HomeMy WebLinkAboutFOUNDATION-PILES ONLY REQUESTprQt eeaing wltn the
foundation/piles prior
understand that there
submitted and that I
foundation/piles are
SCANNED
BY Planning and Development Services
St Lucie CounW Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
tion/Piles only request
derstand that at my own risk I am
iitial construction phase of work; to wit, the
�o the issuance of Permit No. A0 4 -0101 . I
s no guarantee that my permit will be issued as
accept full responsibility if any changes in the
juired including location or design.
Contractor
i
STATE OF FLORIDA
COUNTY OF'6'k • 1' Jc-%
The forgoing instrument was acknowledged before me
this L\ day of Y'% q 20 ��( by
( e of person ac %qwledging)l
(Signature of Notary Public- Statelof Florida )
Personally Known OR Produced Identification
Type of Identification Produced�1—
Commission No ARIEGWEN:°
°' °yak My COMMISSION # GG 024201 ; v
EXPIRES: December 16,'L020 I'
%'T o Bonded 7hru Notary Public undemAe! s�