HomeMy WebLinkAboutBuilding Permit Application (2) SEP-25-20.1.7 MON 01:39 .PM AZTIL AC FAX NO. 5614340018
P. 01/01
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DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY; Not Applicable
Name.MA{2YQAnnuso Name:MARKnyINEs
Ad dress:3122 SCARLET TANAGER COURT Address: 312230ARLET TANAGER COURT
City: SAINT LUCIE COUNTY State: City: WEST OALM 8WH Mate:
Zip: Phone Zip: Phone:.
FEE SIMPLE TITLE H4#.pER: .Not Applicable BONDING COMPANY: ,.,,,_Not Applicable
Name: Name
'Address:254a s MILrrARY rR& Address:
City: City:
zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application Is hereby made to.obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St•Lucie Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In convict with any applicable Home Owners Association rules,.bylaws or and covenants that may,restrict or prohibit such
structure.Please consult with your Home Owners Associatiori and review your deed for any restrictions which may apply..-
In consideration of the granting of this requested permit,1.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 applipations are exempt from undergoing a.fuli 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
before t�st inspection.If you'intend to obtain financing,.consult with iender.or an attorney before
comme work or recAing your Notice of Commenceme
ignature of owner/ essee/Contractor as Agent for Owner Sig o Co actor/t,icense Voider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF HQ 1M_ COUNTY OF PALMOFACW
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ,5- day of f, 4+" / ,20jl by this L9 day of sEPTEM� 20 by
• / '
14 r/`--^ 4/ i� "3 MARK A VING5
Name of person making statement: Name of person making statement
'Personalty Known OR Produced Identification Personally.Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signa a ofNota4619U—re of ary t;lAllfllri ►ARA GrIF'FORD
`e�11*1 My COMMISSION#FFb77427
JOWtd E , e" ,
y cOM I N 11 Fr- I.
Commis " n N 4EXPIRE mbar 17,2017
CxPIRES December '.2017 (407)M-0153 FllodnNUt 8[Ty9EIrWM,Q0M
REVIEWS FRONT -ZONING SUPERVISOR*' PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW (REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17