HomeMy WebLinkAboutpermit applicationALL APPLIC8L
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Planning and Development Services
Building and Code Regulation Division
230D Virginia Avenue,, Fort Pierce Ft. 34982
Phone,: (772) 462-15S3
Fax: (772) 4621--1578
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Permit Number
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Residential
PERMIT APPLICATION FOR: To Select from d ropbox, click arrow at the end of line AA a� I 4,n tok�-e
Address:
Legal Description:
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Site Plan Name
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Fill in fee si pie TitleHolderif
the Owner [is d above) State or County Li
If malue of construction Is $ or rnore,, a RECORDED Notice of Commencement Is required,,
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certify that no work or installation has commenced prior to theissuance of a permit.
St. Lucie County makes no representation that is grant -ping a Permit will authorize the permit holder to build the 'P
subiect structure
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turenPleas�e consulany
iyour HoHome
rsociationandrreviewyyour deed focovenants
erthat
cnmay
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pply obit 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, signs, 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
ofnra
before the first inspection. If you intend to obtain `�
commencing work or recording your Notice of Co
nature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instru
�:
this � day of _
tinancing, consull wittl W"uC1 U1 a" C3 we r ��-�•�
encemento
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ieffature of Contractor/License Holder
�ISTATE OF FLORIDA
COUNTY OF.
ent was acknowledged before me The forgoing instrument was acknowledged before me
20 - by this day of , i '� ;� � _ . 20 ,�, by
Name ofX7 person acknowledging)
ignature of Notary Public- State of Florida )
Personally Know OR Produced Identification
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Type of IdentificationT_d��_.—'�---1CuFr.R 0 i
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MY
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Commission No@ M'
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XPI
2 ApALQ 21
Nowr� Pubk ur"WtWS
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Revised 07/15/2014
(Name of person acknowledging)
51'gnature of Notary Public- State of Florida
Personally Known\ OR Produced Identification
'00�_ MEMMEMEW10"
Type of ldentificaeion Produced...
Commission No*MANEGROSUSAN
MY COMMISSION # GG 0890-99
r '� ri12, 2021
ti� , � �;�••
Bmd�eij Thru Notary puouo Ur4uwdtM