HomeMy WebLinkAboutBuilding Permit ApplicationL
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I (� �j
Date: T �Fs Permit Number: O
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DESIGNER/ENGINEER: _ Not Applicable
Name: Keesee Associates
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d re s s : 945 South Orange. Blossom Trait
Address:
City: Apopka State: FL
Zip: 32703 Phone407-880-2333
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not App.licable
Name:
Address:
City:
Address:
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 and covenantsthat may restrict or -prohibit such
structure. Please consult with your Home Owners Association and review your deed..fo,r 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 JOB SITE BEFORE THE FIRST INSPECTION. IF. YOU, INTEND- TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING'YOUR NOTICE OF COMMENCEMENT."
Signature f— wG J Lessee/Contractor as Agent for Owner
Signature of Con ra for/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2 day of C::>C- t 20*2 Uby
this Z day of OC.. J- , 20 Ftby
JJY \I G ►'y -Rd a YY1 S
� V-v � � � C{ M S
Name ofiperson making,statement.
Name ot person making statement.
Personally Known x OR Produced Identification
Personally Known x• OR Produced Identification
Type of Identification
Type of Identification `
Produced
Produced
(Signature of Notary P liic- Stoat o Florida)
(Signature of Notary Publi tate o FI rida )
Commission No. O u 6 I
(56 1�;^ RiCNARDDOUG
f-OHRSOlir No.
« ' Notary Pebiic -,
tate of Florida ""•
Y P(; •., RICHARD DOUG
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G084821 :'o`P `,'
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n ; • Commission
REVIEWS
FRONT
ZONI "'P'
r' i NMona
r VEGETATION
SEATUR y `
N(NOVrrEEOI
REVIEW
COUNTER
REVIE
REVIEW REVIEW
REVIE
ItuoughNa
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
Florida
is Nor 20, 2021