HomeMy WebLinkAboutCARPENTER PERMIT PAGE 2DESIGNER/ENGINEER: __ Not Applicable MORTGAGE COMPANY: Not Applicable
Name. Name:
Address: Address.
City: State: city:State:
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Z#p: Phone zip: Phone:
FEE SIMPLE TITLE OLDER: � Not Applicable BONDING COMPANY
Not Applicable
Name: _
Name:
Address: Address:
City •
City:
Zip: Phone:
Zip: Rhone:
OWNER, CONTRACTOR AFFIDAVIT: Application is herebymade to obtain apermit
tO do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in .conflict with an applicable
y Home Owners Association rules, bylaw or and covenants that may restrict or prohibit s
stf,ucture. please consult with your Home owners Association and review your deed for an restrictions Which may apply.
I • such
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In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building -Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoini a full concurrent review: room addition
g Y s,
accessory structures, swimming pools, fences, wails, signs,��screen -rooms and accessory uses to another non-residential use
"WARNING TO OWNER YOUR FAILURE Til RECORD, A. NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS� TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY RFFnRF 1' s:cn1?nyur yns to tint -nd-c nc
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Signature of contract&/License Holder
Signature of Owner/ Lessee/Contr-actor as Agent for owner
STATE OF FLORID
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STATE OF FLORIDA
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CO U NTY O F f � i M/ w�-
COUNTY OF
The forgoing instro ent way acknowledge before me
this m ay o '•
The forgoing instrument was acl(howledged before me
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Name of person making statement. c,
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Name of person making statement.
Personally mown OR Produced identification
r�13ally Known OR Produced Identification
Type of Ident•#ratio
p Identification'
Produced • . ��tb
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(Signature of Notary Pub - o ori anature -
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Si of NotaryPu
Commission No. '� :- Seal
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commissi€in No. (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
-PL.ANS
VEGETATION
SEA TURTLE E
lVIANG ROVE
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
(SATE
COMPLETED
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