HomeMy WebLinkAboutPermit2DESIGNER/ENGINEER: Not Applicable
Alamo -
Address:
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Zip: Phone
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FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
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Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
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Zip: Phone:
�_/ Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
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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 representation that is granting a permit will authorize the permit holder to build the subject structure
which structuin re. Pleasecc consult anyapplicable
Home Owners Association tion andr review your deed s or foroany restri tons nts that which restrict
may ap. prohibit such
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-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
I
_Signature of Owner/ Lessee/Coutr ctor as Agent for Owner F-Signalltd7eof Contractor/License 4Hoer
STATE OF FLORIDA / STATE OF FLORIDA
J:�U�k�COUNTY OF �` 1COUNTY OF JAA&:�_&A
The o ing instr entw accnowledge fore me
this Mday of 2 y
Name of person making st ment.
Personally Known OR Produced Identification
Type of Identification
Produced
The fRKnown
s acknowledged Idore me
this f' y
1
Name otate nt.
PersonaOR Produced Identification
Type of Identification
Produced
{Signature of Notary Publi Stf FloridaRTGGS ignature'of Notary Public State.' fF o Aq
.o State of Florida -Notary Pub is
C sSion #GG20088,
commission No. mmission Expires Immission N .
6f- L__
May 02, 2022
REVIEWS FRONT FR
ONING SUPERVISOR PLANS VEGETATION SEATURTLE
COUNTER EVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
G
t r Public
omm son # GG 888
any Commission ires
May02, 20 2
MANGROVE
REVIEW