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Building and' Code Regulation Division
0 2300 is Avenue, Fort PierceFL 34982
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Stateor CountyLicense.
Notice Commencement isrequiredO
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DESIGN ER/ ENGINEER : x Not Applicable MORTGAGE COMPANY:16
X Not Applicable
Name : Name :
Address : Address :
State : City : S t a t eCityZip ; Phone ..
Zip ; Phone :
x Not Applicable BONDING COMPANY : x Not Applicable
FEE SIMPLE TITLE HOLDER: .Not
Name :
Address : Address :
City : City :
Zip ; Phone ' Zolpe Phone :
certify that no work or installation has commenced prmor to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which
tcturenPleas�e c onsul any
i
Home
owners
ociation andr review Yyws
or
ed focovenants
eri that
n may
hi cstroct
or
prohibit
such
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, si gns, screen rooms and accessory uses to another non -residential use
WARNING TO OWNER : Your failure to Record a Notice of Commencement may result in your payin ., twice for
improvements to your property . A Notice of Commencement must be recorded and posted on the j* obs" te
before the first inspection . If you intend to obtain financing, consult with lender or an attorney before
commenc in work or record 'ipn our Notice of Commencement .
woe
S
nature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contra ctor/Li ce nse Holder
STATE OF FLORIDA STATE Of FLORID A
COUNTY OF-
strumentCOUNTY OF �� [.l �l � � �=The forgoing instrument was acknowledged before me The forgoing in was acknowledged before me
this � � day of s " ' 20 �.by this . day of � ' ' � 2 0 �_ by
( Name of person acknowledging ) ( Name of person acknowledging )
ignature of Notary Public- State of Florid )
Signature of Notary Public- State of Florida
Personally Knowr�_ OR Produced Identification Personally KnowProduced....
OR Produced Identification
pe of Identification Type of Identifica ion
�,�•� >,,,. SUSAN MON7EN
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Commission No . MYCO �►�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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