HomeMy WebLinkAboutBuilding Permit ApplicationD,NER�Efi�G#�#EER: ,.:., ,'',:1:`;' MORTGAGE COMPANY: Idol AvO t aif
Name, -tea. ——
Adrlress- +s Address:
Zip: asy�s .�. �' .., Zipr' Phone;
FEE 54MPLE T91E HOLDER- - -
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OW N€ CONTMaOR AFROWT; App;.cabnn is h&aby mhft t* tea: o a permit ro do ttre work ano 'srt3taNation is �rGdirarr ti
�cr,`v:f.a:no work earinstxi1,p,;onhis€o,mnmN dprig.tothe isx4osre of-aOwvnir.
A, IM6t � drake& no - . reserfkaDw Of` is z1u1 ' 8 a +,tit do paAh the Mf-MA ,et as vwtd ". fie# sn- zwr r
wh+ch Ctrn r a�cabk }�yVnets kssod�Mtar+' Maws or ccrerm m trwit essay inml rl or PAW bit %'Ch
s:r re. twsu!t W-th Wv HOr .eat%iM &vsodAwn an 4!7v� "wr deed Taf a'ry wjjj& may 2y,
14 ca+ssidesatk;n of die gra".Of this MiuAslar4 Rem*, #da aeveby Mrm tkM a will, jr, ao ems. penewen t1re wat —k
, ft amardance wrth the apprmed ptpm.-1-te �-"da &Aitfttrades and 5t, Lucie tawny Asxtenftents.
Tht fo* VMIJ DUA'W I& Pertnrt 40OK—scions sreeUWW #rams urn�p�n a kuP canc xfency Wth w rMIn adcka ofs,
2CCVSS" Stfuttur&5- Swir'Irt ii pWK, fFnM. Walb, Fri 5Cr$RN4 fG55.3. 15 $hc[ acce"a jA*5 t0 $r.OtN4r mo±5 u,,e
WARNING TO OWNEA, Yow fai#uffr to Recwd a Notice of Commeocemtnt shay result in payIN l+t+vcw fur
¢mpfovenv+ 4% W you; property. A NotiCe of GuMre+e:xement mush be ref; rde4 in the puhk records of St.
Lucie CW-Ity and posts d the jub5ke before the first ir.sWtion, If yau interid to obtain financing, confiuft
with lender or an atior h0kl a c.OMmerWinit *Cwk Of recordlnf; your Nptice of CaMn r,cement.
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Srpaiure of Ownes! :else t-a¢a Agent TW ern et M
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STATE OF FLORIDA
COUNTY OF 8111li�v
Swam to (W. offirr C}) and-'05cribe4 beftxa me *f �' P#'Ys-0€a9 ?vpSersC# of riw@Four;:ote�rr
mig _ fr or t ..-v 2022 6
Name of perlor, mak;rg s; ptelnent-
perswoy Know- x 09 pra&apw ww"kA ion
Type f idert±ifkation f n)du _ ,,.,,,,_. _
ftbk- State of nondal
Shwwn O'Shea
[ rnm ss�o Ho- satsa w.�. iseau} r NOTARY PUBLIC
STATE OF FLORIDA
Cornrn# GG258438
_ _ E fires 9 9 J2022
WE F# #T MINIM S-UPERV KM WISETATiON
ODLqt FL EW REVIEW REVIEW REV*W
DATE
RECEIVED _.y
DATE
C09£� Ik
SEA'TIWME i MANE
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