HomeMy WebLinkAboutBuilding permit app pg 2 001SUPPLEMENTAL CONSTRUCTION UEll LAW INFORMATION;
DESIGNER/ENGlPEEEEt:
—NotApplicable
MORTCAGE
_ No€ Appl€cable
Name:
Name:
Address:
Address:
City:
State: -
Caty-
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
y Not Applicable
BONDING € OMPA -
trot Applicable
Name:
Name -
Address:
Address -
City:
( City:
Zip: Phone:
zip: Phone:
1no work or installation s commenced prior to the issuance of a permit
structure- Please consuit ivrin your Home OWners Assocrartan ant review youraeea for anyresmcuons wrum may, appm
in consideration of the granting of this reques€ed permit, t do hereby agree that I wilt, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St- Lucie County Amendments.
The following building permit applications are exempt from undergoing a fill[ mneurrency reldelAr room additions,
accessory structures, swimming pools, fences, walls signs, screen rooms and accessoryuses to another non-residential use
WARNING TO OWUM, Yaw fa'si ire to Record a Notice of Ctimmencement rmy result in your paying mice 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 with lender or an attorney before
e-nrnincrefinu vn„r hlrkiiro of rnmmani-amprvt
Signature of Conira€turAicense Holder
Signature of Owner[ Lessee/Contractor rent for weer
FLORIDASTATE
COUNTY St. Ly6e-
i�ll�A
ccxl �Nn ci%
CO NTyO
The forring instrument was acknowledged before me
The forgoing instrument was admowledged before me
MOO`
this day ofWOV 202o by
thisjq4%, day of 201L by
Michcl A F S le,
micln A F !�
Name of Cement
Name of perso al3iig star ent
Personally Known OR Produced Identificatdon
Personalty Known flR Pratiueed identification
Type of identification
Type of identification
Produced
Produced
®0�
(SIgraiure of Notary €ic Sta €
(Signature of Notary P - State
Commissi U,, CHRISTNE JOYCE :anw[LL
ic-.._ a[a o`E
CommBsion 3 GG SE:701 a
;1y5 - CHRISTINE JOYCE CONWEIL
Commission fU .,. r: Nor .ublic-State�Q�
;. ormis ion ' GO 4847 1
C 2024
' MY Comm, Expires A, 2'�, "s024
.... �:, sy Corr. _ ,fires A5 2[,
.,OF...,,
....,..., to Assn,
,.
nded :hryhi['.era; so[ary Assn.
REVIE
FRONT
ZOMNG SUPERVISOR
PLANS
VEGETATION
S ATIIR[IE
MANGROVE
COUNTER
REVIEW REVIEW
REMEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev_812/17