HomeMy WebLinkAboutBuilding permit , page 2ToWEM ENTAL C0NSTRUCTION LI EN LAVA 1 N F 0 R MATI ON',
D ESIGN-ER{ENGIN E E R; _ Not Ap pl I cebl p MORTGAGE COMPANY:
Karne: _ Name-.
Address,
--. Adcre55'
CO:_ State: City,
Zip: Phurre Zip: � Phone:.
FEE SIMPLE TITLE HOLDER'
Name:
Address:
Cie;
zip:.
Not Applic@We BONDING CO MPANY;
Name -
Address: —
_ . ... _ ._ . City:
Zi-p: Phone:_
OWN EFT/ CUNTRALL70R AFFI DVIT: Application is Fwruby+ made to obnin -� permit to do the work and irtstallation as indicated.
I certify that no work or install a n has cmrnenmd prioc to the Issuance of a pemait
St. Lucie Cvunttyyr makes no r-epr-eserildtion that is granting a permit w0l authorize the permit hcdder t� buil.d the 5ublect stru{ture
which is in cofyflitt awFth ary applicable Rome Owners Association r ulCs, byrlgiws i>r -a nd covenants that may restrict or prohibit such
.Sxu4tUre. Please co mutt with your rLame Owners Assoda ion and review yow dec4d for env restrietlons which may apply_
Not Applicabif
Stale:
Phone:
Not Ag)pli bl e
I-n eoquidom kiori. of the granting i,-f thl:� requested peninit I da hereby agree that I will, in all rMeets, perForm the work
in accorda no,-. w6th the approved plans, the Florida Building Codes and SL LuCiC County Amertidni-ents.
The following building perm it applications are i�x empz from undergoing a full conourrenCy rowiew; morn addrti(3r►y%,
accessory structures, swimrn ing poll, fences} wa'Jls� s;-Ins, screen ei?�oms and acce55oiy uses to arKOE!r rron -m� ide-ni ial use
WARNING TO OWN ER, You r fa du re tv Remrd a Native of Cr}mmencemern may resu It in paring twice for
i mprevern ents to your property- A Notice Qf Commence meat m ust be recorded in the pu Mirrecords of St_
LtiCi Q! Counly a nd postitid on the jobs€te before the first i nspertion_ If you intend to obtai n fi nancin& con suit
with lender -or an attorn before i; rrl mencl ng work or recording our Notice 4of CommenCemerit
j S:gnat a` wne- essec- Con.rackcr as Agent f-ar Owner Si re of actor{License Holder
STATE OF FLORI!j��
COUNTY OF 3�.c
5�wwi to (or affimi ed) and s+ub6criibed fare me of
D#ryrsical Presence or Onlfrle Notarizadon
this T day o` 29.-� . 2e2 J by
j o.,
Name of person makf nig starternam,
Personally Known OFt Produced 1-demilcuion
Type of Identification
STATE OF FLORIDA
COUNTY OF- r. - R l E0h
Swqrn to (or affirmed) and sufSvcribod before me of
Phy�sical presence or Online Nmarization
thf5 j . 04 -�i Ehl t1aR: � 2102"
Name 43f person m�hkirik .ckntom -
Pler!sonatly KnCrwn
TV I-drS fiCakiCn
P�oc!Liced
OR produced Id-entrh{ation
attl hWAry f u
state &ni rida
o scion f+Eot
L ]
• T�-
HGiary k Stale ar FWA
Fx sr..; er
M} �d =1 V 131 azi
rYlf�} Oert2Y�trp1
Sfe s4am or Rmrd
p��ilYtilSElioih l�10� n Paull
C1 I I C i�� ^ii �onvnl+s.ar:t iy70�S
REVIEWS FRONT I ZONING.
COUNTER REVIEW
ELATE
RECCIVCD
N DAT C.
COM PLETE0
S-IJPEKVP� 00: plANS VE-GET1kNON
ReVIEW IREVJEW I REVIEW
SEA TURTLE MANG RODE
REVIEW REVIEW