HomeMy WebLinkAboutbuilding permit application (2) SUPPLEMENTAL CONSTRUMO LiEN 1AW FC3RMI ATI€}N:
DESIGNERIIENMEER- _1Vot Applieabte 3RA6E A1h _loot Applicable
Name- wine:
Address_ Address_
City. State: Gty_ —state_
ZIP- Phone Zip_ Phone--
FEE SMPLE TITLE HOLDER-. y Not Applicable BORMING COWANV —Kurt Applicable
Nante' Name-
Address Address_
City Gty
Zip_ Phone_ Zip_ Phone:
Si Cy -won is hereby madetp Ober a per na w dothew and mmti PaSm as aufkated.
I certify thatna work or installation hasmmmenced pnorto the issuance of a permit
St Lucie County makes rL ' that'sgaant-ap.egni,will authorize thepermit hcak�tobuik3fhesubjectstructure
which amcoxwithwyapplicable Horne Owners As arules,bylawsorand cnvenan#sthatr >estrictorprohibitsuch
structure_Pleaseconstawithyor_�domerwnersAssociabbinandreveewtyourdeedfuramfr. riciicue<_sefsectsmayappty-
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 itteapproited plans,tine Flonda Budding£adesand St Lucie Coun#y Amendments.
The following building permit applications are exempt from undergoing a€ull cone€meney reviews room additions,
accessory structures,swimming poulg fences,walls,signs,screen rooms and accessory uses to another nor"esiderstail use
WARMING TO OWNM Your fire to Pecord a N at ke ofCamniencerme at rrmy result in v-oi r paying twice for
improvements to yaw property-A N crfwa of Ccirnrnencement must be recorded and posted out the jobsite
before the first inspection.If you intend to obtain frrtandrig,consult with lender or an attorney before
ccrrltrtrencicin wort or recording your Notice of Commencement_
signature of-Owner/Lessee/Contractor Agent weer signature of Contractar/license Holder
STATE OF FLORIDA ' ,.^.^ STATE OF RDRIDA
C OF S' t l� COUNTY OF 5t
The forgoing arstnsmeutwass acknowledged before me Thefrugoing mstpurnerit was; nowledgedbefaveme
this 1�1W-dayofte,�Whtb2( .267b by US&-day of Deegmbff 2{# ,0 by
F. &y(e, WcW F BovI&Name.Of PersoriAlaking stfitement Name of persoyfiraiddrigsta aera
Personally Known OR ProIdu ed idadifiratiort Personaffy Known V Oft Produced identificafbon
Type of IderifficaUcirs Type of Identification
Produced Produced
(signature,ofNotaryr -c-Siateof%ricfa) ISigraatr_xeofPdptasyP ic--State c`F r
CArprrls59ran pup- :�yx"ip•., CHRISTI I'bE CONWELL CAmmisson � ,;ti ` >ue CHAISTINE JOYCE CONWFL ea
Notary Public-SState of Florida ubllc-Stat 61Y1
Commission t 00 984701 y ; Commission p G 9847 2021
My Comm.Expires Aug 2l,tON = ,.,,;' My Comm.Expires Aug 21,
h National Notary Arm•
REVIEMWWS €?c r SLIFERVTst}R PLANS VEWTATM SEA t-fIRTLE MANGROVE
COUNI''m REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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