HomeMy WebLinkAboutBuildling Permit Application SUPPLEMENTALCONSTRUCF01il fEN LAW ffW<)KM :
DEWHRANSWUM _Not Apple LUWTGAC&E C[7WANY: Not Appl'rtable
Name: Name:
Addness- Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE It I HOLOM Not Appkati4e BOND946 COMPANY: Nat AppUCab{e
Name: Name:
Address:� -- Address:
City:
Zip: Phone' Zip: Phone:
Cr%WW CC04T ACIrO ;AFFMU.-Appkabw z hereby made tD o btaw a perttsit to do the wmk and uzstW&ation as itxlk2ted.
I certify tMt no work or won has canwnenced prkw to the ispx%we of a peanut.
StL Lucie s no Ian that is geantng a permit w)ig aut�e the hah�to huM the st�ject sttuchwe
which a�wit,�r Floors OwteeEs rues,bylaws or�i�titan may restrict or such
scour Please cflrtadt t f=* Ow ws Armand mvww vow dm d for any�whtdt may apply-
in co wideratian of the graift of this requested pew t do hereby agree that i wk in ati respects perform the work
m aowrftM with the appvved piaM the F w*la&d&g Codes and St Lam Qxffq its.
The follou tg bWWkg perr dt moons are e tempt iron wxkqpxng a full eorxarVncV re+r+ew:ram additions,
accessory sbucutre%sw n mir g per,feriae%wafis,sifts►screen avorm and aacessnry uses fin another non4v0dential use
WARARNC:TD OWNE&Yaw foe to Rem a Notice of Canunammnegft MY residt in VOW twke for
ibmprc nts to Vow property_A Notice of mint be recorded and posted on the jobsite
efre�f�rst Wit.ff yarI k tend to obtain Wig,vomit vdth lender or an attorney before
oammen ' vrrotic or recording Notice of Corr m encement-
.� r �. —
stgrtatwe I�se>eJCor tractor Agextt *nature of Cmtract=Akense Holder
STATE OF FLORIDA I�n,/J STATE FLORIDA r ��
axmw
The �umentwas ad u*Aedged before the TM �was ackrwwkdged before me
�' { titer l day of r za?► by
tip � 20� al► -----vim
uli tcr�,t IF & !e., icw F &1&
Name of Name of statknent
yak Krom�Pro �t P y rnomm t
Produced
tdkrdffication
Type of Wmffwadm Type of won
Produced Produced
tSknature of Notuy JSigro wire of -State of Rorida)
E4nitrt]SStOtt NQ ? otlry u�to of WELLFlorida i*�m `'�► ►�"-•. Cii�l5P011C.Stride
Commission M"964701 '• '' Commission#r GO 984701
or My Comm.Expires Aug 21,2024 � .••.� My Comm.Expires Aug 21.2024
REVIEW_ S FRMT ZO#041G SUPERVISOR PLANS VEGETAMON SEA TUR U MANGROVE
COMM REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.BM17 -