HomeMy WebLinkAboutSIGNATURE PAGEM i L t)',) ST RUCK DN LIEN L,�� AY VGA FDR'V� �u i��:
Not
Name:
Address:
State:
City:
Zip: Phone -
IEEE sompLa 1rIyLE HOLDER.- � Not Applicable
Name:
Address:
City: - —
Zip: Phone:
PVJ0 ° JrGAGE CaDV PAIS V.
— Not Applicable
Name:
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00poome c'00PAMMo Not Applicable
Name: -�
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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 andcovenantsthat 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 Godes 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 ffaulut?a w Raco ryd a iP1otittie of Commencement mau PesuVt On y@urs G]ayirnjgTzu1ce 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 Commernrnment.
-Signature of Owner/ Lessee/Agent
STATS �7 C�d��3ll�p ,
C@um cow
The forgoing Instrumer}t was acknowledged before me
this _J__ day of r • , C u Sr 20 /—:Z -by
(Name of ft rson acknowledging)
(Signature of Notary Public -State of Florida l
Personally Known OR Produced Identification
Type of Identification Produced _-
SignIfure of Contractor/License Holder
STAYS OF FLORIDA .
CCJUHTM aft ji�:/- /1, -N
The forgoing instrument was acknowledged before me
this ,� day of � ' e la -, _ 20 f 7 by
.ti
(Name of person acknowledging j
(Signature of Notary Public State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
i141N1
Commission No. f ILOItotsr �c State' of flerlAa Commission No.
Commit3lon # i F 41695#11
Revised 07/15/209aridedtldouph hi:+r Hiro ,nary
,�QQ�a
t� MINE MARTIN
(! 6T; k Public - state of
Cammission # FF 24
Borst ,d the ough Natiffial
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS