HomeMy WebLinkAbout4330 page 2OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtaln 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.
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ln consicleration c)f the granting of this requested permlt,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 undergojng a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessciry uses to another non-residential use
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Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendel. or an attorne before commencin work or recordi.n our Noti.ce of Commencement
Signature of / lessee/Contractor as Agen
(clr affirmed) and subscribed before me of
sical Pre nce or Online Notarization
Name of person making stat,gment.
PersonaHy Known _±=.' OR produced Identification
Type of Identification
Produced
otary Public-St
Commission No.
REVIEWS
KELLEY MCCABE
(8RIxpMMISsloN #GG250028
EXplfiES' AUG 19. 2022
Bondec! lnrou n lsl Slate lnsuranc
Signature of C
:I;AUT££FOFLng+|a``drtr`_'R.`vgzr-~
SW,a/fin,to (.or affirmed) and subscribed before me of
ce or Online Notarizat!on
_ 202d, by
Name of person making statement.
Personally Known r''`'' OR produced Identification
Type of ldentificati-
Produced
otary Public-Sta
comm,ss,onurfo.&
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
KELLEY MCCABE
MISsloN #6G25002
`ES: AUG 19. 2022
8onoed !ntough !sl State insur8co
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
CC)MPLETED