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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED .R APPLICATION TO BE ACCEPTED Date: 8110117 Permit Number, B"F7z1 x e. r� 81 G r'r -• — LD Buil 1 Permit Application AUGPlanning . ■ Development U Building . 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Code: • 61-1951- Fax: T72-461-1907• (if Fill in fee simple Title Holderdifferent , @- • , • from • • r • County 111 •. RON DESIGN ER/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: 1 certify that no work or installation has commenced prior to the issuance of a permit St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such 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 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 theJobsite before the first inspection. if you intend to.obtain finanding,consult with lender or an attorney before commencing work or recording our Notice of Commencement. _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST,LUCIE COUNTYOF ST.LUCIe The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thist day ofAy 20 11by this !U day of 20 a by CHRISTOPHER W.RICHMOND CHRISTOPHER W.RICHMOND (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of FUrida) (Signature of Notary Public-State of FI da) Personally.Known x OR Produced Identification Personally Known X OR Produced Identification Type of Identification P Type of Identification Produced FF 90 9 Notary Publie' tate of FWde FF 90809$ Commission No. Dean9(ltey Commission No. My cammi"ion FF 909099P+n, t10 ry Public 3ta� lorl 01 Fd8 a, Explroao81b2ia019 `F DeanaMDane Reyxsed 07/15/2014 5/20l& or Explrea 08117J20119 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW "'REVIEW. REVIEW REVIEW -REVIEW DATE COMPLETE INITIALS