HomeMy WebLinkAboutBuilding Permit Application ALL AP Ell-CABLE INFO MUST BE COMPLETED FOR APPLICATIO OtE ACCEPTED
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Suildind.and Code Regulation Division
2300 Vitdinio
venue,Fort Pierce FL_341982
Phone.-: JJ• J'r • I
PERMIT APPLICATION
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Project
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Cost of • • -wer E]Septic Building
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DESIGNER/ENGINEER: Not Applicable MOi3TGA$GE COMPANY: Not Applicable
Name: I; ; _ Name:
Address;); Add i ss.
City: ;; - - State: City,:l .
State:
Zip: ll.l Phone: Zip,. Phone:
11� ,
FEE SIMOLE TITLE HOLDER: _Not Applicable Bd;NDING COMPANY: Not Applicable
Name: 11`1 Name
Address') l AddresS:
city: i'I city:`.:
Zip: '..I Phone: _ Zip: Phone_
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I'certify t;F t no work or installation has commenced prior to the issuaric!4 of a permit.
St.Lucie Cvlantyy makes no representation that is granting a ermit will au#horlxe the permit holder to build the subject structure
which is id conflict with any applicable Home Owners Assocldtion rules,i4laws or and covenants that may restrict or prohibit such
structure.!P ease consult with your Home Owners Association and revievy±your deed for any restrictions which may apply.
In consid�Ition of the granting of this requested permit,I do hereby agrei a that I will,In all respects,perform the work
in accords ce With the approved plans,the Florida Building Codes and Lucie County Amendments.
The follo4rig building permit applications are exempt from undergoing full concurrency review:room additions,
accessory!$�ructures,swimming pools,fences,walls,signs,screen roorris•,.and accessory uses to another non-residential use
WARNIIIC5 TO OWNER.;Your failure to Record a Notice of Como,encernent may result In your paying twice for
improve, ents to you(property.A Notice of Commencement must be recorded and posted on the jobsite
before tie first inspection. If you intend to obtain financing,;consult with fender or an attorney before
comrne&,ing work or record' -your Notice of Commencement.
Signatur 1.6y Owner/Agen/Lessee Sig a Nre of Contractor/License Aolder
STATE O FLORIDA '7 STATE OF FLOtin
COUNITy OF 1�n
The f Q�r)g ins men was a wledge b fore me The mg instr t Qtns edg d fore me
this Ic1.,L of 20. by this.day l3 20, y
(Nameof 'rsonackno� ledging) (Name ing)
of person acknowle
a�
(Signatur? of Notary Publ'o-State of i ida) (Signature of Notary Pub ic-StatdeF rida)
Personall known OR Produced Identification Personally Known OR Produced Identification
Type of Idle.ntlfication Produced Type of identification Produced
Commissbb �'
No_ �ORU�AD C mrt�ission No. �,oal)
MARi
COMMI39fON
#661914F CRYSTAL.MARIE CRU
EXI?RFS Jane 25,206 •'= MY COMMISSION#EE11 146S
Revise'' 107/1512014t+ari orffs EXPIRESJuio25.20
i ! ,
REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEA TURTLE MANGROVE
l 1 COUNTER 'REVIEW REVIEW REVWWREVIEW REVIEW REVIEW
DATE
COMPL
INfCIALS I li
E0/E0 39dd HIV HOd33 N3SN3f 66LSESEZLL 85:EZ TTOZ/8T/50