HomeMy WebLinkAbout4041 Wayne Ave Permit App 1 (2)a NcY# Applicabl e
Name:
Add rest_
CRY; State:
Zip; phrlrre —
FEE SIMPLE TJTLE HOLDER: k Not Ap pl i-cable
Na rne:
Add ress:
Zlp; Phone;
MORTGAGE COMPANY: Not Applicable
Name:
Address=
City: State= _
Zip; Phone:
BONDING COMPANY: Not Appl ica b le
Name:
Address:
City-,
Zip: phone -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made tc obtain a permit tv dip the work and installation as lodicated.
I certify that no work or installation has Commenced prigr tv the issuance of a permit
St. Lu 4eCoun makes -hu representat�gn that is granting � Hermit will a uthorz�e the ermit holder to build the sub*1 svucture
which is in conk# with any applicable Home Ow vem Association (ules} bylaws ar 2W tmenants that trick restrict or prohibit such
structure- Please imnsurt wrM year Home Qwnfts Association and review your deed for any restfictims which may apply,
In consideration of th.!� frandrig of thili requested permK I do hereby agree that I will, in al I respecLs, pedwm the work
i-n acmrdanee with the approved plans. the 1`101l'i-da-Buildinryg Codes and SE Lucie Counter Am -end rmenU.
The following building pt�rrn it appiicafkms are emempt frown undergoing a felt aancurrency 7eview, morn additions,
-acoessory strucWres, swimm ing pomolsr fences, wallS, *.m% screen rooms a nd accerwoly uses to another norH-esideutial use
WARM NG TO OMER. Your failure to Retard a N0t11e Of CckmrnencNyKint Fnay result in eying twice for
i rnpr6veme rrts to yqu o party. . otice of Comm enceme rrt must be recorde the pu t re rd� of St,
Liucie COu my a n( p d on the site Te the first i nspectio y_U , r w obtai na n onsr, It
wit n e r a orne efo o enci n� work or re��rdi vo e N of r�nR,R.�
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SW to or aVi rmeda and su bsr-h bed before me of
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