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Building Permit Application (2)
110, .. z4 401 .. DESIGNERJENG.WEER; IVotOR Appficabke MORTGAGE QMf ANY: _Not Ap�p[cab 0 Na me S#kswlk - NaC118,:. Ad'dress ?2r sE;r'elicari;Gc. ;Address: Cityr.;Staart FI_. :`CEty ,State zlg sogo Phone 772=221,15Ti Ip �i° Pone:= FEE,SIMPLE,TITLE.IiC?LDER ,_NotAppfcaf le RChNDING WIVIPANY: Igot Applicable �— Nattie, �'Narrre ; Address: - � � City: City; Phone. Zip:. .Phone! OWNER CONTRAi::1 6R AFFIDVIT Application is hereby ini,de,to obtain~a p'ermrt fio:do the work aid installation,as indicated; : .. (certify that.na.w,ork orzinstallation has cvi menced prior to the issuance of a permit. St t gcie Coon makes no"representation-that is granting a permit�will autt ohze,the ppermit ho(derto biiilii the sc bject-stcuctur... which is in.con ict.with any applicable f 1©me Qwners;Associatiori mates,tiylaws'or anr9;covenarits;that may restrict or prohibit:such structuie.Rlease consult with.your Home Owners Association and;review:your,deed.for any.restr(ctions which:'y,,1'0 - An,consideration bf,the granting of this requested,permit,[da hereby agree;that I an il(,in all respects,perforrri:ttie:'work in accordance with the approvetl plans,the:Florida"Building Codes antl;St,:'Lucie:Gounty Amendments:`: The:foftowing building permit applieatiorts are exempt from undergoing a'full.con'cur-rengy review roorn�additlans. accessory:.structures swimnilih pools,fences;wails,signs;<screen"rooms antl accessory uses-to:anothernon.res(d`ential'use WAi�NIN T0,t)1l'NER:?Your fai!ture'lo Reccit -a Notice ofCommencement rrtay;resuft;in pay ng:tw'sce far iements to your property.A Notice cif dune iencement rnust be'recorded Iri.tile.publiCrecords of St:. ucie `aunt a d" `osted:on fihe.jobsite before the first inspect'i If you intend to-c btalri-finan�ing,consult with i ' r 'r arts orne' before cari�mencln ;work or."recordin due Not�'ce of.Corrmmencernent e , CA 5rgriature of Les C ntractor as:Agent for Owner 'STATE O PONT F Swor C�,(praf>:ir } n subscribed be ore me:of PhysicaGPresence'or° `Online Nota.rizat!on thlsay of 2 ,by me o, person ma kingstatement:. f Personally Known. OR Produced Identification . �!6l�9Itlil/dpe� Type f I'd tincation Produced ` _��ti .a�tttF+EI W! /�s .. ►T-I.,l r. '�i ALA • d•: (Si'gnat StR df t�#ota.ry Public=:Stitt~:of Florid')._ 4 Commission No. (Seal) 2° #HH 180160 a0o q. aodsd W+ -No in ins REVIEWS FRONT" 'ZONING SUPERVISOR ' .PLANS VEGETATION SEA.TURTLE,URl CE MAtVGRt7UE 'T _ .w COUNTER REVIEW REVIEW. FiEillE lU REVIEW REVEEUI/ RE11EEl t RECEIVED_ 71 DATE :0. PLETED ev