HomeMy WebLinkAboutBuilding PermitI
rersonaity Known OR Produced Identification
Type of Identification Produced
Commission No_ /r��. - J - �{(q
_ u l U7 ; �_ _--! 2q Y"`le CHRISTINE B
MYCOMMISSION
—� EPRES-.Alit
Rei -i sed 0711-:', i 201 1
Personally Known OR Produced identification
Type or Identification Produced
'7 4�-! tl�� Peva CHRI�:ir."' r}i
1thmission No_ r Jai
3G MW
01
2021 —Rypl _ W'4 . - _
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*My COMMISSIOV;JGGM2W
t� o* WIRES:AM4.201
SUPPLEMENIALL.UNSIRUCI[ON LIEN LAW INF-UtiMAIIUN:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
—
Name:
Address:
Address:
I SEA TURTLE
City: State:
i City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
' BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City: I
Zip: Phone:
Zip: Phone:
I certify that no vtork or installation has commenced prior to the issuance of a permit_
St- Lucie County makes no representation that is granting a permit authorize the permit holder to build the subject structure
v.hicli is in conflict with any applicable Dome Oxmers Association rules, bt�lavrs or and covenants that may restrict or such
prohibit
structure. Please consult :with your Home Or-.ners Association and revie -z your deed for any restrictions which may apply.
in consideration of the granting of this requested permit, i do hereby agree that l :viii, in all respells, perform the work
in accordance with the approved pians, the Florida Building Codes and St. Lucie County- Amendments.
The folllmving building per nut apalicat;om are exon=ptfrom undergoing a full concurrency review: room additions,
accessory structures, sMmining pools, fences, walls, signs, screen rooms and accesseR, uses to another non-residentiai use
WARN ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice fo r
improvements to your properb/- 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
commencing work or recording your Notice or Commencement.
Signature of OE1nerJiessee;'Contractor as Agent for Otvner
Sib ature of ContraaLor/License Holder
STATE OF FLORIDA
' STATE OF FLORIDA
COUNTY OF
COUNTY OF
I
The 'fqr� oing instru vert :vas acknowledge efore me
this day .
The forgoing instrument was acknotviedge efore me
�
[r o, , 20
l this - -L� day or ,Q b y
i
i
(Name of person acicncvliedging j
(Name of person acknolo-Aedging )
t'
(Signature of Notary Public- State ries
(Signature of Notary Public- State of CIOris, ;
rersonaity Known OR Produced Identification
Type of Identification Produced
Commission No_ /r��. - J - �{(q
_ u l U7 ; �_ _--! 2q Y"`le CHRISTINE B
MYCOMMISSION
—� EPRES-.Alit
Rei -i sed 0711-:', i 201 1
Personally Known OR Produced identification
Type or Identification Produced
'7 4�-! tl�� Peva CHRI�:ir."' r}i
1thmission No_ r Jai
3G MW
01
2021 —Rypl _ W'4 . - _
aaWee Ttvu Budget Na%7 Svyms
*My COMMISSIOV;JGGM2W
t� o* WIRES:AM4.201
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REVIEWS
FRONT ZONING SUPERVISOR PLANS VEGETA T ION
I SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
REVIElb'
KEVIEIR' �
DATE
COMPLETE
INITIALS
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