HomeMy WebLinkAboutBuilding Permit Application $3 SItaNE Not AP I€C�I7le. IVif)RT�AC� COMPANY" Nc►t ApplEcabte
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FEE SIMPLE TITIt HOLDtRt _.€dot Appf€cable BONDING Cf?MPANY Not Applicable '
Fame: Name:
Address:, Address:
City. pity:
-Zip: Phone. dip. Phone.
I;. tifythatno work or installation has commenced prior to the"issuance of a perm t.,
St Lucie Coun Makes no repre en tion,thatis granting a¢pdrrntt'yaift authorize the ermit holder io-build Vthe,subldct_s sture,
whi tt,is in call ict sritlt any ppdi � l i+arri sers: sspci tdi r.rulet,b l rs or an cavenarits't€�at may re trlci car pig lbit`such
structure'Plese+ooriuftiltty r lioie Qvrnrs saciation`and review your deed for any restticticans wht rrta}rapptY
In consideration:of the`gfarfting,of`"this requested permit,i do hereby agree that I wilf,in all respects;perform the Work
In accordance with;the approved,plans,the Florlda-0ullding.Cpdes and St.Lucia County Amendments..
The-following building permit applications are exempt from undergoing a fail concurrency review;room•additions,
aci sort'structures,swimming p sats,fences, ratty,signs,screen,r c►rris and ac�scs uses.to anothtr-in0jr id ntlal use.
WARNING T 0WHER.,Your iiure to;ftebrd a Notice, may result in your payfo tWkia foto
irnorovementsto your.pr speity.A Notice of Commencement must be recorded and postL*d on the jabsite
6,efore the`f€rst-irispectian.If-yc u intend to obtai,financing,consult with tender or an attorney before
commencing,work or-recording our Notice of Commencement.
igbaure'of C3wn (LesseejAg xit
f CorEtractoLicense rJilde
turs or
STATE OF FLORIDA STATE OF FLO 0
C t1NT 1f F COUNTY OF : .
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`,he=f ng lnstrii_ nt was ackrtowted$rad before rrte The for�goirig,instr u'al nt utas acknoWedged b fade me
thrslay ofµ 20 1--%, Ytlrls day of _ 20by
tNa of`person ". ted$lrsg f ( arne`of person hckriowledIrt
aturP of rt'Aublir S^ t 'of rlorid .1, (Signator f l ata.ry ublic'Stat of Florida)"
r-POMnally$Known ; OR Pro cid lrfentifleation ✓'�- Personally Krrowin.eZOR Produced.Identification._..�.�.�
Type cif Identifl ri Prisduced Type of Identification Produced.
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Commission 1
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REVIEWS FIt9NT, , 0NING SLiPI*RVIS )R PLANS VEGETATION SEA TURTLE MANGROVE:
PUNTER RErtlE+Af VIE1N REVIEW REVIEW �REVIELtf` EtE1ltEtllt
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INITIALS