HomeMy WebLinkAboutApplication (2)DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
PLANS
Name:
Address:
MANGROVE
Address:
COUNTER
State:
City: State: _
City:
Zip: Phone:
REVIEW
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone: —
Zip: Phone:
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that Is granting a permit will authorize the perimik holder to build the subject structure
structure Please Consult any applicable
Home Owners Association andrreview your deed for any restrictions whicl tmay ay. prohibit such
In consideration of the granting of this requested permit, I do hereby agree that I will, 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 full concurrency review; room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first jnspection. jf, yop)ntend to obtain financing, consult with lender or an attorney yfore
as
STATE OF FLORIDA
CO U NTY 0 F ST waE
The forgoing instrument was acknowledgefj before me
this 19 day of nOV _, 20
CHRIS LANGEL 1
(Name of person acknowledging)
ry Public- State
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/20
JUSTItM IMOPKIKS CONNELLY
MY COMMISSION 8 GG 840682
STATE OF FLORIDA
COUNTY OF STwae
The forgoing instrument was acknowledged before me.
this � 99 day of ri � 20J�by
CHRIS LANGEL
Name of person acknowledging )
re of Nota`rf Public -State
Personally Known x OR Produced Identification
Type of Identificatlon Produced
Commission No.
W COMMISSION 8 GG
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
_�.