HomeMy WebLinkAboutBuilding Permit Application LE Wro mus
30._ Pe it Number:
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Building Permit: / .
Suildln6 d Code Regulation Division
/f Wtrid Avenue,Fort P;erce a 349a2
• / a • ,•2-1579 Commercial
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DESIGNER/ENGINEER: _blot Applicable M61ITGP�GE1COMPANy Not Applicable
Name: ;I•I Na'6: II
Address.!:! Ad8ress: II
City: I11 - state: ' City: ( State:
Zip: ;I Phone: zipj ' li Phone
:! it •
FEE SIMPLE-TITLE HOLDER: _Not Applicable BdNDING COMPANY: •'Not Applicable
Name: 'i l Name:
Address.1 1 _ __ Address- 1
City: :1 City: I
Zip: '' I Phone: p
' zi I Phone:
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I certify th•C no work or installation has commenced prior to the issuaice of a pe i it.
St.Lucie C. mtyy makes no representation that is granting a.permit will authorize t e permit holder to build the subject structure
which is I,�onfllct with any applicable Home Owners Association rules;bylaws or ancovenants that may restrict or prohibit such
structure.`Please consult with your Home Owners Association and revie your de Id for any restrictions which may apply.
in considel z tion of the granting of this requested permit,I do hereby agree that 1 411,in all respects,perform-the work
in accordal i a with the approved plans,the Florida Bullding Cosies and fit.Lucie County Amendments.
The following building permit applications are exempt from undergoina full contll�rrency review:room additions,
accessory ructures,swimming pools,fences,walls,signs,screen room.I and acce sort'uses to another non-residential use
WARNIN� TO OWNERi Your failure to Record a Notice of Commencement may result in your paying twice for
improve ants to your'property.A Notice 'of Commencement must tie recorded and posted on the jobsite
before t ; first inspection. If you intend to obtain financing,consult 4vith lender or an attorney before
commeri n work or record' ur Notice of CommencelTaent. A.
Signature:!?-Owner/Agen Lessee Signature of Contractor/LIC nse older
STATE O• FLORIDAMff gT�A ' STATE OF FLORIDA
COUNTY F 1 V Iy CO .NTY OF];
The i g Inst me was nowledged fore me The mg in
ti nowledged efora me
this y 20 bV this I ay OR( 20 by
(Namo '{b r on acknowledging) (Name of p 4,,ar;rowledging)
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(SlgnaturE f Notary P b c-State of Florida) (Slg�ature 4
ublic-Statde orida)
Personaliyi own N OR Produced Identification Perspnally Kno I �OR Produced Identification
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Type of Id tification Produced Typd of Identification Produced
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Commissi'� `'L� .� ';�,' fission N 1 ''
i `'xcr 3TAL MARiE CRU "���� i CRYSTAL MARIE CRU •,0
=•• to MY COMMISSION#EE 974
I� ] E7Cr? 5 June$6,Za18 i 403
)�.evised 7/15!2014 �o aee a+as ' I , EXPIRES Jute 25,2011
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REVIEW FRONT ZONING SUPERVISOR PL• NS IN
EGEfATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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INITIALS)
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E0/E0 30dd NId HSd3E N3SN3f GELSESEZLL T9:E0 ITOZ/8Z/170