HomeMy WebLinkAboutLehoullier Main AC system change out pg 2 001'L a y
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SUPPLEMENTALCONMUMON
Name:
Address:Name:
City- State:
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1, Name:III
--Pot Applicable
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€ ItUR IFID17-Appkationisherebymate-toobtanapernottoclotheworkandinatat3ationasindicatad-
I eeNify thatno work or insiaflabon has commenced prior m the issuance of a permit
St. Lucie County �makes no representation chat is granting a permitwiii authorise the perms€ hoiderto h the subject sFsocture
which is in corltlsttwifin any applicable Home Owners Association rules, bylaws or am covenants that may restrict or prohibit sud i
structure. Please consult with your Home Owners Assomuo?t and review your deed for anyres[au'swns Which may apply.
In consideration of the griming of this requested permit, I do hereby agree that I will, in all respects, perform the work I
in accordance with the approved plan, the Fbrbda BIildmg Codes and St. tude County Amendments.
The following buflding permit applications are exempt from undergoing a full a mcurrency revievin room additions,
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accessory structures, swlinming pooh fences, wags, ssgrrs, screen ii113rIi5 and accessory uses to another non-resfderrtiad use
WARNING TO Your iaffure to Record a Notice of Commencement- s may result in your paw twice for
irrmprovements to your propert j A Notice of Cons me iceme}-it must be recorded and posted on the iobsite
before the first inspection. if you intend to obtain financing, consult wiitlr lender or an attorney before
€omr-riencfne work or recordine vour Noticer of FnmmencemPnt_
Signature Oa Owner/ Les-2 ContraOO Agent for umer
Signature of CuntractorAkense Holder
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SATE € F FLORIDA
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STATE OF FLORIDA �
COUNTYOF
COUNTYOF
The forgoing srstnrmentwas admowledged before me
The forgoing hrsttument was admawriedged before me
M&t4k
this St-dayof_ hkrjyCK .ZqU by
thisS40day of .2QI R by
WW -F kyle.
WJwl F 13D—Vie
Name of tement
name of persn aling sta went
Personally Known OR Produced Idealilimfton
—
Personally Known V OR Produced identification
..,Type of Idenfificabon
Type of Identi rcatfon
Proddu�ucedd,,
Produced
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(Signature of Notary -= State, ofHoridaj
(Signature ofNofa bic-StateofFloridaI
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Commission b9 ""' PHRISTINE . dwELL
Csmmisd N,pa." CIFISTINEJ.COf B3i)
e°. '-= Notary Public -State okFlorida
a° Notary Public - State of Florida
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' ��,' Commission # GG 017839
° = Commission # GG 017839 -
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REUIEW7
REVIEW
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REVIEW REVIEW
REVIEW l
DATE
RECEIVED
DATE
'1
COMPLEr€D
Rev. 812117