HomeMy WebLinkAboutbuilding permit (2)7DESIGNERJENG NNEER: _ Not Applicable
MORTGAGE MPANY: Not Applicable
Name:
Name:
Address: -
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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--mv.ni %..vim i nmi-i %in iArriuvi i : Application is hereby made to obtain a permit to do the work and installation as indicated.
j 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
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, wails, 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 RFCORnINr. Yni io Nninirip nip enumciurruicur »
�Cotr�actorlLi�cense"H�olde
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o
STATE OF FLORIDA
STATE OF FLORIDA '
COUNTY
COUNTY OF S f• L. H c e
OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this /3 day of TL4 (!I 20,�& by
this day of 20_ by
J
Eb 21.5 CA r%e 14
Name of person making statement.
Personally Known OR Produced Identification
Name of person making statement.
Personally Known OR Produced Identification
Type Identifica ion roduced
Type of Identification
Produced
(Signature of Notary Pu
�IRY Pi OSMEL VALDES
(Signature of Notary Public- State of Florida)
Commission No. 66 3 *E --Notary }State of Florida
Comrnissior6
Commission No- (Seal)
# GG 358648
My Commission Expires
July 18, 2023
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Rev 2/7/19