HomeMy WebLinkAboutBuilding permit app, page 2SUFPtEMENTAE CONSTRUC-00N Ll EN LAW INFORMATI0N_
DESIGNE R f FNO N EER; Not App I ica ble
— MORTGAGE COMPANY: _ Nit Applicable
NaMe. l Nam -a: r
Addr-ess: d Addrem-- : Yq
cjr 1-14 .L State: . _ l� tat
Zip: Phan 2 � - � Zip- A.Y� Phone:
FEE SIMPLE TTFLE HOLDER
` Not Applicable BONDING 011MRARr. Not Appl ica b Ic
Namrle: Alame-
d r-2ss- I Aildress- _
Qty; — city:
Zip- Phone: ZIP: Phone- .
OWNER/ WNTPLACTOR AFFIDW7. Application is hereby made to obtair« l permit t4o da tihe work and in50l[6ti{irj aS indiciAed.
t certify that na work or lnstal.l Lt ann has mmmenr#d jorior to the issuance at a permit-
St- Lucie Oquntyr rr'akes no represerution that is grantinp, a permit will authorize the peffWk hol(t-er to build the sabjec structu rP.
which mnWO.S with any app ftable Homecwriem AAmociation rules, bylaws or and -�pvenarnt�; that may restrkt or pr4apolar such
stmOuro_ Please c4nsutt with you r Hnmw rvurs Associa! ion and re%iew ynud (I(or •isnyr restrictions which may oppAy-
In coasideratiflrt of C'he gfahtiaj� Qt [.'pis mquested permi:, I do hereby agme that will, in A respem, perto m Me wont
in accordance with the appnmmd p1.Rn5, Cie Ftorida Building Codes a nd St_ tucie Cmnty Arneindments-
The following builddrig quaff[ appliraUOM arm txWp�, frOM ufid-rrgoing it full roncurr .ncy rej*w: Foomrl atdd Ucm,
soq str ucluresy SwiMMing p0045r, walls, sigps, sxreen rOamo- aced a0XI;50ryr u to anather nonfes4denti,�l use
WARM NG TO OWNER: Your failure tu R.*'lord a Nitlice of Commencement may result In paying twk a for
Prn provernents to you r p rc perty- A Notice of Com m enicempal rr ist be recorded in the ptrb9ic records -of St_
Lead a Cou My and posted all the jobsite befor-e t he first inSpeulJon. If yo a intend to ofata ire fir an d ngr consult
with ien der -n r a rr .;�ttgnrH y before oDmme nein g wor k o r recording VGur Notice of Corn menreri gent,
S"ture of Cont r - of - Dwn-2r Binder a5 appkab�e
STATE OF FLORIDA
COUNTY OF -7' Z La
Sworn l2or affix med) and su b5cil ber, tef u a rye oP ` f Phy<,,ical Presenw or Online Nataf'rfatipn
th i5 s ClaV of w
Name of peTSon rnakirV. statement.
F42rsunally Known QPL PfOduced Identification
1 ype of EdenrMcatiorl Produced _
Ignature of Notat-V P ibilic- State of
Cow mission Not
REVIEWS FRONT ZON 1 �
-- i
0NTER REVIEW
-RECEIVE[)
OATS
COMPLETED
Notary Public
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Fires 9/2i!5
SU P ERVISDFt I PLA,16 1 VEO ETAno N I SEA TUP:TLE I [ti11ANGROV E
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