HomeMy WebLinkAbout5216 manciano.pdfRoof Pitch
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DESIGNER/ENGINEER: jsL Not Applicable MORTGAGE COMPANY: .2£ Not Applicable
Name:Name.
Address:Address:
City: State:City: State:
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FEE SIMPLE T lTLEHOLDER: 2iNotApplicable BONDING COMPANY: j|Not Applicable
Name:Name:
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Zip: Phone:Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made 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.
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ln consideration of the granting of this requested permit,I do hereby agree that I will, in all respects, perform the workinaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.LucieCountyAmendments.
The following building permit applications are exempt from undergoing a full c oncurrency review; room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms ancl accessory uses to another non-residential use
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Signature of Own'er/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X-physi cal presence or Online NotarizationX Physical Pr esence or Online Notar ization
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Name of perso-n making statement.Name of person making statement.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
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