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Ft.of First Floor: Cost of • • 6,178.00 ■ Building J:J`,`i'o,. =::"r:5.:,r.":�:,dtry,,"a.`.aA\` _—_ to'arvry,tHWv.•,•>M „a:,✓,v;�ra ':a"'F.r:T; Ra,.,r�a-.+.,. ^t<t,•,tsmt'aawa.: &q;,tt ,'„t.,. "`s•;�,.✓;. :,`^.0'c"...a:•. a"'i an:'� ,•0i N"^ °`:.o•,",Tk' -Y4.o.a :r„a'„$•"a,ha:av 4 ... x.:sS S'..�'"•? i . t a.: a",t..r, �a ,v5.4, hJ3 :.`a.., a: w t•;cN,�::•a+a•S,: a.ara ,�`y;?: r?a.. a°�"a.�„ ,,.a.. .✓..r:.,.,.4.. : ;:...^.�v`r..t.^,:4,a...:4��;W,:;,i.M..oKc.�.,�;z.,,.5..;":r.,,,....r:.,,"-,.s.>:••.t..,.:." .:,;4;ci? m;4.... .... n ..,. .... .. .. .. 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Address: _ Address:_ City: State: City: State: Zip: Phone: Zip: phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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 au 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 recordin our Notice of Commencement. _Signature of Owner/Lessee/Agent Signature of Cofltrect r/Uc nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF $T•LUCIE COUNTY OF 5T-LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 1 day of 6e/Z_ 20 by this day of§&AhffaJW20 by CHRISTOPHER W.RICHMOND CHRISTOPHCR W.RICHMOND (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of FI a) (Signature of Notary Public-State of Florida) Personally Known X OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. GG 326515 mission N0. GO 326515 Notary Pubbc e0i of F Pttbk 81a�Deana M Dplte Of F Deffna AA p w f=xpira!GU72fZD28 M Expo / �828615 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO M P LETE INITIALS