HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONsig ntractor as Agent for Owner
STATE OF FLO
COUNTY OF
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Exphes March 6,
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MARY LEEMATNS
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STATE OF FTOBIPA I \couNw oF I f l&'t/-h r^\
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
PLE CONSTRUCTION LIEN LAW INFORMATION:SUP
DESTGNER/ENGTN
Name:
State
Phon A
Address
zip:
City:State
Phone
Not Applicable
City:
MORTGAGE COMPANY:
Address
Na#e:
Not A e
Phone
City
zip:
FEE SIMPLE TITLE HOLDER:
Name
Address:
_Not Applicable
Phone:zip
Address
BONDIN
Name:
OWNER/ CONTRACTOR AFFIDVIT: Rpplication is hereby made to obtain a permit to do the work and installation as indicated
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is erantine a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv aoolicable Home Owilers Asiociation rules. bvlaws or and covenants that mav restrict <ir orohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions raihich may a$ply.
ln 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. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WA R N NG TO OWN E R:You r fa lu re to Reco rd a Notice of Co mmence me n t m ay resu It tn paying
in the
twi,ce for
i m p rov e m e nt s to yo ur prop e rty A N ot ice of Co m me n ce me nt m u s t b e rec o rd e d public
in fina
r'e cords of St
Luc ie Co unty a n d p os t e d o n t h e I o bs ite b efore t he fi rst n S pecti o n t you nt en d to o bt a nc ng,cons u t
W it h en de r or a n atto b m e nc n WO rk o r rec o rd U r e of Co m m nt.
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