HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'�. SCANNED
8y
bt LUae. County
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION -TO BE'ACCEPTED
Date:
Permit Number:rj
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Building Permit Application .
Planning and Development Services
DEC'8 2011 ...
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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R2Sldentla�' kic..e County, FL - --
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 55 GOLF
_
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NER/ENGINEER: _ Not
Name: Braden&Braden
Address: 417 coconut Ave.
City: Stuart- State: FL.
Zip: 34996 Phone: (772)267-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable -
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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.
Inconsideration -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 vour Notice of Commencement.
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_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST• i.Jl r—,
STATE OF FLORIDA
COUNTYOF !�T. �,uGir
The forgoing instrument was acknowledged before me The forgoing instrument -was acknowledged before.me
this �.swday of l 9c&—m 4 20 Lby this �-day.of �ECE 6 . 20 f 7 by
(_ y e_e5 JVVnu t re L yc ,6
(Name of person acknowledging) (Name:of person acknowledging)
(Signature of NoePublic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. -. ��..�'•s DOROTH S BASKIN
A+:. 'COMMIS ION
-W EXPIRES: October 2, 2020
Revised 07
(Signature of N Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced .
Commission No. (' 0120THYA15@gWIN.'
1SV MY COMMISSION # GG 030145
_ EXPIRES; October 2, 2020
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