HomeMy WebLinkAboutBuilding Permit Application�
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F0, M UST BE COMPLETED. FOR APPLICATION TO BE. ACCEPTED
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r:t-? EfiJ;EI�i" L COIVSTkf`iC ON LIEN LAW INFORMATION:
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,'; :�1s iyEl2/E1�GINEER: Not Applicable
? !�er,'(Saxuc�t
MORTGAGE COMPANY: x Not AppGcaFle
j Aluminum Engineering
Name:
,111.Address: 136,30 58Street N #101
Address: -
.C it
j • Y:C-1earwater State: FL
City: State:
Zip: __ Phone: 727-532-9000
Zip: Phone: --
F�E SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: X 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.
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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
commencing work or recording your Notice of Commencement.
Si na ep Own r/ Lessee/Agent
STA `` LORIDA
COUNTYOF St. Lucie
The forgoing instrument was acknowledged before me
this 23day of_ October 20 17by
Jeff Jackman
(Name of person acknowledging)
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s
Sig to Co �trac�torLicnse o er
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this 23 day of October . 2017 by
Jeff Jackman
(Name of person acknowledging )
AMA'
(Signature of Notary Public- State of Florida) (Signature of Nota Public- State of Florida )
Personally Know).w
D e� i *cation . Personally Known X OR Produ& Identification
Type of Identific0- Type of Identification e� �
Commission No.o tt# F q 2 Commission No. STATE OF� A
xpires 1/15:020 Cow FF
Expires 1/15/2020
Revised 07/15/2014
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