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HomeMy WebLinkAboutBuilding permit app, page 2— N ■-•+■■�.•/cira711YCti(: �_ Not Applicable me: MORTGAGE COMPANY: A dress: Name: Ci y Address: Zi State: _ Phone City: Zip: Pholhe: F N E SIMPLE TITLE HOLDER: Not Applicable me: BONDING COMPANY: A dress: Name: Ci y: Address: Zip: Phone: City: Zip: v ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and insi I ce ify that no work or installation has commenced prior to the issuance of a permit. St. L cie County makes no representation that is granting a permit will authorize the permit holder to build the whit is in conflict with any applicable Home Owners Assocition rules, bylaws or and stru ure. Please consult with your Home Owners Association and review your deed for any restrictions which n _ covenants that may restri Inc sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform th in ac ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The I DIlowing building permit applications are exempt from undergoing a full concurrency review: room addition acce sory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resi WtNING TO OWNER: Your failure to Record a Notice of Commencement may result in yourpayiiments to your property. A Notice of Commencement must be recorded and posted o bee first inspection. If you intend to obtain financing, consult with lender or an attorne toin work or recordig your Notice of Commencprnpnr Si ractor as Agent for 0 icense Holder ST4 TE OF FLORI A CO JNTY OF I e STATE OF FLORIDA n COUNTY OF kC?A, r, n 1l, . In . TheFing instr m nt was acknowledged before methisday of The fyo[r_going instr m nt was acknowledged t 2D� by this J ��-_ day of 20' of person acknowledging ) (bigi iat07 of Notary Public- State of Florida ) Pers nally Known CL OR Produced Identification Type of Identification Prod iced ,oS,nr.ye, KIMBERLY MENpEZ Commission No. ,r' b` MY CQM �pA#GG234874 EXPIRE�JUL 04, 2022 Bonded through 1st StateInsuranee RE IEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW C of person acknowl de g ngng (bignatutj of Notary Public- State of Florida ) Personally Known OR Produced Iden Type of Identification Produced Applicable Applicable as indicated. bject structure or prohibit such y apply. work !nziai use twice for the jobsite before me ot,yY ,pVN IMa RLY MEN©EZ Commission No. ?` �� MY CO 1 N #GG234874 EX L 04, 2022 Bonded throu h 1 st State Insurance PLANS I VEGETATION SEA TURTLE j MRA VGROVE REVIEW REVIEW REVIEWIEW