HomeMy WebLinkAboutBuilding permit appnber:
R�sideniJal X
Lot No.
Block No.
)N TO EXISTING DOCK
01 Windows/Doors
Roof Roof pitch
ptic Building Height:
LIA AS
;ONSTRUCTION INC
ANGE AVE
State: FL
Fax: 772460-6929
6928
�BELLSOUTH.NET
nse: SCC131151026 29115
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SUPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION:
DESIGNER/ENGINEER: Not
Name: DANIEL PAUL RETHERFORD
Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 1402 HARTMAN RD
Address:
City; FORT PIERCE
Zip: 34947 Phone: 772-224-9826
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not
Name:
Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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, 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature
of
STATE OF FLORIDA�I � STATE OF FLORIDA
COUNTY OF l COUNTY OF
The fprgoing instru ent was acknowledge fore me
this day of 2 y
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known 4. OR Produced Identification
Type of Identification Produced
Commissio N�:nY•`�a;•,, DAWN rl�l'ZGER�I�,�II),
- „•� Pt~YC .�..ION.�G(�16L3'A8
I <<. ,••<; L.Arlt% a: Uecambcr 17, 207.1
Revised
r
Thpforgoing instrument was acknowledged before me
t s day of 20 by
Ct
(Name of person acknowledging )
(�rr�iure of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
No. DAWN FIT7_GERALD IVSeal)
• '••r.1,\'•S' ;. �nY CON;hgISSION # GG '16?.3Q8 11
Py •�_
Bunded'fhnu Notary Public Undenvrilers
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS