HomeMy WebLinkAboutpeak permit 2 001SUPPLEMEWAL CONSMIMON UEN t A tlrlFt?IMATION:
IJURUNEWENGIN€ER: _ Not Appl t fE
M�RTG &E Cl3 PRl11Y Applicable
Name
—Not
Name:
Address:
Address_
State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
BONDINGCOMPANY: Applicable
Name:
___Not
Name
Address:
Address:
City:
city:
Zip: Phone-
Zip,_Phone:
- -x: - to , +te7slir�Ster r T-'":'r ., z • nz [ MIT
St. Lucie Co makes no representation that is f
which is in tanalict w,th any applicable Home Own
structure- Please consult with your Home Owners
such
In consideration of the Wanting of this requested Permit; I do hereby agree that! AWN, in all respects, perform the work r
in accordance With the approved plans, the Ronda Building Cods and St Lucie County Amendments.
The f allowing buiiding permit applications are exemptfrom undergoing a full concurrency review: room additlorts,
accessory structures, swuntrurtg pools, fences, wags, signs, screen rooms and accessary uses io another non-residential use
WARNING TO O MiUER: Yowbiilure to Record a Notice Of Commencement may result in your paying Mice to
improvements to your properly. A Notice of Cornmencernent must be recorded and posted on the i bsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work nr rpmrrlina v ,,r ar ..m .,4: r,,,.,...,..„....�_�
5lgnatnre DfONnter/tESSeQeantraCtOf�' Agent fDr [ter
ture of tillfitraCtarftiEenSe Holder
STATE OF FLORIDA � i ,'r'
COUNTYOF 11/>� tl.
STATE OF 3R1i3#a
COiiCdW
OF j
TheS�•
this fD d n�� Q owledged before me
Y $rH� by
The farg ing instrument was a aWled ¢;:fore me
thts�da 4.JO ¢
_ng
of 20 y
Whaet F &• le
slidW F &Vfel
dame of Person :mein
Name of persop to sta nt
Personally Known OR Produced tdenificetioa
Type of identification
Personally Known 1f OR Produced tdeniiRcation
Pr/oduceedd,(�
Type of Identification
Produced
d
(Signature of Notary i a
(Signattrreof Notary State Rorida
J '
;yp- CHRiSTIh'p„JpV
commission tda_ ; • Notary Pu E CONWELL
to of Florida
TWO- Of )
Commission "
•:. : Commissior. N GGAS4701
•,,nr N„% MY Comm. Expire,
- JOYCE CONWELL
¢y3 �� `•€ Notary Public It"
Aug 21, 2024
Bonded throu h
State Of Florida
P' Commission M GG 984701
�arA�i
REVIEWS FRONT ZONING SUPERVISOR
Bonded thr u h Nat8 r
'
PLANS " - ANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED