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HomeMy WebLinkAboutTrombley AC Change out permit app pg 2 001SUPPLEMENTALCONSTRUCTM LIEN to TKA= _footApoi€ableMORTCIME PA `g_ A licabie Name#�•E[t/E[�filNEEi�: Aaroe —Nat Name: Address Address: St • � ate Zig: Phone city: State: Zig: Phone: EEE SIMPLE TITLE HOLDER: _•,_ NcF Applicable BONI�I CDMPANY: Agplttable Name• —Not Name: Address: Address: City: City - Zip: Phone: P Phone: t3tss£si£ccrd CAaar®aa�xez �s�...o..4_ a..n...,,,..:,...a�vi;R; Appffewdon is hereby made to obtain a yermitto do the work and 2s>staHation as mditcaeed- I certify that no work or Installation has commenced prior to the issuance of a permit. ooh Sin un r r �l Om gr�a�nti£?g a permit will authmr[xe the permit holder W bind the subiect structure In consideration of the granting of Vas requested permit t do hereby agree that I will, in all respects, perform the work in aLCordance with theapproved plans, the Florida Budding Godm and St Lucie County Amendments_ The fallowing building permit applications are exempt from undergoing a full concurrency review room additions accessory structures, sirriFnming printsfences, wall,: saris, screen rowns and acces_wry uses to another non residential use WA II '- O OWN Yow fa'slare to Record a Noticeof C resatl8 in yaai€ g th a for improvements to your property. A Notice of comrttence . ent must be recorded and Po; -ted on the jobsite before the first inspection. if You intend to oittain f nnnrin siguansre O Owner) LeSsWICan'trioctoF Agent iOF wn£F Signature of CantractorAicense Holder STATE OF ELd3R#i3A _ ! r,. 1r� STATE OF FLORIDAS 1 �j Q1 COUNTY ®€ l -Wk l COUNTY OF The fa,rTgping instrument was aclmowledged before me this -ri dayof_P4r)y(,rylbL( 2dZo by WOZ4 C. IES I ame of person/nattingstAtement Personally Knowm OR Produced idendfi ation Type of Identification Produced {Signature ofHotaryPu - Commission filo• ?<a'v r�k., CHRISTINE JOYCE CONWELL - IiftiCLPubllc-Stj6t�i91orfda • 4477 'sg Cammission N GG 9B 1 My Comm. Expires Aug 2i,?024 rou h National Notary Assn. REVIEWS ;FRONT ZONING- SUPERVWR COUNTER REVIEW REVIEW ev. The fo inginstrumentwasacknowiedgedbeforeme this JO day of !kVern 4jt r 2.020 by WC% F GD N me of perso along stn ment Personally Known V OR Produced identification Type of ICILmificati©n Produced Commission12711 .°' " CHRISTINE JOYCE CO ELL fc-Statea Commission q GG 9847p1 ti My Comm, Expires Aug 21, 2024 PLANS VE€ATION SEA-1� GAVE REVIEW REVIEW REVIEW