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Dcq ofCommencement is required '
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DESIGNEi3/ENGINEEt X_. Not Applicable' tAyORTGAGE CQNIPAt1lY x Nat Applicable
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1Valne:, Name
I Address - '`= -' °Address - .I
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FEE S MPLIr TITLE!HQLDEkt x' z I
40A, v�01DlN�,COMPAtY.° _Not;:Applicable;
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I certify-0-ifnoiwiir W installation h sa commenced;pridr to_the;issuance of apermit:
:St.6^ude Countt'y makes no°represenfation.-that'ls granting a:pelmitw ll:authonzeithe;permtt'hoide�to*build the'subjectstructure, '
which.is'tn"confl{ct_with any,'applicable Home'Ow,nert�Assoctatton:rules;t,ylawsor and eoyenantsithaf may rests ct,ar'prohibitauch
structure.Please_consult wtthayour Home,Owners Association;and revtew'y-ourdeed foe'an.y.restrictionswhich mayapplyt
r �Jh,; nsideration:of the._granting_,dt,6is:requested permit;a do hereby�agree t�1at;!':wtll,.tn=all iespec}s;.perform tFie*work_
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to accardance:.with the_approved`plans,-the;Florida,Building Co es.and St'-Lucie County Amendments:
The follawtng l utldmg'permit applications ae&exempffr°.om undeegotng a'full co6currencyrevie-froom additions,,
-:accessory st_ructues swimming pools,fences„walls sign"s,;screed roomfLand accessory uses to another non residential;use: i
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"WA(RNING,,TO OWNER Your failure to Record a lttotice of Commencement may result in YAW paytl�g twice fog !
11rr1provementstto your property Q Notice of Commencement°must be recorded`.antl posted on`the�o'bsite+
beforesthe,first inspection ff you lntendito obtain financing,:consulfwith lender kor an atkorney before
s _'commencin :work or recoi'din our Notice of Ctiiniriencement
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Signature of0 ner/L'essee/Contractor as'Agent for,.Owner, Signature of Contrasar- tcense Holder
rSTATE�Oj Fbd lDA STiATE OF FLORI �t ,
COUN'1 Y aF -1i l COUNTY QF`, � f�n%j _ `
The for ging instru pnt was"acknowl'ed'ged before'me The —g mg ins i nt was:acknowledgetl before:me
for o tru
this, day,of r 20 ?by; this day of, Nil- ,
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'Ray
Plnner Wil.
Scott German
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Name of erson-ac!<nawled in Name of er on acknowled iii
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,(Sign re of:Notary°Public-'Sfate.of Florida.) (Signature of ota, "Rubhc,State of Florida);
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I Personally Known OR Produced Identification Personally Known' `' b k Produced Identification__
Type;of;ltlentification PPi7duced_ _� _ _-.—_ _�___ ___ Type df ldentifiatton°:roduced
Comrnis`sion No:, _ dtlA19N Commssto 5
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IExpires August 31 2021 °a' cta
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N£s 0 1D9t2 23 343-072 -
Revised 07/15/2014;
REVIEWS; FRONT ZONING' SUPERVISOR PLANS, ;'VEGETATION SEATURTLEI MANGROVE
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COUNTER REVIEW' REVIEW REVlE1N REVIEW REVIEW RE1/IEVV
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