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DESIGNER/ENGINEER NotAp�licable NIORTGAGECOMPANY NotApphcable
Name: ctV P RA Name
Address5�nt"?/! i�r�t% ifi� d gddress ay
State: Gity 5fate .
Zlp 33�oy Phone / 37—a?S�e3 Zip Phone.
FE! WILD";,NbtApplicable BONDINGCOMPANY otJCpphcable LL
Name: Name -
Address `Address:.
City C.� -
ZIP
x _
OWNER) CONTRACTOR AFFIDVR ApphcaLon is hereby made;to obtain a,penntt to da the workand mstalla#ion as mdicafed
Icerdfyttlatdoworkonnstallabdhhascomjnencedprro�totheissGanEeofapermrc. y :
Si Lune County mak'esno representation that tsgranting'a penmtwiRauthonze>ihe permittiolderto build the sublectstructure'
whichis m inn id watt any applicable Home Owners Assoaation rules, hylaws Oran covenrMdctatrriay rc-h-Th r prohlblisueh .
structure Please consult wtth your Bome OwriersAssociatton and review.your deed for anyres[ricrionfwhich may.apply:
Inconslderatlonoftlegrantmgofth¢requestedpegrilt; doherebyagreethatl;wlll mall respects efformthownik
m accordance with the app�avedp(ans the:Flonda:Buildng toles ari8 5t LucieCounty,Ameridments..:'
The following budding penntt appl¢ations ark exemptfrdm under�oidKa full concurrenry"review room additions K
accessory structures wlmmmg;p9ols fences walls signs screen rooms and accessory usesto another non residential use -z
hyARNINGTO OWNER ,YOQR FAn►mp-TO RECORDJINOTICEOFCOMMENCEMENTMAY RESULT W'YOURPAYINC'
7[NIGE FOR INIPROYEMENTS"70 YOUR PROPERTY A INOTIC�OF--00191MENCEMEM MUST BE RECORDED ARm:::
POSID ON iilE 10&SRE BffORTHE FIRST INSPECTION IF YOU INTENDTO OBTAIIII FlNANCING CONSULT':
' : .YfffH Y RLEIVmER OR'AN ATiORNEY_BEFORE IIECORDIN6 YOUR`NQTICE OF COMMENCEMENT" ;_-. _ :.' . _ -'
Signa rr fOwnerJ.LesseeJContractorasAgentfSrOwher SignatureofCanft )rt.a& se Holder,
bt7NTY OFORI p ` -= OUNTY (QFORIDA`a �"?
Y.
tThmg mstru entwas acknowledged'before me' The going nsfnl ent acknowledbefore me
pth day of Zo�Uby th s % day of
jn
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tNameof13- m'Wg atement NameofPerson makingsta ment
Personally Known DR Produced Idennfi.bon Personally Known R Produced IdentificaLon
Type of Identificauar" Type o i nati n
Pr6o4ced_%1L /lwZ Prod ced
Signature ofi No ,ryPa x`f ofi m` s�o^oes�oZi�§' (Signature afNo[ary Public ofF, 5 o�it4. 2Boa'j6y7
c�csn .
Commission No g..CommisMonNo 3,5
REVIEWS FRONT ZONING . , SUPERVISOR PLANS yEGETAl10N SEATURTLE MANGROVE .:
60UNTER _REVIEW: fiEVIEW REVIEW REVIEW REVIEW REVIEW,;_..
DATE
RECEIVED _ `
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