HomeMy WebLinkAboutMcDowell ac permit app (1)- ` `` `
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ' A Name:
Address: I/i / T¢+Address:
City: ' or/ ,I State:City: State :
Zip: Phone Zip: Phone:
FEE SIMPLE T ITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: _ / A Name:
Address: i/ i/ %ir Address:
cjt. v/ , J Cit:
Zip: PItone:Zip: Phone:
OWNER/ CONTRACTOR AFF IDVIT: 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.
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n consideration of the granting of this requested permit,I do hereby agree that I will, in all respects, perform the work
n accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following bui ding 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 non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resul t in paying twice for
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c records of Stancing,consult
with lender or an attorney before commencing work or recor ding your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
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Name of person making statement.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU RTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
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