HomeMy WebLinkAboutBUILDING PERMIT APPLICATION09/30/2014 08:.15• 7724663053 SERCQAST AC PAGE 02
SU•PPt E 1iENTACco stLfEN .l'fSl.`�ORM
AT, PG3I
DESIGNER ENGINEER: '_
Not'Applicable .. MORTGAGE COMPANY;
Ndt Applicable. j
Addre Name:
ess: Address:: -
City:. StatY
e: Cit :... ,
Zip. Phone: State:
Zip: Phone:
FEE SIMPLE T1TirE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name: _ Name: " . .
Address:
City: J Addrress:
Zip. ,.' one:
Ph
-- t Zip: Phone:'
I certify'thaf rib work or:nstallatior ha's commenred pr'cr to'the issuance of a permit.. .
St.'Lucle Counttyy makes no repre'se�tation that Is,Bgrantir:g a permit will•autho�lze the ermli holder to build the subject structure'
c which is �n conflict with any applicable Home Owners Associat;on rules, bylaws or and covenants -that may restrict or prohibit such
structure. Please consult with your Home Owners Association and eev:e%v 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 ail respects. aerfcrm the moor
in accordance with ;he approved plans,; the Florida Building Codes and -Sr.- Lucie County Amer.d'ments.,
T^e'following buildirie permit applications are exempt from undergping'a full coccurrericy revieNv: roorti•adcl$oris:
accessorystructures, swimrr ing pools' 'fences, walls, signs; mreen'r0oms and Accessory uses toanother non-residential use
WARNING TO OWNER: Your failuie to Record a Notice of Commencement may 'esult in your paying twice -for
improveme is to your. property. A Notice of Commencement must' e rec ded. and posted on *the jobsite. : before the rst irispe ion. If you intend to abtain financing, consult with' rider o+• a"n attorney before ' c.ommenci work o e ordin our Notice of Commencement.
1 Signature f Owner/ ent/ —see . i .Signature of Co ractor/wcense er,
I STAT F FLORI
j COU OF I STATE OF O &
COUNTY -OF
i he for doing in;,en; was acknowledged before ne The fcr oing instrurr t was acknov�iedged before me '
I' T/i
this P day of �IQ 20 l he j this may of 20 ' by '
(Na of pers no led ) (Name of persor. acknoMed in
.. a Ql
!Signature racy Pub c S of Florida ; 1
+ (Signature of Notary pu i St a ,
IPersonalty Known oe , •1 Personally Knor nr (ji1[ p I Ittce�n
Hype of identif a uq��CY KAY l►il fY . i Type of Ident;fi i o �uCAEr
1 MY COMMISSION )►� d►FF1d8Q7Q
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kevised 07i l5/201 ,
REVIEWS I FRONT ZONING I SUPERVISOR PLANS f VEGETATION SEA TUR7.LE . ' iv1ANGROV>='
COUNTER I REVIEW REVIEW -REVIEW ! REVIEW R V I E IEW -RF_VIEW
DATE. I .
COMPLETE
N111ALS 1 I