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OWNER f CORACYOR : Application is hereby rwdeto obtain a permitto do the work and Installation as indi®ted
I certify thatno work or Installation has coanmenced prior to the issuance of a permit
St Lucie Co� ivi�matces no representation that isgranting a permit will authorize the permit holder to build thesubjed structure
which is in ctii wide any appfscablee Home Owners Ass�ation rules, bylaws oram3 covenants that may restrict or prohibit such
structure. Please corea t with your Home OwnersAssodation and review yourdeedior any rr�trictlrnrs which may apply.
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 the approved plans, the Florida Building Codes and St- i� County Amendments.
The fnttowing building permit applications are exempt from undergoing a full mnamnency review room additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another nonresidential use
WARN I€ GT€3 : Your faRure to Record a of Commencement may result in your paying twice far
improvements to your property. A Notice of Cornmen�rnent must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with fender Oran attorney before
commencin work or recordingyour Notice of Commencement.
,Rev. 812117
Signature o, Owner/ LesseefCantractor Agent for er Signature of
Canlractarflicerse Holder
STATE OF FLORIDA
STATE OF FLORIDA C y ��
COUNTY OF 1�.Ll;IQ.,
t0!°,:YTY£IF V! J
The fan�mirg insm�errtwas acknowledged beforWhOel e me
this�day of 20 � i 6y
Sire fo ing instrument was acknowledged before me
this '�{�daY of �Jtiyl.l,(lt./o . 2U � h
16l�LC F & itC,
Name of perso ement
Name of perso idtsg scat went
Personally Known OR Produced Identification
Personally Known OR Produced Iden€itication
Type of identification
Type of Identification
Produced
Produced
(Signature of Notary lis< �eoi2NNyaiHFfijov[ZCon',�_-'-
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Notary public Slata of
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CHRISTI�+iE JQYCE CONWELL
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' Bonded through Fatiera rcr:: assn.
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Borcrd through N ;Loral Notary Assn.
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