HomeMy WebLinkAboutIMG_0733SUPPLEMENTAL CO
DESIGNER/ENGINEER: %NOt Applicable
_
Name: MORTGAGE COMPANY: x Not Applicable
Address: Name:City—
Address:
21p: P—State:_ Clty:
ZIP:
Zip:
Phone�State:_
FEE SIMPLE TITLE HOLD ER: _Not Applicable BONDING COMPANY: Name:
Address: Name: X Not Applicable
City: Address:
Zip: Phone: City:
zip: vhane:
OW HER/ CONTRACTOR AFFIDVIT: Application Is hereby matle to obtain a permit to do the
woM one Instatlagan as indlraled,
ttrtlfy that nowark or Installation hai commencetl pdor to the issuantt of a permit.
sBtNN Ir'n.p 4wltM1an ° P tlonthat isq d Derml[will authorize the permit M1dtler to bultd the sob ettiWtture
Wtture. Pleau psz°clatlon rules, bylaws ar and
consuY ttn"bl`n"°me°w"`ry
covenants Iha[may reztrlR orproM1ibn su[M1 your Homeowners Assadatian antl renew your deed /or any in
I.ns which may ap-1
In consideration of the granting of iNs re°uested Permit, I tlo hereby agree [hat will, In all respetts, perform [M1e woh In ac<ortlance wltH the approved
plans, the Florida BPIIEIng Catles and gt. Lude County Amendments.
The following building permit aDPlicatlons are --Pt from undergoing a NII on —-review: room additions,
attessory lb,- es, swimming pools, fences, walls, slam, seen rooms and aaezzory uses to another non+esldentlai
uu
WARNING TO OWNER: Your failure to R—M a Notice of Commencemem may result In paying [wire for
mprovement5 to your property. A Notice of Commencement must be recorded m the Public records of St.
Lucie County and
posted on the jobsl[e before be first inspection. If you Intend to obtain fnancing, consult
with lender or.
r an attorne before commencin work or recortlin ur Notice of Commencement.
`Dwwfo O'SYruan
Signature of Contactor-ar-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Palm Beach
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REVIEWS FRONT
SUPERVISOR
PLANS
VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED