HomeMy WebLinkAboutBuilding Permit Application (2)SUPPLEMENT
DESIGN
Nai'ne;Jahn Grant
Address: $311 Mulligan
City: PortSaint Lucie
Zip:
FEE SIMPLE TITLE
Name:
Address: 1687 SW south
City:
Zip:
CONSTRUCTION LIEN LAW INFOR MATION:
ER: 4 Not Applicable M ORTGAGE COMPANY: ! Not Applicable
Na me: Manuel Duran
Cess: 8311 Mulligan Circle
PolkSaint Lucie
State:
Phone:
COMPANY: Not Applicable
EPCISailnt Lucie, FL 34986
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Zip:
State:
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DLDER: ^ Not Applicable
BO LADING
Nam
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edo Blvd
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MANGROVE
City:
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Zip:
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Phone:
OWNER COIVTRAC11OR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work o 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 consul) 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
commencieVort or r our Notice of Commence
Signature ¢f Own el`ktesseeLContractor as Agenefor Owner
STATE O FLORID
COUNTY
The forgoing instrument was acknowledged before me
thisdayof 201 by
Name of person making statement
Personally Known _� OR Produced Identification
Type of Identification j
(Signature of Notary P�bl' bf%MHd6"""N,(7T. - . UBLIC
Commission No. I STATrSpff LORIDA
Conan# GG185914
Expires 211412022
re of Cdittractor/License Holder
STATE -Ake RI DA
COUNTYOF
The forgoing instrument was acknowledged before me
this day of 20A by
Name of person making statement
Personally Knownc OR Produced Identification
Type of Identification
Produced \�
re of Notary
Commission No.
StAs of 4'�r�LIdda
NOTARY PUE)IIC.�
ST -ATE OF FL�eRA
L Comm#GG185914
Fxnires 9114190'29
REVIEWS
FRNT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COU
TER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17