HomeMy WebLinkAboutBuilding Permit Application ALLAPPMOLE INFO
MUST , 1 FOR.
. APPLiCATION TO BE ACCEPTED
Date: Permit Rummy, I
CommercialOuilding Permit Application
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Pbone:(772)462-1553 Fax!(7-72)46Z-1578
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II6NE NGiNEER: ,_, I AppiiGa le hAORl"QlAG1E COMPAINY; Not Appltcehie
me: Name:
Address: Address: 1
City: tate: City: i
Zip; phone: zip: Phone: !
FEE SIMPLE TITLE HOLDER: _Net Applicable BONDING COMPANY: ____Not Applicable
I
Name.' Name:
Address: Address: _
C"rty: City: — —
Zip: Phone: Zip: phone:
F certify that no work or installatlon his r urnmenced prior to the issuance of a permit.
.St Lucae County makes no repnesegt�9tion that is aritin a permit will authorize the permit holder tv build the sub'eet Ar etm- '
which is in corrmict with any ehpplicabla Nome Owr�C 11 opatian rule;,31WIrs pr a�d coverYants that may r4sMet dr prombit such
wo4ture.Please Consult Wit `)our Home Ow:. sa ation and rwew your dee for any restrictions whlch rnov apply.
in consideration of the granting of this requested permit,I do hereby agree that I will,in all respucv,perform the work
In amordance with the approved plans,the Florida 6ulAing Codes and SL Lucie County Amendments-
The fallowing bu7triilg permit applications are exempt from undaarrBving a full concurraricy review-room additions,
accessary swGtures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WA,RNINO TO OWNER:Your failure to Raacw#a Notice of Cu nrnerwemem may reatsit in your paylna,twice for
Improvements to your property,A Notice of Commencement must to recorded and posted an the jobslte .
before the first inspection. If you intend to obtaln financing,consult wlth ienOor or an attorney before
-commendag work or recording r Notice of Comrnd semen
s
54Maturee of awnerAnsse Contractor as Agoot fw owner FignatureContrdctar Cense Holder
STATE OF FLORIML OU STATE O OF-
The
COUNTY C7f'
The r nine inatrume t was tckriowledged afore me The k°�molne Instrument was acknowiedeed before me
thls day of 24 al�y this ff—daffy of ,20 by
She rte it2� t o � �Pxrl _1A I
(Name of person a4itn ledging) (Name of person @ckn rig)
ry
�.rxohddly
Fanst ofi4otary ilk-SfateofFlorida) ?p7aof
4 Notar` Iia State of Florida)
Known OR Produ'cod identification Known
Type of IdentTlicationProduced _�OR produced Identifttatibn
entification produced
Commiasionua- Commission No. �� I
Mol 1,OR= ANGEL GFi�00
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Revised R7/15I e�utrb:OCi0ber7,201d _r E Ockibor2.Xoti!
&" BDraeabTMuhq*YI mklbdaarEA0f7 llondedikrilaat�t P+fi4tk�CMM111nr
REVIEWS FRONT ZONING SUP5RVISOA PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER, REVIEW REVIEW. REVIEW REVIEW. REvEW REVIEW
DATE
comPLETE
INITIALS