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Home My WebLink AboutCERTIFICATIONSCERTIFICATION: SCANNED BY St. Lucie Count, This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may he required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this budding permit application. The following building permit applications are exempt from undergoing a full concuaency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER- FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT. TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT AS A CONDITION OF THIS PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constroc " d zoning. E1�111t-A —J. SALT nl OWNER CONTRACTORSIGNATURE CONTRA SIGNATURE STATE OF FLORID COUNTY OF /+a127�✓ The foregoing instrument was acknowledged before me this 7A day of ltlo ✓e..,, b Ir 20 6 by FAw&V-4( n STATE OF FLORMA r 1 A COUNTY OF /V The foregoing instrument was acknowledged before me this ! day of NOV O ✓ , 20Q 7, who is p!�Cnaliy known or who has produced who is personally/known _ or who has produced as identification. r L as identification. Signature of Notary Signaltnc CATHYMUIR D P 6 S3 J 7 LIA Co ssr fl Nofary Public - St �tl lorida Commission No. LENORE A ' ff 'r'oU'•. Aug31�20UB •:>.° • '�,. `,+, ag CommisSic # DD 351475 ;n •oc ':� • MY COMMISSION ix DD653574 ,o' , ,o EXPIRES March 21.2011 Bonded By National Notarygssn. NOTE: TWO (2) SIGNATURES iin dd URE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING P N OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY BP #: 0 / 1- QoI I l SECTION a / TOWNSHIP 3 e aJ RANGE I'D r MAPNO. 770f�/ Y / n AlZONING JO1.J D LAND USE CJ R L LOT CVG 46 1,7, 5Cl (� TAZ NO. FLOOD ZONE j] /, TJ ` FIRM MAP # y/ qD P I� FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OFFLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED ZEJCANNED St. Luce Co( REPORT CODE HABITABLE AREA (RADON) RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BID IMPACTFEE CORRECTION PUBIC BLD IMPA FEB dENEPJAL J PIM ACT — FEE SCHOOL IMPACT FEE ROAD IMPACT FEE / / (%V Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE Y Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE — SPECIFY SUBS RE ANMIXNIC— ROOF — CTRIC GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: / / REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE RECEIVED "'a%' 7 5 01 DATE COMPLETED , i long INITIALS