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HomeMy WebLinkAboutapp�PucAe E INFO MU B IlIIPI ®®� A� ba TWN To BE ACCEPTED E® Perrna Number . • = ._...,�-`� RECEIVED BueNdIng Permit Applicataon Aug. 0 510 . Planning nndoevelapmentsm*W j Bepartment IaffL�f/1g ®flA� Co*�DtlB Reston ®f�ty permittinSt, Lucie County 29W VIt�thleAvt nun, FoPtfaierce ,, I MGM.' V72j 462-2553 I-ax: QM) 462=1578 CommefCow. PERM APPLICAMON FOR To S919offromI I click w and of fine PRt'4®F9CC� awwiansrea sP� ::...� _ .._ _ —� ._ . UPI rI. _ P'!?peny Tax BD: sitIe P of Name: by .1© p0/ =00f> LIV 1 e ivaAffae*/A a moo : l cls: O Right Vide: / Left Side: 10 1 4R 01 o G d N N r �S r7 oR GA b Al E T Co�_fzr , Co Qj,� p N�ec7" GAS % (bo 9% p - r,D G f L HVAC "TasAgping Z689 Tank —Shutters Windows1boars : L Electric P;mbetag —Sprinklers , _.. GeneeetDr ®®� Rodpbh B54. Rat construction: . FL of First Rooe of Construction: $ lltiiftie$: Seger � $e PUC Building Fleiot: r1 r` All .l WR — r � - i tAz r 1 �.�i� Ear r1�i � � i fiJ t'��E='f �!i! t � - � �3 i � �■��(��I A. Ic - y _ RIMINI fI. $r5�'i i. r,a-,, k��;�,�,�`61 =f,ta���i,.tt17�, �� t�•.m�nc ;rr-'r r.,�• r 'blame: 1 AAA — Phone: S UMP&E TOTLE WOLDIEI Phone: _ Not Applicable MORTGAGE COMPANY: - Not Applicable Name: Address: State: City: State: Zip: Phone: Not Applicable. BONDIING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVITo Application is hereby made to obtain a, permit to do the work and installation as indicated. (.certify that no work or installatlon:has commenced prlor 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. 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: atom additions, ai ccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNONG TO OWNERS: 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 our Notice of Commencement. Signature wner/ gent/tessee = Signatur:.: ontrai�br•/Lacense°Holrlet. STATE OF FLORID STATE OF FLOIISIDA 63UNT4Y OF �l COUNTY CIF_ S� The far sing instrume Was acknowledg before me this The forgoing instrument w s acknowledg before me )day of 20by this',!�day of _ .20 by (Name of person acknowledging) (Name of person ackn ledging ) (Signature of NotaryPublic- State of Florida) (Signature of No ary Publi(JState of Florida ) Personally Known OR Produced Identification -Type Personally Known OR Produced Identification Type of identification Produced of Identification Produ II Commission ' ,,,,, B ITTANY REDDIN No. a�uP�,.,, BRITTANY REDDIN e`1s.St Florids-Notary Publ- c,Stat a�)orida-Notary Public =• �= Commission # GG 190282 Commission No $'%Rf -* 4E Commission # GG 190282 ,a?� My Commission Expires %+,�';� My Commission Expires '��°F���` 26, 2022 „ ruar REVIEWS FRO ONI G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE j COUNTER REVIEW REVIEW REVIEW " REVIEW- REVIEW REVIEW DATE, RECEIVED s P DATE . COMPLETED ey. I