HomeMy WebLinkAboutBuilding Permit Application (2) SUPPL€IENTAE CEMMUCTION LIEN LAW RROIATION:
---Not AppkaMe MORTIGME t ANY: Not Applicable
Name: Name:
Address: Address-
cfty-- State: cftr- State: -
Zip: Phone Tip: Phone:
FEE SIARRE T11 HOLDER: Nat Applicable BONDING COMPANY. Not App icable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Tip: Phone_
OWNER]CON RACFOR AFRDVfr-.App;licabon is hmft made to obtain a pernnict to do the work and iraallatm as hndkated_
i cartify that no wore or lion has eons new prig to the issuance of a permit..
St Lucie Cou makes no r� that is emmting a pet will a�ortze titre it holes to build the subject structure
which is in�with any�blame Owa+ers Assocsation rules,bylamrs or a #t rants that may restrict or prohibit such
structure.Tease consult vrrth Vow Horm Ors Assambon and rear your deed for any restskmi s which may apply.
In cor*kwakion of the gtardke of this requested permit,1 do hereby agree that 1 wdl,in all respeas,perform the work
in accordance with the approved plam the Florida BuMM Codes and St t ie Canny Amem3merns.
The fofiovAng bulldft permit applications are exempt from Ong a fuhl cmuoarency review:morn adddmns,
accessory sbuctnres�swbnn*lg Imo.f screen rooms and accessory uses to anathema rronntial use
WARNING TO OWNER-.Yoerfallure to Reid a Notke of Coirtmencement may resrdt in yaw payug twke for
improvements to your property-A Notice of Commencement ement must be recorded and posted on the jobsite
before the first inspection_tf you intend to obtain financing,consult with lender or an attorney before
t orrlmeru:irt work or reclarding your Notice of Commencement.
l
SignatUm I see,/GDfftractor Agent for er Signature of CotmWWAkerise Holder
STATE OF FL IRM STATE OF FLORIDA `
COUNTY OF �Jl • W e- COUNTY OF �
The=-mswas�befor'e me The forgoing irvstrum was ackn vAedged before me
thisof. . ,zo7 by the 'daY 21 by
1� j
Nam of Name of
Personally Known OR Prothiced kienfificarkm Personally Krmwn OR ftxlueed klentift2tion
Type of Identification Type of hdentification
Produced Produced
(Signature of Notary -State of Honda) 4Signatme of t iacairy -State f o
commiss-M _" INE JOY ELL �p ► CHRI5TI1iE JOYCE CONWELL
,1j11ij tPuhlk Site of Florida
Noury Commission GG 9$A 41
Commission 0 GG 964741 t �y Cam,Expires Aug 11,2424
comm,Expires Aug31,272a tonal Notary Assn.
tarred th ough Nations Nota ssn,
REMEWS R PLANS 11TlDN SEA TURTLE MANGROVE
CDUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev-817