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HomeMy WebLinkAboutBuilding Permit Application 7728710863 P2 K8|nsndaP|umb�g8AC Miranda Plumbing&AC 7728710863 P•3 R. Etr_/l hlT C -.C{ N:STRt1CT Q'fU I TEN fJAVtI;INFORIViATi(�_N: '- •-,•;r:;j;r :�''i?.�':t:.,'4_7' S'_ - --�;e - — ..�i.:e;1:`6:'r�s..:'• - .-x Y,• - ;.. DESIGNER/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: T 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 with your Horne 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 additlons, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to 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 tender or an attorney before commencin W-ork or recording your Notice of Commencement. ti r�- ' Ls _Signature of Owners Lessee/Agent Signature of Contractor/License Halder STATE OF FLUID STATE OF FLO COUNTY OF� -7 r-le'ti—1COUNTY OFA The f rgoing instrument was acknowledged be ore me The f_+2rgoing instr-u^m�en�it was acknowledged before me this day of---:7C \ 24 .)�by this' day o€��20 ' by f (Name of p on acknowledging) (Name of per' n acknowledging) Qy (signature of Notary Public-State of Florida) {S(gnature of Notary Public-State of FloridaCV ) � N Personally Known OR Produced Identification Personally Known L1--- OR Produced identification w Type of Identification Produced Type of Identification Produced Commission Not---r' bi^ —� 5� eai} McMahon Commission No. 13 eal. �? a {{ Dn ;r6`� Nicole }` hall 2 i;!ilio e M r ,32035 ...,r., aa• ''�: 'MM"551ON4EE132035 =� `?E(PIRES:SEP.20, �Y: ?w Revised 07/1.5/2014 �%����4 WUPN.AARONNOTARYcorn ��'���a WWW. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS