HomeMy WebLinkAboutBuilding Permit Application Page 2---_ ++i %-%olv v np% . r vn; mrriuvi 1: 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
commencin recordin our Notice of Commencement.
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1
Signature of wner Lessee/Contractor as Agent for Owner Signature o Holder
STATE OF FL D STATE OF F RIDA
COUNTY OF 3 COUNTY OF L
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'v day of r��_,,., r�� 20.�Z by this j day of _ � ���v\C� 20)rby
Name of person making statement !Name of person making statement
Personally Known _DL.— OR Produced Identification Personally Known &<,— OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I
k A J-4-A .� i -A c)'" AA':��
(Signature of Notary Pu I{ ate Afi id@n6iano (Signature of Notary P� I- - StA 91°
NOTARY s P LIC NOTARY PURL C
Commission Na. STATE+C7PORIDA Commission No. —STATE OF FICA
Cornm# GG 185914
Comm# GG 9 85914
El �� Expires 2/14/2022 ° A Expires 2/1412022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17