HomeMy WebLinkAboutRich, Katherine Permit Info (3)Sl1PLEII1"i�L`(iUSiC1CTi`ll [IEIv L1!'IIC1`d';.77777777777
DESIGNER/ENGINEER: x Not Applicable
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Name:
TGAGE COMPANY: x Not Applicable
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Address:
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City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING CO PANY: x Not Applicable
Address:
Name:
Address:
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City:
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OWNER/ CONTRArT0R AI:Fln®®aT• A. I:......:.._ :- L _._-,_ -
- �Ft, —GLIVIr 15, rrcreuy rnaae 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions 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. 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ see/Contractor as Agent for Owner Signature of Contractor/ tense Holder
STATE OF FLORI STATE OF FLORID
COUN OF SAINTLU IE CO LINTY OF SAINTLU IE
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 27TH day of APRIL
this 27TH day of APRIL 2&M by
JOHN PANKRAZ JOHN PANKRAZ
Name of person making statement. Name of person making statement.
Personally Known x OR P
Type of Identification
Produced � ...............__w..,'
(Signature of Notary Pu
Commission No. GG166915
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
9, KONNI L.ENAE 7MT
- ,;.
o , Notary Public State of oI
k Commission # GG 16691
A4y Comm. Expires Dec 10,
°�° Bonded lhrouyh National Nolary l
(Seal)
sonally Known x
e of Identification
(Signature oMotary
Commission No. GG166915
ZONING SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW
KONNI LENAE DEWITT
Notary Public— State of Florida
hIl'f » mission # GG 166915
My Comm. Expires Dec 10, 2021
.11vo�, BondedlhroughNalionalNolaryAssn.
ate o Flori a
(Seal)
SEA TURTLE MANGROVE
REVIEW REVIEW