HomeMy WebLinkAboutApplication (2)SUPPEEIDIEM IAL CoN5 I RUC I ION ❑Eli GQW INFORMATION:
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DESIGNER/ENGINEER: _ ROL Applicable
Commission No.H 45659
MORTGHGE CC;MIrNnlr:
—IQot Applicable
Name:
EVIw23,
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Dame:
Address:
. s0�111M Ywi•QrL4:
4,e:iw 521101 Th d6AW
PLANS VEGETATION SEA TURTLE MANGROVE
Aotfress:
FRONT
City: Jtate:
SUPERVISOR
City:
State:
Zip: Phone
REVIEW
4ip: Phone:
DATE
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING CUivriPmMY:
_/Got Applicable
Name:
Fm- m:
RECEIVED
Address:
AC1arr-33:
City:
City:
UAIL
Zip: Phone:
yip: Phone:
OWNER/ CONTRACTOR &FFinVIT- unn1irMrin- i R_E_rs
_
A_ r_ _F;? i. 6t r_ atR
.. .,rb A : ,11, .�:__
�u�...rv��. asna. Ij%V I OL'U" a.].wR.a%eU.
I certify that no work or installation has commencetf prior to Me issuance or a permit.
Jt. Lucie County maRes no repro-ent,.tiom tRat» griamtimr, a permit will authorize the ermit holder to build the suuject structure
which is in conflict witR any applicaDie Rome Owners Assoc.otlo., . elea, Sylu z or ana cavcm—ts that may restrict or prohibit. such
.tractare. Please consult with your Home Owners Rssociation anuu review your peen tor any restrictions ..RieM mg., -pply.
Im com;iaeratio„ or tRe grantine of this requested permit, I do hereby agree tflat I will, in all respects, perrorm Me —...FR
in accordance with the approved plans, tree Floritia Suiltfing Cones anti m. Cede Coentr ArReR7... r -M3.
ne ioilowing BuilMing permit ap,,aie..dvo ire e..crmpt troml amaefg.,irig a full concurrency review: room additions,
accessory structures, swimming pools, Fences, wads, signs, screen rooms oma z;eee»ery e3e.. to another mom -residential use
WARNING I 0 VvvMl!R: your failaro to Rcaora a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must Be recorueu in the t,ublic records of St.
[ucie Con.A. and postCd on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney Qefore commencing work or recording our Notice of Commencement.
Signature of caner/ Lessee/ContrUor as Agent for Owner Signature of Contractor/Licen older
STATE OF FLORIDA —i I STATE OF FLORIDA -
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
S orn to (or affirmed) and subscribed before me of
Physical Presence or O ine Notarization
this -L& day of 2020 by
DENNIS ZACEK
Name of person making statement.
Personally Known X OR Produced Identification
Type of identification
Sworn to jar affirmed) and subscribed before me of
W Physical Presence or On' a Notarization
this 1k, day of V. Ls 2020 by
DENNIS ZACK
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced , _
(Signature of Notary PublI
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nature of Notary Pub Ic
Commission No.H 45659
M!Y CHH
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ouvaivAUKLIS
C No. HH `;_ WCOMIMIESSIMJHH0
EVIw23,
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mission 045659
LLi�r
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. s0�111M Ywi•QrL4:
4,e:iw 521101 Th d6AW
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEWS
FRONT
ZONING
SUPERVISOR
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
UAIL
COMPLETED