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�No Applicable
MORTGAGE GOMPAl Y.-
NotApplicabie
Name-
Name;
Address:
Address:
city_
Stare:
City:
State
Zip: Phone
Zip, Pbone_
FEESim in HOLDER:
Not Applicable
BONDING COMPANY.,
NotApplicable
Names
Name:
Address.
Address_
ice=
irrty'
Zip`_ Pbane•
Zip: Phone-
UwmhRl cordIRAcTORAFFIDVM Applicatlon is hemby made to obtain a permiEm Ito xne womann 1nstatlauun as inumuLuu.
I cerdfythatna work arinstalladon has commenced prior tothe issuance of a permit.
Sir Lucie Coup mates na reprernrrrat;on that: is granting apermitwill autho4zethe ermit holderta build-diesuhectstructure
which kin cosieswith any applicable Hoare OwnersAsw4aitort rules, bViaws grand covenantsthat n ay restrictorpralrihltsuch
structure_ please consultiTO your Horne Owners Association and reviewyour deed fnranyrestrid3onsvui�l�t may apply.
Inconsidem on-afthegrantingo€tftisrequestedpermit,ldoherebyagreetha€loudl,inallrespects,performthework
in accordance vuith the approved plans,'the Florida Build ng Cc]des ar d SL tude Cc)mAY Amendments
The following bull dingperrnit applim lions are exemptfrom undergoinga full concur 1Mq re% ieW-' roum addidans,
amxe arystmdurasrswrmtningpools, fences, walls, signs, screen rooms and accessary usesiyianothernon-residential use
WARNING To OWNEM Your failure to Record a Norfiee of aCommerimment may result: in your payingWce ibr
imgr�vemett-� �� �ro[�r l3rope�- A Na�ice vi• Comrrie»i:emerffmust beretarded and paslled ol� �l•[e �ala�te
before!a-nrsl irpec€on_ Ifyou �ntendta abiain financi3t c�r�suftvuitlt leriderairan attvrneybefc�re
cctrmrtencinE vu[trk n1^ t ec�rdirti; your i a i of Camrr[en rnerr . n ---- -
far owner
of Cord ckc;rj1jcenseHolder-
STATE OF FLORIDA STATE OF FLORIDA
couma> Indian River COUMYOF Indian River
Theforgoinginsirumentwasacknowledged before me The forgainginstrument was acknowledged before me
finis 3 dayof Ja z€i.� by this_3 _ day of Jart� Tar �2ti� by
Narne 4person matdrigstaternent. l Named€ person mak ngs Trent -
Personally Known X ORProduced Identilfication
Type of ldenMitat on
Femonally Known X OR Produced IdentiTtcatiQn
Type affdenti icadon
€Sgnatum of NCO ;signature IV ulwle-
rfu�.i. Notary Public StM of Plorlda , � Pafn9i8 Dy 4""e
Cara s.40" No: � � commission PAY Cammleslori GG 2�@al]
eve► MyCwr 91QBJ2022 258115 S1B8I2022
REVIEWS FRONT ZOMING SUPERVISOR PLANS VEGETATION SI:A` URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW I REVIEW