HomeMy WebLinkAboutBuilding permit application (2)DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 Countyry makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in with any applicable Home Owners Association rules, bylaws or antl covenants that may restrict or prohibit such
which conflict
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 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 fill re to Record a Notice of Commencement may result in 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
commuencute work or racondirtirwour Notice of Commencement.
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Signature of owner/Lessee/Cofitractor A Agent for Owner Signa Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF wari nro., COUNTY OF,m, env,
The fppping Instr�l-m�ept. was acknowkdge�befcre me The fofgoing instr ment was acknowledged before me
this /r day of', 20 20 _by this �7-day of J�by
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(Name of ey acknowledging) ({eof person acknowledging)
(Signature of Notary Public -State of Florida) (Signature of Notary Public. State of Florida )
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS