HomeMy WebLinkAboutFOUNDATION - PILES ONLY REQUESTPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
SCANNED
RECE-IVED
BY
St. Lucie County
JAN 0 9 2019
Foundation/Piles only request
ST. Lucie County, Permitting
f31 GD O ti &A G0 understand that at my own risk I am
proceeding with the initial construction phase of work; to wit, the
foundation/piles prior to the issuance of Permit No. I
understand that there is no guarantee that my permit will be issued as
submitted and that I accept full responsibility if any changes in the
foundation/piles are required including location or design.
ATE OF FLORIDA--
LORIDA� t n
IUNTY OF A�'�'�--
The for oing instr:LL ent was acknowledged before me
this day of 20��by
TWame of per —son ersoh acknowledging)
(Signature of Notary Public- State ofgorlda )
Personally Known LIOR Produced Identification
Type of Identification Produced
Commission No. (Seal)
MARIA DIAZ
Notary Public • State o1 Florida
f Commission IrGG 055017
My Comm. Expires Dec 13, 2020
�' ' Boodsdthrough National Notary Assn.