HomeMy WebLinkAboutBuilding Permit Application BLE INFO MUST BE COMPLETED FORAPPLICATION • BE ACCEPTED
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D SIGNER/E GINEER: Not Applicable MORTGAGE COMPANY: _ Not Appli ble
N m Name:
A dress: Address:
Ci y: State: City: State
Zi Phone: Zip: Phone:
FE SIMPLE.1 ITLE HOLDER: Not Applicable BONDING COMPANY: Not Applic ble
N me' Name:
A dress: Address:
Ci City:
Zi Phone' Zip: Phone:
I certify-that no work or installation has commenced prior to the issuance of a permit.
St. ucie Counttyy makes no representation that is granting a.permit will authorize the permit holderto build the subject stru ure
which is in confi ct with an applicable Home Owners Association rules,bylaws or and covenants tat may restrict or prof it such
structure.Pleas consult w�[th your Home Owners Association and review your deed for any restrictions whrch may apply.
Innsideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
I n cordance w th the approved pians,the Florida Building Codes and St.Lucie County Amendments.
Th following b Wing permit applications are exempt from undergoing a full concurrency review:room additions,
acc ssory struct res,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
W RNING T OWNER:Your failure to Record a Notice of Commencement,may result in your paying twice f r
im rovemen to your property.A Notice of Commencement must be recorded and posted on the jobs Ite
be are the fir t inspection. If you intend to obtain financing,consult with lender or an attorney before
co rimencing,vork or recording our Notice of Commencement.
s
Sig er/Less a/Contractor as Agent for Owner Signature of Contractor/License Holder
ST ii OF.FLC RIDA STATE OF FLORIDA
CO INTY OF st LDC to COUNTY OF L-c.,G
Th forgpir►g instrument was acknowledged before me The fo ing instrument was acknowledged before me
th' It day of� +u,T _, 2U - by this a` day of a v`y _ 20. r 7 by
(Na a of perso acknowledging} (Name of person acknowledging}
(Sil nature.of N ry-Pul iic-State of Florida) (Signature of Notary Puli State of Florida?
ally Known OR a '+" ntificatfBfRIO A A.GAR
Personally Know '' C► d" r� ,
"`"�n PATRICIA A.GARY NType f identification Produced'_ •�'� Notaiy Putii ;State of rtda
T of Identific
tion P>aduc .1:- pL.,,
_ .�: Notary Public•State of lorida k�, y ammi k pins Oct 1 018
Comm.Expires Oct 1 blfl ission No, ( F �Bf3 ea'1Commissi n#FF 133 0
Co mission No. �'i Y.. ��Commission #FF T33 BO "'' r i
L3 „{` 8 dedTnioug tVatienatNot n.
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Bonded TtMgh National Not y Assn. 9
Rlivised 07/1 /2014
RE IEWS FRONT ZONiNG SUPERVISOR PLANS VEGETATION SEA TURTLE MA�EWROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW R
ECO,INII
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PLETE
ALS