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If value of NVAC is $7,000 or more, a RECORDED Notice of Commencement is required.
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit 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 County makes no reoresentation that Is Rrantins a permit will authorize the permit holder to build thesubject structure.
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 undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlel use
WARNING TO OWNER: Yourfailure to Record,a Notice of Commencement may 'result In your paying twice for
Improvements to your pproperty. A Notice of Commencement must be recorded and posted on the Jobsite
before the first Inspection. If you Intend to obtain financing, consult with lenderor an attorney before
Martin
The fo oing Instrument was acknowledged before me
thlsy-dayof y jun202E by
NameWperglin making statement.
Personally Known XX OR Produced identification
Type of Identification
Produced
Commission No.
REVIEWS
COUNTER I REVIEW
STAWIF FLORIDA IVjartin
COUNTY OF
Thefo Ing Instru ant was acknowledged before me
this _[ day of 20AR by
Nam off pe%son making statement.
Personally KnoweXOR Produced Identification
Type of identification
Produced
Commission No.
SUPERVISOR PLANS
REVIEW REVIEW
EXPIRES: September23,2a23
REVIEW I REVIEW