HomeMy WebLinkAboutPermit Application St Lucie-2.pdfL-s�6,y,)"t4u s+Iacrecc.
Name• —
Address
city: state:
Zip: Phone-.
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
city:
Tip: Phone -
Narne-
Address:
cft state:
ZIP: Phone:
BONDING COMPANY: Not Applioble
Name.•
Address:
ter-
Zip: Phone --
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie ty makes no representation that is grantarg a pr>frrhit will authorize the it holder to bald the subject structure
which a m�ao fRctvdth any applicable Horne owners Aswnatron rules, bylaws or and covenants that may restrict or prdr3R such
structure. Please consult with your Ham owners Association and review your deed for any restrictions which may apply -
to 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 piam the Florida Building Codes and St. Lucie County Amendmerhts
The following budding permit appkatiorhs are exempt from undergoing a fug wnwrency review room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING To OWNER: Yaw fa um to Rexord a Notice of Convinencervient rrhay result In year paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain fmancin& consult with lender or an attorney before
STATE OF FLORIDA
COUNTY OF Pk i �4_r ( _
The forgoing instrument was adkwwteddged before me
this 3day ofN'S P6�, m �hr
(Signature of Notary Pry Statdi6f Florida )
SagASture of conuacwrAkzme Holder
CCOUHnroF�RIDA Si-1 06k
The forgoing instrument was acknowledged before me
this _ day of` 7 20a1 by
�oirne S La vo
(Name of person acknowledging)
�V
(signature of Notary Public State of F bd )
__FCCEIS VA U G H
State of Florida -Notary
c Commission # 3C 270079 ®,aJ.- My Commission Expires
014Y Commission Expires October 22 2022 _.
__-
October22�022 --
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