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DESIGNE NEE it of ApplicapleAtf1RTCiAGE COMPANY: Not Rppil ble
Name: Name: I I
Address: Address.
City: State. City:-- -- state
LP: Phone: ZIP: Phone: V
I r
FEE SIMPLE HOLDER: r Not Applicable BpNDLNt3 COMPANY: _Nor Applic Is
Name: Name:
Address 11Address:
Cfty: City,
Zip: P}Iane ZIP: Phone.
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I certify that n k or installation has tommenertd prior to the Issuance of a permit.
St.tt�c�e Coup likes no repre�an�I#�tfon that N grgltting s ermlt v audwrltathe mtt holde�to buiid the suh)eet u ure
whit s In eon d 1vRh anq appltcapkf Warne 5w+yers tbrtld s,b ors QranyAeetovenants t3tat may restrict or P114ih t suth
structure. Plea ognsoltvnihyaur meowrsersAssordatloh rtviewyouraaedferany n't"S tlanawhlcltmayapply.
In consideratl of the granting of this resyuested permit,Ido herft agree that Iwill,inag respects,psvform the work
In areordanca the approved parts,the floriAa 6 dididfng Coda and St Lucia County Amendments,
The foilowl",b lldir4 pefndt appucelons are etempt! m undergoing a fogcpncurravy reyiew:room additions,
accessory strut yes,Avlmlydng poafs,cargos,wails a,screen rooms and att45sory uses to anudw non-rnsidentiat use
WARNING OWNER Your fatlura m petard a!, Ditto of Cartllttantxmnrlt rttayresult In yaurpaying twke d r
imp oveme I to your roperty.A Notice of Commencerqent must be re=ded and posted on the Jabs to
be F a the fl inspKilon, If you ntend to obtkin ffnancf consult ivlt lender gran attumey before
com encln dinw vditir NaUce of C.ommen ant
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STA F RID R STA DF'. ftIDA
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The fo�rgQIng I tru�me,�n�t�w,.�s ackiwMadgad before me The F rtginstt(�ptent cknowledged befoto me
this 0 4day _ Za ir by th1=41hyof 1 Vim'' f 20jr by
(Name or pets atknowiedging) tName of percoh edrnm edging I
lSignsture of Lary Pubpc-State of Florida I J54pIatury of WAjry Pyhbo-State or Norlds)
Parsc+wally K �` flR Ptodwxd identiheatlon _ Personalty Known _ OR Produced 6dentlfkatlon
TypRof ldentih tIon Produced Type of ldenacatinn Noduced
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REVIEWS FRONT ZONING SUPEAVISOR PLANS VEGETATION SEATURTLE MAN ROVE
COUNTER RKEW REVIEW REVIEW REVIEW REVIEW RE lew
PATE
COMPLETE
INITIALS
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