HomeMy WebLinkAboutBuilding Permit ApplicationName. Too-, I--
Address: uss Nw36in sL Kos
City: vvgiriac,arden
Ip: 3316S Phone
Not
State: FL
FEE SIMPLE TITLE HOLDER: Not Appl Icable
Name:
Address:
City:
Zip: Phone:
MORTGAGE MMPANY.
Name:
Address:
City:
zip; Phone,
* Not Applicabie
State:
BONDING COMPANY, Not Applicable
Narne.
Address.,
City:
Zip: Phone,
OWNEFt/ CONTRACTOR AFFJDVIT: AppIitation is hereby made to obtain a perrnfl to do the work and inritallation as irid icatied.
E certify that no work or installation has commenced Inriorto the issuance of a -perm it.
St. Lucie County makes no representation that is grant' a permit wriII autho�xe the permit holder to build the subject Structure
which conflicts with any applicable Homeowners AssoclaRiun ales, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Association and review your deed for any restrictions wNch may apply -
Err consideration of the granting of this requested Pefrnit I do hereby agree that I will, in all respr'cts, p Worm the work
in accordance with the approved plane, the Florida Building Codes and $t. Wcie County Amen dmerrts.
The following building permit applications are exempt from undergoing a full con currency revi&w: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses [o another nor -residential Use
WARNING TO OWNER Your failure to Record a Not ice of Corn rnencement may resu#t in paying twice for
improvements to your property. A Notice of Carnmencement must be recorded in the public records of St.
Lucke County and posted on the jobs Re before the first inspection. If you i ntend to obtain financing, consult
with lender or Sri 0ttarne y before com rn e n c i ng work or rer-o rd [ng you r Notice of Corn mencernent.
Signature of Qwnerl LesseelCantr2tt"Agent for owner
STATE Of FLORIDA
COUNTY OF $r, L-Ce-
5wor� rW� {or aimrrned a d subscribed before me of x Physical Presence or Online Notarizadan
this � �y day of J 20A by
Michyel
Name of person makingstaternent. — —
Personally Known x OR Produced Identification
Type of Identification Produced
(Signature of NDtary Public -State of Florida)
Commission No. G0268038 (c aE) TN07TARY
Snon O'Shea
JJ PUBLIC
STATE CIF FLORIDA
E}amrr G25803d
REVIEWS i FAONT ZOnlING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVII=w REVIEW R F-V I EW REVIEW
DATE � -
RECEIVED
DATE --
COMPLETED