HomeMy WebLinkAboutst lucie county wh 4.2.2018.1esuPPLEI�ENra�:L co�vsr�uCr��:� �.r� LAW ��lw����rlo�:
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Name:
Address:
City.
Zip: Phone State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
Address:
City:
Zip: Phone:
QRTGAGE COMPANY:
Name: Not Applicable
Address:
City:
Zip: ___ . Phone: State:
BONDING COMPANY:
—Not Not Applicable
Address:
City:
Zip: Phan
OWNER/ CONTRACTOR AFFID1arIT: Application is hereby made to obtain a permit to do the work and install
I certify that no work or installation has commenced prior to the issuance t a permit.
installation as indicated.
St. Lucia County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
M hich is in conflict with any applicable Home Owners Association
an rules, bylaws or and covenants that may restrict or prohibit
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. such
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,
in accordance with thea
approved plans, the Florida Building Codes and St. Lucie County Amendments, the work
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 our a '
improvements to your property. A Notice of Commencernent must be recorded and poster! on t
before the first inspection. if you intend to obtain financing, consult with lender or an attorney twice for
commencin wor r recordin our Notice of Commencement. he jobsite
y before
Signature of O ner/ Lessee (Contractor as Agent for Owner
COUNT OF oRIDA — 1-91 . L" a "
The forgoing instrument Ova acknowledg efore me
this_ day of i 20_by
Name of personpaking statement
Personally Known {)i{ Produced Identification
Type of Identification
Produced
Erik Nemoga
Commisslgn I GG10141
(Signature of Notary Public -lam: S' 4 2O1
lot 10 Public-rid$hrll Aaron Nota
Commission No (Seal)
REVIEWS FRONT ZQIVING SUPERVISOR
Cflt1NTER REVIEW REVIEW
iATE
DATE
COMPLETED
Rev. 8/2/17
Signature of
Holder
STATE OF FLORIDA �' '
COUNTY OF _�'� C_ r/
The fooing instru ent wad acknowledgedefore me
this da of e ! 20 f b
i y
Name of person Making statement
Personally Known OR Produced Identification
Type of Identificat on _._ .
Erik Nemoga
liras Y 4, 20
(Signature of Notary Public- State o
Commission No.
(seal)
PIANS VEGETATICIN SEA TURTLE
REVIEW REVIEW REVIEW MANGROVE
REVIEW