HomeMy WebLinkAboutBuilding Permit Application (2)l
SUPPLEMENTAL CONSTRUCTIO N LIE N LAW· INFORMATION :
Not Applicable ees~GNER/ENG iNEER: _ Not Applicable MORTGAGE COMPANY: N.am-e-: ------------------Ao d res..."
Ot,v : __ -----------~----~--~----_-_-_-_-_-_-_-~-St_a_t_e_: --
Zip-: ______ Phon e_· _________ _
Name: __ --=_--=_--=_-=_-=_-=_-:_-:_-=.-=--=-======~;;;;==-= Address: . State:_ City:-----,---_-_-_-_-_-_-_-_-_-_-=_ ___ _ Zip: ____ Phone:
FEE ~MPU TITlE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Nam-e-: ------------------
Name: _________________ _
.\ dor ess; Otv · --------------
Address: _______________ _ City:: _______________ _ ~p: _____ Phon e : __________ _ Zip: _____ Phone: ___________ _
OWNER/ CONTRACTOR AFFIOVIT: Appl ica tion is hereby made to obtain a permit to do the work and installation as i ndicated. ~-i:ifi, ~ar: no work. or installation has comm enced prior to the issuance of a permit.
s;: __ :.icE Cb~-~-m~? no repre¥:ntation th at is granting a permit will authorize the permit holder to build the ~ubject s~i1~~~ech ,vnia,-:s:n 0.mr11ct with any appli cable Home Owners Association rules, bylaws or and covenants _th~t may ~estnct or pro 1 .s~n.JC'J.Jre-. ?lease-consult with you r Home Owners Association and review your deed for any restrictions which may apply. n-;:Dl.S O'Efatiorr of the-granting of th is requ ested permit, I do hereby agree that I will, in all respects, perform the work ;n at.'"'2J'fciam:e-with the approved pl ans, the Florida Building Codes and St. Lucie County Amendments. ~,e ~lawing building permit app lications are exempt from undergoing a full concurrency review: room additions, a;_--...c::::""SJf',f structures, swimm ing pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNlN.G TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for improvem e nts t o you r property. A Notice of Commencement must be recorded in the public records of St. _uci e County an d posted on th e j obs ite before the first inspection. If you intend to obtain financing, consult N ith lender or an attome before commencin work or recordin our Notice of Commencement.
STATE Of FLORIDA , __
COUNTY OF ) I L L,{ C I €
3Ncn :c (or affirmed ) and subscri bed before me of
/ ;;~/seal P"re5crtCE or __ On line Nota rization
:nis -~ Q@/ of j -e.,r.1fr 11,._J, i < , 2020 by
\l ane cf ;,:er~ making ':tatEment.
v ::r'='-""'-7laly i<aawn ___ OR Produced Identification
-JUE ':f c:emffe::tion
::r ,..-:dt.!CB:
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Sgrrar....:r~ cf 1'10tcr/ Public-State of Flo rida )
Ccmmi!=iarr Na. !-, '.;. r, ':I') C; r
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Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ___________ _
Sworn to (or affirmed) and subscribed before me of
__ Physical Presence or __ Online Notarization
this __ day of ______ __, 2020 by
Name of person making statement.
Personally Known ___ OR Produced Identification Ty pe of Identification ---Produced. __________ _
(Sig nature of Notary Public -State of Florida )
HEN
missi on No.______ (Seal)
?E'/l E/1/5 FRONT ZONING SU PERVISOR PLAN S VEGETATION SEA TURTL E MANGROV E
REVI EW
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