HomeMy WebLinkAboutBuilding Permit Application page 2PLEIWMTAL R��p�.i�pl l.AIAf il�FQli�tTtON:
D SIGNE ENGINEER: N me_Not Applicable
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FEE SIMPLE TITLE HOLDER40
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Adress:
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MORTGAGE COMPANY,
Name:
Address;
City: Zip: Phone:
BONDING COMPANY:
Name:
Address:
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State:
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CONTRACTOR AFFIDVIT-.@ A lication is hereby made to obtain a permit
f ce +fY tha# rya work or �nsta�lation has commenced prior to the issuance of a perrt to do the work and installation as indicated.
St L eie County makes no representation that is granting a permit will authorize the ermi�t holderwhit is in confiic# with anX applicable Home Owners assoc�at�o� ru�� to build the ub'ect stru
$truUre• P���$� �o�tsult with your Home Owners Association and review your deed for
s, bylaws or an Covenants that may restri t or prohibit such
In coIllowing
sideratfan of the granting of this requested permit, I do hereby agree that f will, in �� r ��trict�ons which ay apply.
in aordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendment Perform th work
The building� s•
permit applications are exempt from undergoing a fill cor�currency review: room additio s,
acre sary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses t4 another non -re
WA NING TO OWNER; Your failure to Record a Notice of Commencement may $� ��tiai use
imp orrements to your properly_ A Notice of Commencement must be recorded
in your pay1g twice for
bed re the first inS ec ion, if you intend to obtain financings consult with lender ded and posted ❑ the jobsite
tom encin work or record�n our Native of Commencement. or an attarne before
Sig 7NTY
f owner/ lessee/Contractor as Agent fir Owner ! - —Contra
� Signature of ctar/License Holder
ST F FLORIDA STATE OF CO OF FLORIDA
COUNTY OF- ; Cvl , e-- �
The orgoing instrument was acknowledged before me
this day of 0 2000� by
• II I {Name of person acknowledging }
(Sig ature of Notary public- State of Florida
Personally Known OR Produced Identification
Type of Identification
Prod cad
COM fission No. `_ (Seal)
RE IEWS FRONT ZONING
COUNTER REVIEW
D AT
T&AiATIi�U
SUPERVISOR
REVIEW
The foroing instrument was acknowledged before me
this � day of tiI 20.L- by
Y
Name of person ac owl edging)
(Sign'd;ure of Notarypu
0 w�nm�
c- Stare of Florida )
Personally Known" OR Produced Eden ification
Type of Iderrtificativn —�
.Produced
COMMission No.,
PLANS
REVIEW
VEGETATION
REVIEW
IM B E RV MENDE
{,M Y C 0 4874
F7
EI U0, 2022
riJIJIYM5lti Boded t h ro a gn Pst at I n u raft c e
SEA TURTLE
REVIEW
MANGROVE
REVIEW