HomeMy WebLinkAboutCURTISS-2.pdfName:
Address-
City- State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name -
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name.•
Address:
Zip: Phone:
i certify that no work or installation has commenced prior to the issuance of a permit.
theperm it holder to build the subject structure
r and mvenants that may restrict or prohibit such
ted for any restrictions which may apply.
In consideration of the granting of this requested permit, i do hereby agree that 1 will, in all respects, perform the work
in accordance with the approved piarts, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concuirrenEy review: room additions,
accessory structures, swimming pool% fences wads, signs, screen rooms and accessory uses to another con -residential use
WARNIMIG TO OWNER: Yaw fagrae to Record a Notice of Commerce MMmt may resultin your 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 financing, consult with lender or an attorney before
Signature/Le/l'ofitractorazAgentfor Owner
STATE OF FL�Oq
COUNTY of . i� U C 1
_ ._
s )auLtAxc)
Personally Known V OR Produced identification
Type of Identification Produced
Commission No.
Public State of Florida
aciM
RE9rtsed07/15/2014$ 1-o, Exptras07/1E
s
Signatu Contractor Iense Molder
STATE OF FLOR
COUNTY OF ft u e
The fo��� instrument was admowledged before rre
this X day of J-'--X- Z ZO �r by
�Ji L u
(Name of person edging j
OR produced Identification
Type of Identifica(tti^on Produced -
Commission Commission No. 7 , r ,Notary
PaaWate of Fla
Glynndolyn Hepworth
ty y c. g My Commission GG 119396
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIAIS