HomeMy WebLinkAboutScanned Section 59-2DESIGNE
Name: _
Address:
City: _
Zip:
one:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
State: City: _
Zip:
_ Not Applicable
e:
Phone:
BONDING COMPANY:- Not Applicable
Name: _
Address:
City:_
Zip: —
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 Wtice of Commencement must be recorded and posted on the jobsite
before the first inspection. you i nd to obtain financing, consult lender or an attorney before
fiai commengpvork or recgrJIinR yo // r Notice of Commencement. / _' 1. 4
Signat0re of Owner,
rise
STATE OF FLORIDA STATE OF F,0 DA
COUNTY OF .5,� �Q 1 9\`1 e_,112 COUNTY OF! ..1 r'�Q�.t �•w� 2 r; �I.Q,%L,
The for oing instrument was acknowledged before me
this day of 1�,� , 20 Z[�by
7 1
an*1V of person acknowledging )
ic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced p_ -u,L
Commission
Commission # HH 031914
"OV w�O UndW Thu Troy FaW IftM 08 8W-M5.7019
Revised 07/15/2 '. '•..
The forgoing instrument was acknowledged before me
this, day of��� 20 2 by
(Name of person acknowledging )
c- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced Pi✓ ,h L_
Commission No
JE7890HOFFMAN
Conumssion # HH 031914
Fein
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS