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FROM :cast electric FAX NO. :7725699775 Jul. 5 2017 2:08PM P2
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DES GGNEM/EN RGINEER• ,r_.NOt A livable N ;.
pp MORTGAGE COMPANY: Not Applicable
Name:
Address; Name:
Address:
City: State: City: State:
Zip: —Phone: • Zip:..` Phone: _
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: may.
Zip: Phone: Zip:_Phone•
I certlfy that no work or Installation has commenced prior to the issuance of a permit.
St.Lude Count makes no represenrttation that is granting a permit fill authorize the permit hold%f to build the subject stry me
which Is in oon ict with any applicatrle Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Florae Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting ofthis 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,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result to your paying twice for
improvements.to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencina work or recording our Notice of Commencement.
r �e� C.-
Signature of Owner Lessee ntractor sfterfifffrirO Signature of Contractar/Ucense Holder so`•*
STATE OF FLORIDA, TATE OF FLORIDA z
q•...••�,•
COUNTY OF le7y OUNTY OF Q
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The forgoing instrum�n was acknowledged re m 2;v r e forgoing instr nt was acknowledged before me o u '
tl�isdayof 20 L!by bI r�'„ is�O day of ZO by �
K �� a
(Name of person acknowledging) ame of person acknowledging) ff co
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(Signature of Nota blic-State of Florida) (Signature of Not ly
ubBt�State o Florida)
Personally Known 0 uced Identificatlodf Personally Known ORP d ced Id e ' cation
Type of Identification Produced Type of identification Produced
Commission No. (Seal) Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS