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HomeMy WebLinkAboutBuilding Permit Application`1 r s .4 �FIN,.:Y•�.p.. n .. • • r r r r 1- - r r • r r r rr- -• r /1 r • r • '1 r I I .. r. ...... ... ...._. s r,.2; ifx.•, Y¢,.,PP��,,11��??1,���'{ I}, �L—lc 1!!:E_e:. i •I'.',�'L.' Ls11Ylj'l D • �/�^1, e . q:S..d: y`UJ�J: :'�'�: �.�ye95kl 9i •f1 © O 'D�-• J:-O,J�Yr, 1g, ..f.�j`/I: l� Yi ll' �'!!V��4�},Enw! ..fd >• .. !„?;.D:1J ijl!Ia!if''J.4:JA: _'l�Eu•. .! 4 ': n{JtSyx f n3',J. iI . T: `S I.a •�,t,�Di'! ?�i ut!C. ' �` .: ".�.i }•i".JI .i ndLL4� IL; S 4PT ! '!�'S 'i!;,I�:l�r i U�e�: " D ` O ... o D .. 0 f Q .: ©.. 111i ((3•A' ���Nepw ��*�m �`yn4yl�j{a��.&' r Ittr 1tj •d !• 1�Lrtrhs!E x-{.�'IA ��, �4 ��F... ii�s.NPa`,"'!ii. •J :'I_��.j0k��,L�S''4�ilv�.i411n P.I: n." f• ,1' li. 44t•Ph":'4 !!l i' IW'I•f�'st:.;� 5 d',!il vLs4''11"Y An 1! 14tl��i n':t-Fiu.Mi�w'!)Si5!/:e�)F.i!ait�!iMEi�i ,'i5.�.' .1_T?: •" hl'1 _ e :f' !1' .l .:5i ......yj'11 : !,J R '{'.,;.^, L L t". ..=!_ _L.,:.�:.rt`.i;'-r..is�r�9Frl!^,;i;!�I`i;'y`.L.,,!yt k�!',h�'ic:;"d�!.8°::�n!J•�t sW'.�SY ,�;9fi'�I, `I;:i`�G.:i �i'.;;{fh -,'�j �0 itl 8.. fI �AA ` 4�,i� !n!fl u� �i� �,.. �V'i va�xfi6:n�.r•��:a1i'I he�""_� 33111'1 i6g l�ir;1 , +n-v • r, z ,�I e!E' r v s,.t1�'�..�:>s � �.,,.�''...,i�.,3,.....5 „E,. .�a:;.D� 'I�iGM!M1Fa "49l*�Jj. Rf it ii!� ,�5 h 3 s!i'F�vn•. O � �n°.a.K'�,2kX' f�"i'�1;J' 'Fi�•y �il;��k�z,)�Y�I�(Es i;�,y,; iGr �F` ��fiL�✓�%/lam' /I il� � - � I i ,�i, • NoTsTMil • _ �_ Name City: FEE SIMPLE TITLE HOLDER: I _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 is in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat 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 insp cti�n: if you intend to obtain financing, consult with lender or an attorney before commencing work o relording vour Notice of Commencement_ 7 Signature of Owner/Age sse /Contractor Signatur of Con ctor/License Holder STATE OF FLORIDA '' II '' . COUNTY OF STATE OF FLORM41/- COUNTY O GGf The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me this 2-ifigyof 202,Qby this/ day of 2gWby W,/d'I&?M �arn�l�� T r Al IN erson a wedging) (Nam person ackno grog) (Sign of No is -State of Florida) ( nature of qotary Pu c-State of Florida Personally Known OF Prods %Jdentificatlon Type of Identification i" a' rsonally Known OR Produced Identification Identification Type ;` �, �••• �; of Produced — ,� U Produced ,r,-`"• .. •.-* Commsbacca& Commission NO.� C� O �pO'U ; ` a�Xp/7S end G e • G p a�AOr;4 SHERRIFEHLMAN Commission No. , , t „}$eat mmisslonGG1871 ) wuro so • ✓e ,70, 9 BD dl7(/ ;l 76 2 spr f �po-os Ma u, 2oz2 ' Z ' J, i�J b:nu!JI1nr, B:,Se(Na0 e ry REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED