HomeMy WebLinkAboutVandell AC Change out permit app pg 2 001SUPPLEWWALcowmcrm Lim L w wo RmA-nolq-
DESiftk R[El !€EMI: _NotAppiifahle
Name:
NMT&4GECO ANV: Not Applicable
Name:
Address:
Address:
Cw— State:
Zip Phone
City: State:
Zip: Phone-
FEE SIMPLE TITLE IIOLDE y Not Appikable
Name-
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone.-
Zip: Phone.
IOWNER/ ODNMCFOR AFFIDYi%Application fs hereby madeta ablaut errini a pto do the work and installation as indicated.
certify tilat no wont or installation Ms commenced prior to the issuance of a permit
5tLutieC:aa ttvv makesrtoteprr�ttatiantisatisgrantiagapermRttrlllrealfttu�themitholderto6uiidfhawb' structure
i str� t[u�ienPi �t�wttlt applie�ble Home Cleaners Assocaatitsss rules, bylaws grand e�venants thaisrtay restrict ar ptauibit such
u cOrtstrlteat!!tyma.11ameLArartersAssostaflonandremewycturde�#arartyrestrictior�wh"celaraayapply.
In consldera5on of #te granting of this requested permR ! do heret>;r agree that! wit# in all respects, peeforxrt Uae work
in arsarrlance with the apprtnred plans the Fiarlda building Codes and St Lucie County Amendments
The following bolding permit apFlicatwnS are exetnptfrom undergoing a fill!l cart
accessory stmch es, swimn*%pack, fences, wails, ngXy US reto a : room adddtioid
signs, screen rooms and acces�atty uses to artotlt� non-residential use
WARNING TO ER: Your fi0m to Record a Notice OfCornMenOffinellit may remelt in your paying tmike for
improvements to your property_ A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection!_ if you intend to obtain financing, consult wft tender or an attorney before
Signature or weer/ LessW`Contractor Agent for caner Stgnature of Corttractarjlicense Holder
STATE OF FLORIDA STATE OF FLORIDA Cl
COUNTYOF c } . L UP! C� COUNTY OF !
The fogrgta+'ng entttras admawledged before me
this - of NW 2020 by
michae! F. 90 le,
Name of person ement
Personally Known OR Producer! idertificatiou
Type of identification
Produced
Commission No.
son
REVIEWS
COUNfEtc
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Rorift )
wni>n9E JOYCE COINWELL Notary Public . State of Florida a,TT...,__ ..
2024
The fo�grang 9 was admowledged before me
this €mow day oof Woo ( _ 20 20 by
micros! F Bum
Name of persoprMalarig StEadment
Personally Known V OR Produced Identification
Type of identification
Produced
C�� � . &��
,Signatureo€iifotary !ic-State of Florida)
- s •ii
-CNRtSZ{NE JOYCE CohRMU
Notary Public • State of Florida
Commission # GG 9E4701