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Phone;(772),462-1553 Fax:(772) 1, . • -
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10f27f2417 12:53PM FAX RECEIVED 02/141201.1 05:46 Q(1002f0002
NUNN -
rAddressa
N1" ENGINEER: Not Appilob a MORMA IR COMPANY: Not Applicable
: Name:
Address;
Ctty: State: f�ty: State:
Zip: ,..,_..._ phone. Zip; _P) oAe:
FEE SIMPLE TITLE"01406R.- NOt Applicable BONDING COMPANY: ,, /Not Applicable
Name: Name;
Address: Address:
City: City:,,,,..�.,�._ ,
Zip: P one• •p: Phone•
t certify that no work or installation hxs commoncod prior to the is uancc of a permM
S tt1e i c Count�yy maka no etpresemt"ivn rhg4ls granting ape L 111 bucnor)rerho /mit holder to build the subject tore
w Ch U in jvnttlict w1v, am npplicabie Home Drmarg A,d�c iptje ruI bytaw5 or an{�cov"ants that rAo rcStriGt or pro sO t such
structure.pteaso ettrnsuIt w th your Home Owners Aswclm on an f ew your dead for any resirictlorit whlckl rwy appiy.
In eoelsldwaWn of 0egranting of this rcquested pet'mit;t do do agree that I will,In all rtspects,perform the work
in accordance with the approved pians,the florida Building Codc a d St.Lucie C040tyAnwAdmenz,
The'following building parmit appikations are exempt from undt g a full concurrency roview:morn additions,
acatfsorystructures,.swirmining pools,,fences,walls,signs,sere r rrts and accessory uses to another non4r"dernttat u**
WARNING TO OWNER;Your tatlur+e to Re Lord a Notice c F merice3ment mW result in wwr p4ying%Wce for
Irnpr*ftments to your property.A Notice of Comment m emit must bap recorded grid posted on the}obsite
before the fiat Inspection.if you Intend to obtain fins ie1 a,consult with lender or an attorney before
commor
Origwork or rer6rdin your Nqfige of0m, Mmi ment.
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SWaturea auiaerLessee tra4cwaE.aggm fo roWftr si nature Gnteactar/LitenseHo1dQr
TATE OF FLORID ATE OF PLORID �
O; m OUNTY'O� kid C LINTY OF. (/t, � ¢ a
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z o-w n Inst t: t ocknowled /ere me: i ing indtrutoo x as acknowle dged before Inc �'
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0 me of person acknowledging I ( es of mruori acknowleti$(ng)
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1gnakurQ of N P�bltrr State Of Florida) 8
naruri Stato of Florida) :s
Ily inn J OR Produced Ident1hemion rr.,30ninly Known OR Produced identifleation
of-wo anon Produced e Q den n I�racxuCeH_ t t
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Rer*e4 09/15/2014
REVIEWS FRONT ZONING SUPERVISOR N5 VCGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW JEW REVIEW REVIEW REVIEW
DATE
CO3 PILM
IN171ALS
XVd Ind f0-T LTOZ/LZ/OT
5;000/Z0001n