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HomeMy WebLinkAboutBuilding Permit Application Aff APPUCABLE INFO 3E WIMPLETE€3 FOR APPUCCATION TO BE ACCEPTS
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DESIGNERJENGINEER: —Not Ai3plicable MORTGAGECOMPANY NotAppFicable
Name: Name:
Address ,Address:
City: State: j Cty: State:
Zip: Phone Zip: Phone:
FEESM4PLETJTLEHOLDER. Not Applicable BONDING COMPANY: NatApplicable
Name: Name:
Address: I! Address
City:
Zip: Phone: j` Zrp: Phone:
OWNER/COXTRACTORAFFIDVI'i:AppUcanon is,herebymadetoobta7ma_,permittodotheworkarnd"rruaftaffonas:ndicated.
I cerdfy that no vmrk or installation imas commenced prior tothe issum ce of a permit_
StIzrcieGaunty inakesnorepresenta��ion�at'rs;grangrlgapermitvsrAIauthorize hepermIthoid rto'buiidtheso'blettstructure
which!sin co> vvirtta any appffcable Home Owners Association rules,bylaws or anal,covenantstf=may restrict or prohl-b tsuch.
structure• please consult with ymr Home Owners.Assaciaff-o n and rem your deed for any restii:ct5nns wh7th may apply-
In cans!dera3 nn:of the granting of this requested,permit,I doh'ereh'y agree timt I T.m aN ras .perForm the wrork
in accordant---m th the approved.plans,the Florida Building Codes and St:Lude County Amendrnentsr
ThefaEowingbuff ding permft a p plic at ons are exernptfrom undergoing a fuH ccne MBLIryrev-5--ua_morn addiffons,,
accesscryssuctures,smmmmg;pools,fences;walls,signs,screen,rooms and accessory uses to another rron-resldesatid use
WARNING TO OWNER:Yatrfaure tD Record a Nc&e of Cnm7nencement may result hi paying twice for
improvers eats to your property_A:Notice cf Commencement must be re cord ed;m the pubic rea i:ds of St
Lucie County and pasted on the gobsite before the fitst inspection_If you intend to obtain financing,consult
vAth lender or an atterney before comm,encing wark or recording Vour Notice of mmencern
Signature r woes/LesseejContractczr as Agent for owner Sgnature of Corrtrac>or/License Holder
STATE OF FLO I? STATE OF FLORIDA i
COUNTY L�F _ Ca �- COUNTY OF
Swam to,(ara ul medj and subscrt"hed befbre me of Sworn to(tor„aimed)and sufzsmbed befiasre me,of
✓ physical.Q-esence or Online Notarization Ph•zlcal Presence or On37ne Notarization
this_a day of 2024 by th71s day of r 2023 by
Name of persm, makes s ent tam e of person maVmg stater nent.
i
Personally Known ✓ OR Produced ldentt"ficalion ! Rersonalty'Known OR produced Ideritiffcation
Type of!'demon Type of idantiitatiozr
Pradsaced Produced
Pgr-1atr rt5taiar,/Publtc--State LAURA&CUBBEDGE (Soil of Notary Public Slate of Florida.
` �'p�r• commission#HH01 9
C13mrrtiss:an Ntr. Expires October 21.20 a Comm SS
No'- (Seal}
Bonw Ma Tray ft lnSufal�ice 80D 385 7019
RMEWS i FRONT 17ONING I SUPERVISOR j' PLANS VEGETAT14:N I SEA TURTLE j MANGROVE
COUNTER 1 RMEW REVIEW REWEVV I RMEW I R M1 EVV R1= EWW
DATE , I
RECBVEU
DATE
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