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HomeMy WebLinkAboutKoehler AC Change out permit app pg 2 001I i SIMPLE HOLDER: 'r• �t r r..s�- 's.s yti Address: FEE I CANNER} ACTOR a •: Application ishm-eby roaaeto ahtaFn a permit fo dothew ork and msiaHation as indicated. i certify thatno work or iastallation has commenced prior to the issuance of a permit. stLucie€rrakesnorepresentation that isgrantireagertn villauhoriethe itholdertobuldthe subjectstructure which is n with anr�yy a�pplicabte dome Own -ens Associadon rules, bylaws or arifec€ou nts that may restrict or prohiMt' such structure_ Please cansult »'#r yr dome Owners Association and review youdeed for anyaestrec#itmswhuh may apply in consideration of the granting ofttmrequested peritut, t do hereby agree that t mill, in all respects, perform the work in accordance with the approved pans, lore Ron�o ihziiding Codes and Si- Lucie County Amendments. The followving building permit applications are exempt from undergoing a fait concurrency review. room additions, accessory sbuc u e% swimmurg poot�fences, walls, sg ns, sin reorns and accessory to another non-residernial use ARiyM TO - yasis to a of my result in Vwr t tce for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection• If you intend to obtain finan€tng, consult with tender or an attorney before comrrterrdn work or recording Notice of Commencement. of Rev- 812117 State: 92112 Srea€Confractorjficensettokler S�rratvreowner%lessee/Cor+�aetor #igerttf33rar' mn� GOilN3YflF a• L�Pi COUNTY OF �• The erttwasat�+awlea�dtreforame this �yof by �ihe'forg©irginstnnr+eraiwas admowteagedbefore me tie;ts�-Lday of J1�2D Z�by Name of em2rrt - Name of g>ersa ak'arg stat meat Personally Known €Ri Pro@uteri #derrtirrcetion .Personalty Known tNt Produced adgitit'rcation Type of identification Type of Identification Produced Produced '^- (S�atrfreo#t� r� State ofRorida) (Sigrtaat+r ' i� P-Sta(feof€torida} Contm[ssio iS�ijNE „S P0.Y PLb iGHRiVTi J. CCN o ef,, Ebt— Sa•1P0.Y PbCHRISTINE J. CONW ublic t '= State of Florida ^ - Commission •"�,�•+�;:�'� �� Notary Public •State of Flood. # GG MY Com 017839 M o' s,on # GG 0778 9 °°�edt ou9h Na _