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HomeMy WebLinkAboutBuilding permit applicationα一　一黒緩さ宅遂　総恐　桜を漆鶉※翁鞍幾も(へ〇・譲1々・耀　毅薮　髄一強≡潔　さ 鸞饗懸藁擬馨懇 翳繋畷,懸欒議題鬱懇熊襲饗っ 饗▲饗懇蟻鬱 ￣綴饗欝懸擬態撥 懇態綴擬態麗 DESiGNER/ENGINEER:　　　　NotApp=cabIe MORTGAGECOMPANY:　　　　NotAppIicable Name. Name: ▲●●　- Address. City‥　　　　　　　　　　　　　　State‥ City:　　　　　　　　　　　　　　　State: Zip:　　　　　Phone Zip:　　　　　Phone: 旺ESIMPLETITLEHOLDER:　　NotAppIicabIe BONDINGCOMPANY:　　　　　NotApplicable Name・ Name: Address: Cit・ Zip:　　　　　Phone: Zip:　　　　　　Phone: OWNER/CONTRACTORAFFiDVIT:App=cationisherebvmadetoobtainapermittodotheworkandinstalfattonasindicated' certifvthatnoworkorinst訓ationhascommencedpriortotheissuanceofape「mit. 義持謹誤犠鵠粥謹謹謹欝豊諾鵠龍‡謹撰 謹露盤許諾 nconsiderationofthegrantingofthisrequestedpermit,IdoherebYagreethatlw町in訓respects,Performthework naccordancewiththeapproved pIans,theFIoridaBuildingCodesandSt工ucieCountyAmendments. Thefo一一owingbuildingpermitapplicationsareexemptfromundergoingafullconcurrencvreview:rOOmadditions′ accessorystructures,SWimmingpooIs′fences′W訓s′Signs′SCreenrOOmSandaccessorvusestoanothernon-reSidentialuse WARNINGTOOWNER:YourfaiIuretoRecordaNoticeofCommencementmayresut InPayingtwicefor 藍等謂器器措苗豊 withlenderoranatto「nevbeforeco oticeofCommencementmustbereco「dedinthepubli tebeforethefirstinspection.1fyouintendtoobtainfin mmencingworkorrecordingvourNoticeofCommence CreCOrdsofSt, ancing,COnSu看t ment. 二十　　∴ Sig少」reOfOwner/Lessee/ContractorasAgentforOwner 謹音豊0齢んの互ノ 三遷措耕dsubscrlbedbeforemeof　4宕二一Presenceor　OnilneNotariZatiOn 　　　　20ヱtbv Nameofpe「sonmakingstatement. Pe「sonaiiyKnown　　　　RProducedldentificationふと二二二 磁岩盤dced三△〆、 霊:∴Ot端を露嵩da’ REVIEWS FRONT ZONiNG SUPERVISOR PLANS VEGETA丁iON SEATUR丁LE MANGROVE COUN丁ER REViEW REVIEW REViEW REViEW REViEW REViEW DATE RECEIVED DATE COMPLETED ev与/ZO/Zl