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BUILDING PERMIT APPLICATION
• MUST BE COMPLUED • ' APPLICATIOM TO RE ACCEffED 1. • Permit Number, Building • • • . , •. 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St.Lucie ounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is i i conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consid ration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work In accord rice with the approved plans,the Florida Building codes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another nonresidential use WARN] G TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property.A Notice of Commencement must be recorded in the public records of St. Lucid County and posted on the jobsite before the first inspection. If you intend to obtain financing,consult with lender or an attorney before commen9499 work or recording our Notice of Commencement. Slgna �e of Owne Lessee/ ntractor as Agent f wrier STATE or FwwQA COLIN _vell6:) _ _ Sworn t (or affirmed)and subscribed before me of Physical Presence or Online Notarization this day of VQLyt 20�M by Name person makingstatement. {„I; 1)�qivj —3—&jf) y-y-tr..` Personally Known x OR Produced identification Type of Identification Produced (Signature of Notai�r Public-State of Florida) Commiion No. 65_ (Seal) i, MARGUERITAHF.RBM MYCOMMOMONIUM EXPIRES:Jana y 9.2022 � 9vAed7WNoWyPuMUndem*m i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE i RECEIVE D DATE COMPLETED ETED ev Z I • :