HomeMy WebLinkAboutFOUNDATION-PILES ONLY REQUESTPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FI34982
Phone: (772) 462-1553 Fax: (772) 462-157
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Foundation/Piles only request
NOV 131018
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Permit No. 1 BC?b - oq11;6
I 4--n:i-, 759voxoM'i5-, understand that I am proceeding with
the foundation/piles at my own risk. 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.
Contractor/Owner Builder
STATE OF FLORIDA � w(- (c
COUNTYOF
The forgoing instrument was acknowledged before me
This day of �i�L 201Uyby
(Name of persona knowledging)
(Signature of Notary Public -State of Florida)
'Personally Known OR Produced Identification
Type of Identification Produced EL_ Q L
Commission N�O07 (Seal)
SCANNED
BY
St. Lucie County
ELLEN VAUGHN
State of Florida -Notary Public
n
CO m mission N GG 270079
n,�A.' My Combmission Expires
2
Foundation/Piles only request
I understand that I am proceeding with
the foundation/piles at my own risk. I understand that there is no
guarantee that my permit will be issued as submitted and that I accept
Ifull responsibility if any changes in the foundation/piles are required
including location or design.
RECEIVED
AUG 16 2018
S'f. Lucie County, Permitting