HomeMy WebLinkAboutBuilding Permit Application 06/15/2015 13:37 1 ELITE ELECTRIC INC PAGE 83
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06/15/2015 13:37 1 ELITE ELECTRIC INC PAGE 04
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address'.
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult voth your Home Owners Association and review 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 all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residentlal use
WARNING TO OWNER;Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.- otice of Commencement must b id posted on the jobsite
A*Korded at
before the fkit-IrVectlon. if u intend to obtain financing,conc�- f with�encl n attorney before
c: our
MLA STATE OF FLORIDA
COUNTY OF salnttucie COUNTY OF.sainti_uci
The forgoing instrument was acknowledgeobefore me The forgoing instrument was acknowledged before me
thisl-fi*dayof �JZAJf, 20 15th June
(Name of person acknowledging) (Name of person acknowledging)
(Signature of No filic
(Signature of NoYary Public-State of Flo da)) tary Pu -State of Florida)
Personally Known x . OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Producec Type of Identification Produced
is
NANCYLEELAN
G 21421
Commission No. Shp)COMMISSION#
1 01
'Who EXPIRES October 2i AD
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS