HomeMy WebLinkAboutBuilding Permit Application ALL APP'JUCABLE INFO UST BE CPMPLETEDFO�APPLWAT[Ok TO BE ACCEPTFD
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Bufld;ng r r CodeRegulation Division
01 Virginia Avenue,Fort
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
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Cost of Construction:$ Utilities:OSewer Eheptic Building Height-
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If value of construction Ir or more,- RECORDED Notir6 of
j
DESIGNERiEN (NEER: _ Not Applicable MOR*GAGE�COMPANY: � Not Applicable
Name: Name:
Address: Address:
City: State. 'City: State:
rip: Phone: Zip: Phone:
1 ,
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING CbMPANY: 47N—of Applicable
Name., Name"
Address: Address•
City: City: i
Zip: Phone: Zip:I Phone:
I certify that no work orinstailation has commenced prior to the issuance of a Pei it.
St"Lucie County makes no represent tion that is granting a permit will authorize t�edpetmit hoiderxo-build the subject structure
which is in Gon ict wish airy pplicab�e-Home Owners;A.ssoc[atidn rules,bylaws or n •c,ovenants that may restrict or prohibit such-
structure.Please consult w your Home owners Association and reviewyour dedd for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I ill,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and'St.Lucie Co my Amendments.
The following'building permit applications are exeinpt from undergoing a full con rrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen moms and acc sort'uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencem at may result in your paying twice for
'improverrleniys,to yourproperty.A Notice of Commencement must b recorded and posted on the jobsite
before the flrst inspection. If you intend to obtain financing,consult lender or an attorney before
cornmencinizWoek ar recordin our Notice of Commencement.
S
esseelA enc S" rem &nor/License Holder
STATE-OF FLOSTATE OF FLOR
1
COUNTY OF AkI COUNTY OF tW11AU -
-theffioing in e t �,s acknowled�r+e me The fpXgping in =tacknowledgq"efiore me
thisday of , a, 20 this day o �ZO lLt. jy by
_ y•U � ,
(Marne of person,acknowledging) (dame of perso i ackno ledging)
(Signature of Notary Public-State of Florida) (Signatdre of Ota y Public-State of Florida)
Personally Known OR Produced ldentification Personally Kn
Type of Iden' aFlovida
Type of Identi a r rail
. CflYS.TA1�I •,�,Notury.�Rubiie-'�tai8 of PQrlde
Commission `. s.. S3aCommission : rrim_.E>EPi �B�; Qt5
�Mr Cpmrp..lres.JCoynmisis[•.on ar EE.11�478
i ri EE 117478'
Revised
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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