HomeMy WebLinkAboutBuilding Permit Application ! |
|
�
|
/
�
|
�
/
U '
SUFFl. LN lAL COINS t RUCl I-ON LIMN LAIN I1kII-ORMAI10N.- �: l
ESI€+ 1 jI:NGIN R: —Not Ap p icable 1 A40RTG GE COMPANY! flat Applicable
Name: Name.•
Address-... Addl-emm
City: $taa#e, City: sem: I
Zip: Phone: ZIP,. Phone. i
I
FEE SIMPLE TWEE Ht31I,l3M- _Not Applicable BONDING COMPANY.- sot Applicable �
Larne• Name: i
Address: Addre4i,=
City:
Zip: Phone: ZIP.-Phone:
f certifythat no worker rosin 26oa has{omrnenced priorto the Issuance of a permit.
St_1_ude Coun�y maks no repregmtatinn that is granting a permit stall)authorize the ermit 2holde:to build t1w suty8ct Structure
+hrittdt is m confllctta„ctn an applicable Horne Owners Associa#fln rules,by-hmvs orana Covenants thatma+y restrict or prohibit such
structure.Plwsa consult v your Horm ownersAssrtciation and review your meed zoo'any restrictlnrts svltich mayapply.
in consideration of the granting of this requested pernut I do hereby agree that 2 will,in all respects,perfearm#te work
in accordance o tfh the approved plans the Florida Budding Codes and St.Luce County Amendments-
The
mendmentsThe folloti ft building permit applications are exemptfrom undergoing a full cortamenry review:room addition%
ammory structures,svVilnaiing pools,*=es�,walls.sign:,screen rooms and accessory use to another rion.residential use
WARNINGTOOWNER:Your tillumtoRe ordallotleeofcommericenwomayresultInyourpayingtwirefor
improvements;o your property.A Notice of Commencement must be recorded and posted on the Jobsite
before the first inspectiori.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recapclingyour Notice of Commencement.
Signaiufe of Ower/-essee/Cotttmdor as Agent for Owner Signature of Cantractor/Ucertse Holder
STATE OF 110RIDA STATE OF HORIDA r:.!
COUNTY OF �S� f. '('r�'= COUI'�'i OF �i
The forgoing Inst uinent was adcnowleeWd before me The forgoing instrument was acknowledged before me
tflis_Ay day of r��r . 20 ,Lbt this day of � .Zt3 `" by
1LrfiF �ultl .t"i
(Name of person acknimviedging (N me of person acimawledging)
(Signature&Notary Public State of Fit3rjda) � {Signature oz Notary Public-S12t q Tori
FersonallyKnown OR P-roduce
d Identification_.-_- -- Personalty Known OR produced identifficabon
Type of IdeaWkzbon Produced, Type of Iderrtitkation i'ccsduced
fAnimisSlr]R lika..Ct t .:1 r' CniEu5i1NE8 m"esian No_ *f 7(?�, �' ✓ " s�"� !:y4 RON
Wiveda�a�rw�ad�s►a�mraintoss
R.e,dsed 07113i2014
REVIEWS FRONT f ZONING SUPERVISOR � PLANS � VEGETATION SFJIIILIItTtE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE ! i
COM1PtFM I
114MALS t