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0ES16itiiER/ENGINEER:- �s Not` �1!cabie
?Pla MORTGAGE.COMPANY' X NotApi l cable
Narne: Name-
Address: Address:
City. Stafc City. State:
-•p• .
Zr • Phone Zip: €hone:
>FEE.SIMPLETi`i7:E;H01bEW x�NotAppll+cable B0146ING•COMPANY: :x_f ot.App'liable
Address: address:
city: city..
Zip -Phone:: Zip: phbne:
OWNERS£0{dTRAC`fCIR'AFFMITt Applica�on is heto>y made-to obtain-a-permif'to dothe;work.and installation as lhd sated:-
' Icertifytf�atnoinrorlcgrinstallatlon:has"commettc�d•"prior•totl�ieis5uanceofa�perrriit.
St,lucie Cotinttir ma e3 na:representation'that is granting a permit will..authdrize the"purnit holder to.buildthe sub}ect-Aructure
" v+ihich fs in ton ret.wrth anx.appticable Horrie:Owners�lssouatran ru.tes,bylaws ar and"cove»ants that:rnay'restrict orprohibitsuth
structure.,Piease.consult u►nth yaur"Fiome;Otiuners'Associativq and:reviewyaur-de.ed"for anv restrEctions which mayaoply.
tri'eonsideratlon"of the"grarrting of thls.requeste permit,i do here W—agreethat I W1I .lh aR respects,perforih the-work
in.accordanceviritt►"theapprovod plans,the�lorida�.BuiJding Codes ani3-S�Lucie CouRty..Amendmerits. ,
The folEowing'bwlafngperrraitappllcations.are.exempt frani on rgoln"g:a full concurrency'review:rgorr�add[tions,
accesso .str.out.. swlrnrlli.
ry , , rig pools;•fences,wails,.si0$,screen.*ms and accessary uses to another non-resfdentfal use
WARNING TO"OWNER Your'failure to Record a Notice of Cotnmencement'rnay result;in paging twice for
improveirnents to your property, A Notice of.Cacnmencement.must be recorded in the.publtc.records of'St.
ucie County arid'po ed.on the joi ite beforet nspectlon.If.you intend to obtain-financing,"consult'
withlender atta before coin' work ir.recordirr .:our Netice of Commencement:
- - t
atyr'eofOvmet/Lessee aciaras.Agent o"e Ovirirar Signature.of zontractdr/License bolder
.STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF. - Comv of
Swrorn to(w affirmed):and-subscribecl_befare rt elof' Sworn to{oraffiirr<ed)arrd.subscribed'befare"me of
Physical'PreseAte..6 Online Notarizatiot Physical,Prasence ar Online;Notarization
this day of .2020.by ; this day of .2024•by
Nameeof person rriaking-statement. Name of person:making:statement.
Persanaliy lCnawn QR Produced ident}firadon Personally.Known OR Produced Identiftratitton
Type of ldentiftcatlon F1rpe afidentiftcatlort
Produced Produced
lSignatiire of'i+laiaryPubl'sL State of.Plori 0 i (Sianature.of Not, Public-State:.of F oriiia)
Consmission No..�- (Seal)_ Commission N& :(Seal).
REVlE1RlS FRONT IONING SUPERVISOR PLANS �VECETAT10i�1' SEt4 Tt1RTI.E MANGROVE-
COi:INTEIR• REVIEW REUli1111 R!ti'I411 REVlEV1f REViE1fV REVIfI[
*TE i
RECEI, E4'
DATE
COMPLETED ;
v_
; ..
ACKNOWLEDGMENT
A notary public.or.other officer completing this
certificate verifies only the>identty of the:individual
Who signed`the document to which this'certifcate'is
attached, and not the truthfulness:; accuracy,,or
Validity of that document:
State of California
C,aunty of RIVERSIDE �.
On 11.5.2020" before me;, S LUCAS, NOTARY PUBLIC:..
(insert name.and title:of the officer).
personally appeared NICHOLAS ANTONY FLORIO
who proved:to me on the,basis &I satisfactory evidence to be the.persons)whose name(s) is/are
subscribed to the within instrument-and acknowledged to me.that lie/shelthey executed:°the same in
his/her/their authorized capacity(ies), and'that by his/her/theirsigriature(s) gn the instrument the
person(s), or the:entity upon behalf of which the person(s) acted, executed the instrument.
I certif. under,PENALTY OF PERJURY under the laws of the State of California that the foregoing,
paragraph:is true,and correct.:
s.LUCAs
WLTNESS.my hand and.official seal: x '`•�A t
-- Notary Euf lic tai9,ornia z
2 � � - Rivergids trs�nty
Z t �onmission 91243822
MY Ebmm.Expires J€n.;19,?4Z?
Signatures (Seal)
z.
}
A notary public or ofher officer completing this
certificate verifies only the.identity of the individual
who signed the documeht>to which this:certificate
is attached, and not.the ir-Uthfulness;,accuracy, or
validity of that document.
State of California
County of
Subscribed-.and sworn to (oraffirmed) before me on this 5TH
day of .NOVEN 66k ,;20 2Q by .
NICHOLAS ANTHONY,FLORIO
proved to me on the basis of§atisfacfory.evidence`to be the
persons) who appeared before me...
S.LUCAS_
ry NotacyPL6H6 611fomia
�'�' Riverside Cour�cy
Cormmissiort#2243822.
MY Comm:Expires:tun 19,2022
(Seal) Signature ;