HomeMy WebLinkAboutJohnson AC Change out permit app pg 2SUPPLEMENTAL CONSTRUCTION U£N lAW INFORMATION:
DESl6NElt/EN6IN _ Not Applicable MOR1GAGE a:JMPANY: _ Not Applicable Name=~---------------Name:. _______________ _ Address: Address: ______________ _
City: ____ ..,,.,.. _____ State:_. -City: __________ __,State: __
Zip: _____ Phone. ___ -'-------Zip: ____ Phone:,__ ________ _
FEE SIMPLETm£ HOlDfR: _ Not Applicable BONDING COMPANY: _Not Applicable Name:. _______________ _ Name:. ________________ _
Address:'----------------
Address: _______________ _
City:.. ____ -cc.,------------
Zip: _____ Phone:'---------
City:,___ _______________ _
Zip: _____ Phone:,.._ _________ _
OWNfJJ./ CONTRACRJR.AERD\llfc "446 ali,.. k herebymadetnobtain a permittndntheworltandinstallation as indicated.
I certify that no wort or iaal P ti11■1 te,. wnunatted tJfior"to the issuance of a permit.
St. Lucie Countv makes no 1q;:=ntaliol1 that is 11,tanljng a p!!mitwlll authorize the pennitftoldef'to buildthe~sirw:ture
• which iS in mnllictwilh r.:Li,;;ipplirable "'3nle ~ Ass,. >a!►◄• Mies. bvlaws or and mYellilllls 1hat may reslJict or prphibit such
strudJJre. Please ainsult~-yourHome OwneB Assodatiarland reliewyourdeedfwanyresbiclluns .midi IDilYapply,
In consldl!latiun <lfthegra11ti11g uftllisrequested permit. lduberebyagreethatl will. in an 1espects, pedum, thewurk
in ...xo,dance wilh theapprowed ~ the Rorida Buildil!g Codes and St. Lucie County Amendments.
lhe followa111 building !1EfflBI: applications .!l'e exemptfro!A 11ndajp1:,g a fuB OJialJIIBICf r1!11iew: roo,a additions.
accessory suuctures. swimming pool!;. fences. walls. signs. SCR!l!R rooms and aa:essory uses u, iliilllha nun-cesidential use
WARNING TO OWNER: YOlll'failure 1D Reaml a Nolia!of ColmlH!'H ea t 11i1Y result in youcpayingtlNke for
improvementstoyourp,ope1ty.A Notice of Commencement must be remrded and posted on thejobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com · wort or recordi ur Notice of Commencement.
sv,a~~,Lr~~
STATEOFFI.OIUDA 5\-1.::n COUNTY OF • LM,g'-'
The fotgoing ~was ada10rf :yd before me
this la~uf ~ • 201!_ by
tJrltae,tf.Bo~
Name uf per.;on,mating
PersunallyKnuwn __j{_ OR Prudua!d ldenliliatiun __
Type uf ldentilicatiun
Produced~--------
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
FRONT
COUNTER Rl:VIEW
Assn.
REVIEW
Signature uf CuRlracror,'license HuldeT
~~5tlu£t~
Pelsonally Known_~_Oll Pladua!!d ldeili&:aliun __ _
Type uf ldeulmtatiu., Pruducedc__ ________ _
~ .J ~
{Signature of Notary
Commission
Pl.ANS
REVIEW REVIEW
JOYCE
Notary Publk . Stat
REVIEW
ROVE
REVIEW