HomeMy WebLinkAboutclark 2 DUI P L
G�GiG EERa of I Not Applicable
mT W
DFIS W= p
Name. _ ��9�lress:
Address: Ad state.-
(MY: m State: � y: Pb®rye:
;d'ip: Phone:
Zip:
TEE Soap E-To-rLE HaLoERo Not Applicable �� �o C�Duva'Wo Not Applicable
Marne, -- --- Larne:
Address: Address: _
City: _ City:
Zip: Phone: dip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no re p e egItion that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an a ica a Home Owners Association rules,bylaws or and coe�enants that may,restrict or prohibit such
structure.Please consult with your Home Owners Association and reviewyour 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 fsiiiure to RecoE?rj� @ l�oUce of CofnQRFef-V1G L GAav mou lce In Vow pa'ylulog%Ac e 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 Gender or an attorney before
commencin work or recording u gar Notice of Commencement.
ignature of Owner/lessee/went Sigofture of Contractor icense Holder
STATE OF FLORIDA SWAYE, OF FLORIDA r
The forgoing instrument was acknowledged before rye The forgoing instrument waq acknowledged before me
this day of ?AY this } day of � (. S1 L by
(Flame of Wson acknowledging) (Name of pergon acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida)
Personally Known L�OR Produced Identification Personally Known OR Produced Identification
Type of identification P aFlodft
of Identification P
I,
Commission No. = H '$� mission No. iP Y p i s a0 ,1qa a1 floridr
F 9"/Fi$16951
My CoIIMII.Jxpft My Cqm•I*m Apr 5,2019
,
Rased 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE FkdANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
®ATE
COMPLETE
INITIALS