HomeMy WebLinkAboutGuerra AC Change out permit app pg 2 001Address:
City: State:
Zip- Phone
tAv IN►tFORMATNON:
r•• e
_ riot Applicable
Address: _
City: State:
Zip: Phone
FEE SIMPLE TITLEHOWER. s Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City
Zip: Phone: Zip: Phone -
CONTRACTOR AFFID ill!imnlimllim is itsa#x,.A.:»nlss-sin �.�ne,...;i+.,.t..sR......_a. _..a :_We._'____'_'.__—
I certify that no work or installation has commenced prior to the issuance of a permit
a� ucie sours no representation that is granting a will authoiee the ermit holder to build the subject structure
which is in ui[d3iany applicable dome Owners Assocation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home owners Association and review your deed for any restrictions which may apply
In consideration of the granting of this requested permit, t do hereby agree that t 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 c imairrency 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 ofCommencement mW result in your payft twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the lobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recording vaur Nrrtirp rif frirn anramant
Signature Owner/ lessee(ContractoF Agent for caner
Signature of Cofactor/license Holder
STATE OF FLORIDA Ct . 1 r ,
STATEO FLORIDA
COUNTY OF JJ •VIA el e'
O Q/
The foFgoing instraimentwas admovAedged before me
The forgoing instrument was acknowledged before me
this May of Die- 2020 by
thisAr&dayof %2?C• 20 Lt by
Pk-1Ae ( goy le�eme
t i�
Name of pers nakmg temert
perso
Name of persa akiiug scat ment
Personally Known OR Produced identification
Personally Known OR Produced Identification
Type of identification
Type of Identification
Produced
Produced
�L Z!(J
— &Z'f'L(/'a16
(Signature rs Notary P r. State of iorida }
(Sign tureof votary P c--State of Florida )
Commission No. =tiJY^`•..+, CNRISTINE oNwELI
{�F
Commission No.
• o ry Public - State of Florida
tb Commission p GG 9R410t
21, 2024
CNRISTINE JOY ELL
'c'* a'S.
( Notary Public - State of Florida
-1Commission
or cY My Comm, Expires Aug
7 g GG 984701
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REVIEW
REVIEW
REIrIEW
DATE
RECEIVED
DATE
CQNIPIETEI?
Rev. $(2(17