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11 OHVAC Gas Tank Ills Gas Piping InShutters Windows/Doorms
- • Plumbing [:]sprinklers []Geneirator '••
Total Sq,Ft of Construction: Sq,Ft-of First Floor:
Cost of Construction: ptilitfes:L]Sewer[]Septic Building Height:
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if value of construction is
00$25or more,a RECORDED Notice of Commencement is required.
JUL-16-2015 THU 10 03 AM CENTRAL SCHEDULING FAX No. 3212686138P, 003
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DESMGNER/ENGINEER: ^Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address; Address:
City: State.• City: State:
Zip: Phone: Zip:-Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY., 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 coon��yy makes no representation that is granting a permlt will authorize the permit holder to build the suhject structure
which is in confllct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with 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 l 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 exemptfrom undergoing a full concurrency review:room addltlons,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failureto Record a Notice of Commencement may result in your paying twice for
improvements to your property_A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Slgnat of OwAfri Agentj Lessee 1 Signatu of C t or/License Holder
STATE OF FLORIDA � � t�l J) � STATE OF FLORIDA
COUNTY OF ,t COUNTY OF t
The or o{ng inst e t was acknowledged before me The fpr Ing Instr nt a acknowledg d efore me
this day of Nu 20 14 by this day of U� _ 2e by
(Name of person acknowledging) (Name of person acknowledging)
r
(Signature of Notary Public-state of FI da} (Signature of Notary Public-State of 1 da)
Personally Known OR Produced identification - Personally Known OR Produced identification_
Type of Identification Produced 'Type of Identification Produced
Catherine Xonger Catherine KbAgeir
Commission No, S� rroldpaisslan#FF17P.372,commission No.. .1 �AmissioaFF172372
Fiii:XpirsS;ocr 28,2018 ',. '"Expires:OCT 818
aox>aaD TaRu
Revised 07/15/201.4
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIE=W
DATE
COMPLETE
INITIALS