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WPPLEMENTAL CONSTRUCTION LI'E'N ILA,W.;INFORMATION: .
DESIIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: AB DESIGN GROUP, INC. Name:
Address: 1441 N. RONALD REAGAN BLVD.
City,: LONGWOOD State: FL
Zlp 32750 Phone; 407-774-6078
FEESIMPLE TITLE HOLDER: X Not Applicable
Name:
Zip
I
St.
wh
In c
in a
The
W,
im
be
Phone:
Address:
City: State:,
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
:ify that no work or installation has commenced prior to the issuance of a permit.
cie County makes no representation that is granting a permit will authorize,the permit holder to build the subject structure
i is in conflict with'any applicable Home Owners Association -rules, bylaws or and covenants that may restrict or prohibit such
:ure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
isideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
)[lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
sory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
ovements to your property. A Notice of Commencement must be recorded nd posted on the jobsite
re the first in ction. I�you intend to obtain financing, consult with len r ran attgr ney before
nencin>? w or reco lni? your Notice of Commencement.,
re gZwner/Lessee/ContracI tor as Age -PI Owner
STATE OF FLORIDA
COUNTY OF PALM BEACH
The !for going instrument was acknowledged before me
thisLSr �'`dayof nv,n@ 201-b-by
ROBERT SMITHWICK
(Narje of Zerson acknowledging)
ature of Notary Public- State of Florida )
rally Known Y OR Produced Identification
:)f Identification Produced
Sign
STATE OF FLORIDA
r COUNTY OF PALMBEACH
The for .ping instrument was acknowledged before me
this ZSayof v�0 201) by
ROBERT SMITHWICK
(Name of person acknowledging)
(Signature of Notary _Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
10
Com�l;i� ission No. = o�PA�+ ' 111 ISO
I EBIKA LEB I�mmis on No.
a �; tate of Florida -Not ry Public ;°aS I A I-EBRINI
I
o; Commission # GG 084371 _» *` Coe of Florida -Notary Public
r+' 4371
March 16, 2021 �;�� �oa� My Commission Expires
Re�ised07/15/2— March 1s, 202111
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