HomeMy WebLinkAboutBuilding Permit Application I LiDI'dN, ROXCEI w
Jon FEB 19 2019
Permitting Departmer
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DESICtiNERjE1►lGIliIEERc _NotApplli:abEe MORTGAGE COMPANY. —Not Applicable
.Name: Name-
Address'..
_. Address:
.State: City: State:.
P. :Phone Zip: Phone:
t EE SIMPtE*nTLIE HOLDER; Not.Applicable BONDING COMPANY ____Not Appl'[cable
Name: Name:
Address: Address
AM, Zip; Phone:
OWDi r CONTRACTOR AFFIDVIT:Application is hereby made to obtain;a perto clothe work.and installation as indicated.
t:cettiiythat no:work or ins4ilation has commenced priortotheissuance ofa,perrWIL
St lucie.CnunEy makes nd repr�serttatioit that is granting a permit will autliaraeti�eermit lipid ta.bund ilia subject structure.
whsch is;in canflflic with ariy appiacable Horn t3uunersAssactatinn roEe1 Csyiaws.or-an cavenasits at cnayr restrictorprohlCiEtsucCz
stru re.Piease cnnsutt.mtft yaus'Hbme otnrners Ps"soclation and reviewyour deed Forany restrictions which may.apply.
in-consideradbn:offihe granting.afthis requested perm l do.liereby agree that l will,in.all respects,perform the work
in aceordanIcIa iiithIthe approved plant,lite Florida 13uIldingCcdesand St.Lucie County'Amendmanns
flhe.foliowing;buRding pertriitapplications are exempt fcoitt-undergoinga full concurrency;review.room addidons,
accessary structurw swiinmtngpi3ols,fences,W,alls,signs;-screen rooms and,accessory usesto anothernon-residential use
WARNIXO TO OUMEI:YourUffure to Record a Notice of Commencement may result'in your payingiwice-for
�mprovementsto your property;A Notice of Co mrriencement.must:be recorded and posted on the jobsite
before the first mspeCYcan.:if you intend to obtain tnancin&consult with lender or an attorney befc►re
cornmendn ;work or�recardi-nk"V.our`Notice cif,Eommencement.
'SI gnafureo.owne/.lpmeel aactorasAgentfar0imner Sta 10 oritmdbr/UcerimHoider
S MESO FLORIDA STATE OF FLORIDA
COUNTY a>+ .. ,an l�,y`SAC COUNrx ole n_7-
The fo cenginstrum. Iwas.aclmowledgedbeforeme Thbfb ogiinstrumne tw _.edgebefore me
(Ani20 byathts
Nacrse o.person maldngstatement. Namn of person makingstatement
Personally Known ,C}R.Pmduced�ldeittlitea#on Personally Known = OR Produced Ident3fCcation.
Type oflden0cation Typeof lden0cation
Produced Produced
(5.tgnature vF b- iii {S, attire of
`POrtset Dyer-NBpe HOWY PU1360 SW6 of Flartua
NfYCartrnisitOriG{i"rte . Remmlaow-Rape t
CommisSiori: , 1 � co m isslipir MCC GG
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REVIEWS FRONT Zt2NtNG SUt'Elit11SQR PIANS. VEI FIATION SEATl3R7i E 'MANGROVE
COUNTER .REVIEW- kEy/1E1N REVIEW RtV! t�ET EtN RE1lCE1l4f
PAM
RECEIVEQ.
DATE
tOMPLEfED
lev.8/411.