HomeMy WebLinkAboutBuilding Permit Application ALL AP TO BE ACCEPTED
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encement is required.
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DESIGN /ENGINEER: =N at Applicable M RTW�G'�E COMPANY: Not Applicable
Name: I Na: e:
Address I Address: I
city: state: — cifiy: `state:
Zip: Phone: ZIN: Phone:
I
FEE SIM') TITLE HOLDE : Not Applicable B LADING COMPANY: Not Apolicabie
Name: Nae:
Address Addlress: - I
City: C'
Zip: S! _Picone: Zip Phone:
I cerkify ti z t no work or install ition has commenced prior to the issuar ce of a permit.
I ,
St.Lucie C mtyy makes no rep psentation that is granting a permit will authorize the permit holder to build the subjea structure
which is I 'onfiict with anx ap licable Home Owners Association ruleM bylaws or and covenants tha�may restrict or prohibit such ;
structure. .ease consult with yyour Horne Owners Association and revi w your deed for any restricti g ns which mayapply.
In conside :tion of the granting'of this requested.permit,I do hereby airee that I will,in all respects,perforin the v&ork
in accord .r a with the approviid plans,the Florida Building Codes and;t.Lucie County Amendmen _ !
The follow g building permit a�plications bre exempt from undergoino'a full concurrency review:room additions,
accessoryll. iictures,swimrnin pools,fences,walls,signs,screen roo ;s and accessory uses to anot ier non-residential use i
,
WARNI ' TO OWNER;Y;ur failure to Record a Notice of Co ; mencement may result I your paying;:tw,lce for
improve, ents to yourpr�perty.A Notice of Commenceme t must be recorded an posted on the,)obsite
before t first inspectiotl;. if you intend to obtain financind�consult with lender or n attorney before
commencing work or re rd uir Notice of Comm encel�{tent.
signator 'b Owner/Agen j L See Sigri tune of Contractor/License older
STATE UFLORIDA ` COUNTY Qfi STATE OF ARIDA
U F I
The; nin mst Ment was ack owledged before me
The: rg�` g instr mentwas cknowledged before me B 9 nr�{[�
thi y of 20. 5bp this ay.of.�t'1N�. 20_6 by
4411 1'
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(Name a� Asan acknoWledg rig) (Narje o person acknowl aging)
II
(5ignatu}e f Notary P)abiic- tate of rida) (5ighature of Notary Pub ic-Sta e f Florida) ;
Personail nown O ;Produced Identification Per' nally Known V OR Produced ldentificAtion
'type of Tde�tification Produc d i Typ of identification Produced!
Commis i� No `(Seal)) Ca; mission No_
1
Revise 7/151 4+ My cONtm18StON 9 IM19746S w COMI�AiS ION 4 5919744
EXPtRB 25,2418 E7t Jane 28.20'68
REVI FRONT ZONING SUPERVISOR PUNS VEGETATION SEA TURTLE MANGROVE
j 'COUNTE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ! 'I
carwPa � �
INITIALi
E0/E0 39dd� NIV HOV'3E N3SN3f 66LSESEZLL TZ:EZ LZOZ/81/ZO