HomeMy WebLinkAboutBUILDING PERMIT APPLICATION page 2DESIGNER/ENGINEER: _j Not Applicable
Name:
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MORTGAGE COMPANY: _{Not Appticabte
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FEE SIMPLE TITLE HOLDER: 3jt'rot Appticabte
Name:
Address:
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zip:Phone:
BONDTNG COMPANY: {tVotAppticableNarne:
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OWNER/ CONTRACTOR AFFIDVIT: 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.
11.!Y.|." lgtrlty qpkes no representation that is g.rantinga permit will authorize the permit holder to build the subiect structurewnrcn connlcls wltn anY.applrcable Homeowners Association rules, bylaws or and coVenants that maV restrict or prilhibit suchslructure. Please consult wlth your Homeowners Association and review your deed for any restrictiois which may appiy.
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. Lucie Couniy Amendments.
The following building 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 result in paying twice forimprovements to your property. A Notice of Commencement must be iecorded in ihJpublic records of St.
!-q:1",C?Ylay and posted on the jobsite before the first inspection. lf you intend -to obtain financing, consult
lmprovements to your property. A Notice of Commencement must be recorded in the public records of St.Lucie,County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult
lender or an bttorneJ befor-e commencing work or rebordine your Notic(of Commencement
Signature of Contractor - or - Owndr Builder as applicable
STATE OF FLORIDA
COUNTY OF t'4 -.^;a
Sworn t9 {or affirmed) and subscribed before me of
this .-,l l-'iiay of I -1.>, -, zi. " l. , ZO.lr) by '/
Physical Presence or _- Online Notarization
Personally Known
-
OR Prqduced ldentification '*/
Type.pfJdeqtification proi'uceO { L l>i,\rp,c-b L-,*-
of Notary Public- State of Florida)
commission *o l.{{ J CZ) ?'l? lsear)MY COMMISSION #HH20889A
EXPIRES: DEC 16,2025
Bonded through 1st Stato lnsur0Rc€
Name of person making statement.
JESSICA RICE
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE I
COMPLETED itNari7rl'.fia-rl-.l