HomeMy WebLinkAboutAPPLICATION CapanoDIESIGNER/ENGINEER.
Not Applicable
MORTGAGE COMPANY: Not Applicable
N a m e:
Name.
Address:
Address:
city:
State:
City$ State
Zips Phone--
Z i P: Phone:
FEE SIMPLE TITLE HOLDER.*
Not Applicable BON'DING COMPANY: ,Not Applicable
Name:
-Name:
Address:
Address,
city:-
city@
Zip*. Phone:
Zli P: Phone:
OWNER/ CONTRA OR 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.
St. Lucie Count makes no representation thatis granting a permit will a* uthor'lze the. permit holder to.build the subj*ect structure
which is in con fict with anv applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit.such
structu-re. Please consult W'Ith your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this 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 undergoing afull concu^=..review: room
.accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses ' another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement ay re . suit in paying twice f.
improvements to your property. A Notiof Co encement must be recorded in the public records of St.
Lucie (,",a�the `�'''c posted'``r'"`'. If you consult
.with lender "`-..'ev before co mencing work or recordinR vour Notice of Commencement.
Signatq..`^`.,. `` Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sw, orn to (or affirmed) and subscribed before me of
111111111� P
19 P c I P r Onfine Notarization
S1
this day of MAU 0 06
YA 01 1 ZO 2.1
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Name of person making statement.
Personally'^'''_.xType of Identification
Produced
Sig ature of" ntractor/ Lice n se Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed of
Ph siocal Presence or Online Not�
this `a` -- 2m''� by
.C'%
Name of person making statement.
OR Produced IdentificationPerson, ally Known OR Produced Identification
} Type of Identification
Produced
^'``.,..````.`,'.^M''..``''".`
LwiaLure of N&arvNPubN- St
Notary. Public State of landa iiiiiijlll Not P�Abhc State of Flon a
Com ission No. C 40f, lt%albonna jayne Hall Com sion No. a Jayne Hall
My Commission GG 207585 My Commission GG 20 /58
0%0N# WON^
RE ]EWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW R EVI EW REVIEW REVIEW REVIEW
DA E
RE Crl-- I VE D
DATE -
COTPLETED
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