HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE • MUST BE COMPLE,',-r-&FOR APPLICATION TO BE, ACCEPTED
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Buildingand 1 I' -Regulation Division
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Project Name.*
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If value of construction is 2500. •required.
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S.UPP � Ei�TAL�CflNSTRUC3'l4N1tE1�IA111ilNFORIVlA'T��ON
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DESIGN
Not Applicable
MORTGAGE COMPANY: Not Applicable
City: State:
City:
State:
Zip: ���9 Phone: T?�-
yC�o-77,17
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In 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 St. Lucie County 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to -obtain financing, consult with lender or an attorney before
comlmerr hm work or recordirtii v_bur Notice of Commencement.
of
STATE OF FLORIDt4 r co Cl e.
COUNTY OF
The forgping instrument was acknowledged before me
this;t. h day of y
Jai-7
( tsi e 1 /-I
(Name of persondcknowledging )
(Signature(of Notary
Personally Known _
Type of Identification
Commission No.
Revised 07/15/2014
of Florida)
Nq r �ublic - State of Florid
MYm . Expires Oct 5, 201
Commission # FF 049374
STATE OF FLORIDA
COUNTY OF'
The f r g Of
ent was acknowledged before me
this lay of 20� by
A
(tame of person ack wledging)
n
Personally Known
Twoe of IdentiRGa1
Public- State of Florida
Notary ruuu. --- 23130 1
om cmisslo #r fl3j 2019
My Comm. Exp �s0
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