HomeMy WebLinkAboutBuilding Permit ALL APP CABLE INFOMUST BE • • • • n •
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Building Peirmit4olication
Plannin nd,Development Services
Building nd I rode Regulation Division
If r10 Avenue,Fort Pierce FL 34-982
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I value �onhructlon is$200 or more,a RECORDED NotiCe Of COM�§nc!emeint is required.
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DESIGN /ENGINEER: _Not Applicable Mo;RTG�igGE'COMPANY: Not Applicable
Mame: j Name•`�
Address:ll " Adgress•
City:_ 11 State: City.: 'I 1! State
Zip: (i Phone: 1p:1 4 Phone:
I=I:E SIMM jtEtITLE BOLDER: Not Applicable 8t7N0 W COMPANY: Not Applicable
Name:
Name:
AddressII`f Adi4rjs�-
City •i) City: Ii
Zip: Phone: Zip:!_i:--II_-- Phone:
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I certify th't no work or installation has commenced prior to the Issuaneiofja permit.
St.Lucie C`I n makes no representation that is granting a permit will a'J'h ojrize the permit holder to build the subject structure
which is in i�on�ict with any applicable Home owners Association rules,byrl*s or and covenants that may restrict or prohibit such
structure,P,�lyease consult with your Nome Owners Association and revle .,yo r deed for any restrictions which may apply,
in consideration of the granting of this requested permit,i do hereby agro brat I will,in all respects,perform the work
in accords ite with the approved plans,the Florida Building Codes and b'.t,iLu�ie County Amendments.
The folio lig bullding permit applications are exemptfrom undergoingla:;ful,,concurrency review:room additions,
accessory ;ructures,swimming pools,fences,walls,signs,screen rooms�n0 accessary uses to another non-residential use
WARNI ,. TQ OWNER,Your failure to Record a Notice of.Coninier cement may result in your paying twice for
improve encs to you(:property.A Notice of Commencemernt lest be recorded and posted on the jobsite
before t fist inspection, if you intend to obtain financing;;eittnsuit with lender or an attorney before
cornmen in work or record' your Notice of Commencerrlent
<'• I !� is
Signature f 000ner/Agen/Lessee Signature of Contractor/Licen e older
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STATE 0 FLORIDA STA?!' dF FLORIDA � !y
COLI F CogN,T OF
The f o g hist en wa knowledged ore me The o" qng in meat was nowledged before me
this y o 20 Wy this ay of` G 204*y
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{Dame rson a dging} (NamJ person cknowi dging)
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(Signature of Notary Public-state of Flon a (Sighku e o Notary lo- tate Florida}
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Personally!nown OR Produced Identification Pers ►iia11 Known OR Produced Identification
Type of ld ntlflcation Produced Typ�4�Identification Produced
Commissl A conirriiss on No. F,� l
CRYSTAL NWZiE ClU7Jtq
Revise �7/15/201 EXPIRES dune 25,2016 I u I . ,.,� , CRYSi^AI„MARiE CRU
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REVI . FRONT ZONING SUPERVISQR PLANS s. VEGETATION #
C041NTER REVIEW REVIEW Rk�IIEW,i REVIEW REVIEW RE
DATE j is yl
COMPLE; E
INITIAL5i i s'
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