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HomeMy WebLinkAboutBuilding Permit Application r- - } ~ � � Y.'J- ,n„ ONE !W .2-�.kti „q"� ��� ��x-'.xsl' «.^tl'.r ?r-r�,-,ti?-.:. .[..`d'..� ia -�tx.�c!} s�3•r-:3��sa'?`.=Y';'3.. ac� r'".i"�.-cK+.a" �w:.+ 4z^ DESIGNER/ENGINEER: _Not Applicable MORTGAG€CO PANY: Not Applicable Name: Name: Address: Address: City: State: City: I State: Zip: Phone: Zip: hone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMP NY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: F hone: I 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 the per it holder to build the subject structure which is in conflict with any applicable Home Owners Association rules;bylaws or and co _Hants that may restrict or prohibit such -structure..Please consult with your Nome Owners Association and review your deed for y restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that 1 will,in ii respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County A nendments. The following building permit applications are exempt from undergoing a full concurren review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory u es to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement m y result in your paying twice for improvements to your property.A Notice of Commencement must be rec rded and posted on the jobsite before the first inspection. if you intend to obtain financing, consult with I nder or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Agent C Si Hat _ ontracto license Holder STATE OF FLORIDA'1 / STATE OF FLOMP COUNTY 01 .�T At]CW COUNTY OF The forgoing instru nt was ac owled ed before me The forgoing instru e t was acknowledged before me g g this L day of u ,-' ^, 2Q/�7_by this a day of 20 a by (Name of person acknowledginn ) (Name of person ackn 'wledging (Signature of No ry Public-State of Florida) (Signator of Notary Pi blic-State Florida} Personally Known P *� OR Pro aced Ideniri� _ Personally Known OR Produced Identification Type of Identification Produce w%-lo 1951AN1k68�5i 4 Type of Identification P oduced # ♦ �� Y• ANGELA YOUNG Commission No. ( EX,P,�Sp'ES:December 5,2020_ o�tr �ifidTM�Bndpatl�ry5�rviot� Commission No. N.��.:� * MY C046"64#FF 951089 ORp4 � w- 4 EXPIRES:APdI 12.2020 �®F Pb©� faanded inru bud Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA ION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW RE VIE REVIEW REVIEW DATE COMPLETE INITIALS f I