HomeMy WebLinkAboutBuilding Permit Applicatio ;� �:1L :�?`. .R -L=••37t Iii,'-°:'.
r r r r rr' '► r r 1 •
// r r r ••
=;,s-- -�p 5� _a^ mac-•�..-,r;^-Et1a- .-.-•-. .. __.;�n�,:._ma- r •s-�•�-r�n.�}�a r`�.�; t"fG^c� "a"5,r � `� r'�a' ,�.��r.,�., �.'t� r
y j
.� 21z��Y�. 'J� �•'`-G- .F:�• .. �i��_-G .{h�A�3..:.._ 7 J' 3'�1- r`T,�,�{ f �'��''
n.'__ ._,._ .s-i�nl?+��e.� ._ .. ...._e-._ -ua.,=,-���_� ,5 .,.,__�---_,+gym :ter, ..iW ., Ry�. 3� *� ��:'In�_ mss. ��u 1',x•'3,°-_• ..��'•'L�=
! ••
1 • . II i1 i
•• j I,
WARE
. "sem a..'ttc?� s,a,:-� -f�-�. ,--, =3. -�,ay-�'Y'T'�F ? r�c`�'• ' �r�.1r '� �-4�r�"`."�-"r r• ` � �•+-
-� e ME
n,� - '% -s-a. ��`�t,P',3, x' `�J^: ..x�4.F -' fi�E• zr�,.fr- ...
e� �.. .r `xsad�' �: 4. �� R'ai '�'i° r - „..^,;"ria't •� ,.... ^r ft;�-�+
' .mss,=. . r :� "y4 M-� -LN, w ,E
rf _ /, ' /
Wdr
�"-r- �c-�,.�•'��i •.aSx' "i'P`?:3.-Y,.-y'..;a_ �''''�' z i.'�t'..�•,,ir'�^”:".'��.r r�ukxr3�i �'-.. -r '79 ,^ '�. E51 '. '�,'..i'.wr'*, i s 9`�* i r
,�����• Y � o �'S� q_' "r'Y�` :` trI T^,c'tt#3' a {,�': r�F .rr,l...`x'x` g x' ''� �.x
-e»
E!-M,, F �t 3
kk rA,�.^r,__'H;.,em+T=sr x- '6 .� "�'�y. "�"-S'"'£�.9.,''*,n r�3•em pk• _P�^`tet'^,. 5_"F "�:� x r yr. ..S „F' t- ^RK L
,Lr:J� � t 3� � c�•'�':.�.•,+�,'�i'�'S�f"eT.,,�4 ']•*�.�,e4r&c ' .,y-�'���'�-^r .�..i"r-�Rs'�!"�4_�k}� e�;-i F s�firj '�•'L��tix"��.-'� ,�.a.r;:- v'f t T "-p -..
��i:� •� .,,,��""r�,*rw"ir`."` ��;�'n��35ix1�. >s*�. �' J`J��TT{{�r',a'3�'`i�1�,�P..��� � fir' _ c-Y`�` „;,tom �a �' -�F
la-x'r..c�� �_ ��..��9_...."�� .u�C�° �� yl� �� � �S_r �Gti:i•1�1'J� £�._...�LL�i>i�C�iyS...+bli'�`�2.`�^�t..��1 i�iJh __a=4+.. >•'`�
fes. � - � • • - � GJ _ �r-
s
• 1 1 • - • ' 1 1
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 County makes no representation that is granting a permit will authorize the permit 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 the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or r cordin o r Notice of Commencement.
f
Signature f Owner/Lessee/Contr o s Agent for Owner Signature of contactor/License Holder
STATE OF FLORIDA 2,l STATE OF FLORIDA 14�41
COUNTY OF !i COUNTYOFn
The fQrgo. instrum nt was cknowledged before me The forg ing instrum nt wasacknowledged before me
thiselsy of r 20&by this�of 20 by
_75 ejq2qV-r
(Name of person acknowledging) (Name of person acknowledging)
(Sign re of Notary blit-State of Florida) (Sign re of—Notary y Pub ME-State of Florida)
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Commission No. (Seal) Commission No. (Seal)
REVIEWS ; T lils.14
ONE ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
EISISt1fl►o►alar a EVIEW REVIEW REVIEW REVIEW REVIEW
DATE ,qf Rxv My C .Expires Matt1,212
RECEIVED EondedthhNationalNotary,ssn.
DATE Y JUSTIN VID CONE
COMPLETED Zo' °•�,
Rev.7 Commisslon rr GG 1!651!
My Comm.Expires Mar 14,2022
Bonded through National Notary Assn.