HomeMy WebLinkAboutBUILIDNG PERMIT APPLICATION Ventura'DESIGNER/ENGINEER.
FEE SIMPLE TITLE HOLDER.
Name:
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MORTGAGE,'.....''
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Address,
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BONDING COMPANY:
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Not Applicable
OWNER/ CONTRA OR AFFIDVIT*, Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifV that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conwlict with any applicable Home Owners Association rules, bylaws or and covenants that -ma)( restrict or prohibit such
structu-re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply,
In consideration of the granting ''.'s the ..^
in accordance with the approved plans, the Florida Building Codes and St. Lucie CountV Amendments.
The following building permit applications are exempt from undergoing afull co.-'re`'review: room additions,
accessory ,.^'es,,swimming pools, fences, walls, signs, screen rooms and accessory uses to -..'. .._.'-.* ..
WARNING `. '....,_' Your failureNotice.,-,..',..'result
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improve ents to your property. A Notice of Combe recorded in the public records of St.
Lucie County and posted on the jobsite before the first i
with lender or an attornev before co mencing work or recording vour Notice of Commencem- ent.
Signatq' %.c'^.' ~- Agent for Owner
STATE OF FLORIDA
COUNTY OF
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Sworn to (or affirmed) and subscribed before me of
IF
sical Presence or Online Notarization
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t�is ;dav of by
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Name of person making statement.
PersonalIV Known X OR Produced Identification
TVpe of Identification
Produced
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Sig lature of - ntractor/License Holder
STATE OF FLORIDA
P/tA.. 00TV--
COUNTY OF (
Sworn to (or affirmed) and subscribed before me of
Ph siocal Presence or Online Notarization
this day of 2�� by
Name o.person making statement.
Personally Known �-
)( . OR '''d'c°-'-e'-`�o'
Type _' Identification P rod uced
kriaLure of N&arvNPubN- St
RAW State of Florid;
Notary Pubitc State of Florida ot Ic
Commission No. C albonna Ja ne Halt Com sion No. a Jayne Hall
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My Commission GG 2OV585 My Commission GG 20-7 58
P--jxpres 04115/2022 12�op 116.iow Expires 0441512022
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