REVIEW REVIEW (REVIEW REVIEW
DATE
COMPLETE
INITIALS