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HomeMy WebLinkAboutBuilding Permit Application A�y/� t fy,� [�!g�yy� �A T�y�^ �}� ` p,�s rtr �`( yv 4��y.pay
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DESIGNERANGINEEW, NoVl vlecahle 1V1�RT�ACa t7�t1tIPA1�Y Nat pplicabi�
tvme 'Name,,,.
Address: Atldress
Qtyt _ . pity
Zip: Pham . Zip Phone
FEE SIMPLE T131.£;FII�I[3E# I ok Ap la able I t3N©!NG 31�tE1?, idY t tat ApP[r ble
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Address 4, _ !~Jame:
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Atlr�resx
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Cr#y
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C?ttUldERf CC11V I�AC7 t31;�tF#:IDAVIT Application+s',l ereby frarade to o aan a permitto do tfi:: ork and rnstati t+t+n as;indi aced.
!certify that npacsrk nr+nstallatfbn has ctsmmenced prtnr to tht issuance of a pa:rmat
'5t Lucie Caur+tyyT'makes:rio'repres�ntafian that rs ran,t n .a it Iklll, uthanz the p r it.h+stii r to builei'xh`e sa�bjett structure
Which is in conflict with-ahy,applicable:Monte'O here 1Asse+aratfbh-ruics:byta+rrs car'in cciyenants•that may restrict or probibit such F
a str+rcture Fiease c ari ult wiE%ya pr., pme Ol vners Associ tia�ri:arati reu+eW.y+sur did farany r6stridtions;i+hick ma}j apply
In consideratloriratthe
grantan ®f this1equested`pe ait,l d4 hereby agree Ghat t tiurilt rn ail resp s,p form the viaark
in accordande jai€h I+ ;apprr3ved plans;the I ioii+a eliding fides and S#-Lucie county Xr ehrirn ts.
The vllow+ng b +ld+ng permit app!+cations ars ex rnpt fri m un djgraarng a faati concurrency revrew 'rt+om additions
accory strturs, tivimming'pi�of ,,fences,falls,sign ,serer;rrC�oms;and`accssory.uses tt+anesther r+ora res+cient+at'use
"lhllltlliilhGvTi t31A' R.: t 9$'{11►11tiRE Tt#". t3IZD A.14 T#CE OF I�1 1lttC1 MENT IYIAItk iS LT t 1 YOIR I?�i►1fi G;;
WICE.; J I QYEM1El11�a..3 'YD##It rRQPERTTtl 0 IIJOT r,, F. YliEtliiCEI1tEN1 Mllsi 6E C IRbAP'AM'
PISS.ON Tlilr;.IOB:51 tE;BEFORE FAY.iNri#'E+L?I011i #li Yt7li1 I JTE4Yi#.Ttli::C3STAiN,F#14iAAJClfJ41#:;'i`$IN'St LT-
'VYITH t(OitA l EIt O14;AM1 AT6t)RAii)rY`B1E i}til REC#y 3TAtd>:YOUt4;1 NOTICE OF_C{3M141ENi`EMEN7;p.•.. .' ;
Sitraature,c+f OWT,ier/Lessee/Cphtrattof as Ageaat fear O icer Sfgnatirre of ontractb�/Licewm Helder_
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Type of Identifiirata Tye$of ldentaftisn
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