HomeMy WebLinkAboutBuilding Permit ApplicationOWNER/LESSEE
CONTRACTOR:
Name rif#& WR lff9 60; :..
Name .-M911p9W e Wk
-Company: wYpn9:98YRjgprf gn169rp.
Address: §@9A §94i� U� Hft 9 W0 02 .:_
City: P9it R. kow State:
Address:.600 69A 90 HWY, I
Zip Code: 49§2.:.: Fax: �(7� � 1 -Z6 .. .
City:' P01, �,: i 994, :. state: R. -
Phone No. (779)NOTO .:
Zip Coder 04P§2. .Fax: (7-72) 97&7@§9
E-Mail: gi�9rQWYf�1 @b&,g9frf
Phone:No.:,(77 ) R7E -65�:
E-Mail: gi�9fi YYynn@bs.-g9rr:.
Fiji in fog 6i►�pie 1119g. H9140 96" n9m �9�9 j if.4iffgr@ng,
from itho ®w►na ii004 060
State or County Licenser W MOP
1f v1109 of:&OWry4ion 16 02§09 or msrp,. R9999p9p N9099 Of 99mmenomonf,1§ r9ayireg.
i�
S;UPP,LFMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Not."Applicable
M19F.MPPHvf —Not Applicable
Name:re��r�e�
Name:.
Address:_
Address: #17{PP�Q%gt?yg"
City: sl4:a�t. State: Fi -
City: State:
Zip::sE44o-9p. Phone:-g7?)w-Oo
Zip: Phone:.
-§1MR9 ` OU H%Pfftr - Not Applicable
� ���� 9 I� I� f.'. Not Applicable
—
Name:-' ..
. .
Name:.
Address:
Address:
city:
City:.
.:Zip:-., ..Phone:..
Zip: Phone:
I certifythat 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 permit holder.to build the subje ct.structure.
which is in conflict with any applicable Home Owners Association 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.whlch may apply. .
In consideration of the granting of this requested permit, I do hereby agree that l will, in all respects,'. perform the work
rnpccordance -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.
WARNIN9 T9:WHEN Qyr follut`� 19'9@Esr l�e1iEe qi �C9R1Ir#gt?c@tig@nt m@y rgolf. ��l r:� y�rr� �q►�ce for
improvements to your; pro perty..A Notice. -of Commencement must e-re.corded an poste on the jobsite i.
before the first inspection.- Ifyou-intend to -obtain financing; consult with lender -or an attorney before..
commencing work or recording.vour Notice of Commencement: .
_Signature of Ownep;Lessee�/1e
Signature of Contractor/License.HoldV
5�`/f�f��'9 of FWRIPA
P�
��]TFAA€9F PM
99FI1 7- ®F S LUCIE ..
9990 r 11 9F ST4u9)9 . .
The'forgoing instrument was acl bwledged before me
The forgoing instrument was acknowledged before me
this. day of
this Lt/ day of
MA,,;fTt+ w? Yi €,wd lJE
(Name of person acknowledging)
(Name of person acknowledging )
(Signature of No y-Public-State of Florida)
(Signature of Notag Public- State of Florida.) :'
Personally Known. X OR Produced Identification
Personally Known X . OR Produced Identification
Type of Identification -Produced :
Type of Identification Produced
Commission No.
°
<"' ,, DOROTHY SKIN :±Y°
Commission'N
: z4 ` ti•: DOROTHYAN IN -
MT MMISSI H 045443
EXPIRES: october 2, 2024
,;. ., MMISSION �i HH 5443 "
_ b" EXPIRES; October 2 2024
4,o°Ft,•' ru
a ers .
ReAs 47/ f .
REVIEWS
FRONT
ZONING. .
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE.'
MANGROVE .
COUNTER :.
REVIEW'
REVIEW .
REVIEW.
'REVIEW
REVIEW.
REVIEW.... "
DATE
1C9N##'� iEf=