HomeMy WebLinkAboutBuilding Permit Application ALL APPj CABLE INFO MUST BE COMPLETED FOR • • BE ACCEPTED
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Building Perm it'Appi 1 cation
planninj wd Development Services
Bufldinr,,,,,,n r Code Regulation Division
// •inia Avenue,Fort
r • 72)462-1553 • • Residential
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DESIGN /ENGINEER: _Not Applicable MdK.TGAGE COMPANY: Not Applicable
Name: Narn"
Address: Addriess:
City: State: City:';i State:
Zip: Phone: Zipi il_ Phone:
FEE SIMM TITLE HOLDER: Not Applicable HONOING COMPANY: _Not Applicable
Name: I Narrne:
Address: Address
City: Cq:
Zip: phone: Zip: : Phone:
certify t1 at no work or installation has commenced prior to the issuaricg of a permit.
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5t.Lucie County-makes no representation that is granting apermit will au horiae the permit holder to build the subject structure
which is in onflict with any applicable Home Owners Association rules,b laws or and covenants that may restrict or prohibit such
structure. ease consult with your Home Owners Association and re ur deed for any restrictions which may apply.
In considetion of the granting of this requested permit,I do hereby agr a that I will,In all respects,perform the work
in accords a with the approved plans,the Florida Building Codes and St ELude County Amendments,
The follow g building permit applications are exempt from undergoing ai�full concurrency review:room additions,
accessory 'ctures,swimming pools,fences,walls,signs,screen roams hand accessoryuses td another non-residential use
WARNI TO OWNER;Your failure to Record a Notice of Comitiiencement may result is your paying twice for
improve, ents to youl`�property.A Notice of Commencement must be recorded and posted on the jobsite
before t first inspection. If you intend to obtain financing? •onsult with lender'or an attorney before
commen in work or record ur Notice of Commencem-'dnt.
i
Signature Owner/Agen Lessee Signat,re of Contractor/License older
STATE I iFLORIDA # STATS OF FLO
COUNTYI I F _ t __ COUI�,iIiTY OF
I
The fi `g Ins �Hg fare me The g ing in as ac ledged, re me
this :ay o p �7„p by this , ay of i 20�
(Name of ; r n ackno' ledgin ) (Nams o person acknvwled ng)
I
(Signatur'bf Notary Public-State of Fa} (Sighature of•No ary P blit-State F rida)
I .
Personal) `(4nownOlr Produce identification' Persoially Known IR Produ ed Identification
Type of Ir E ratification Produced Type%of Identification Produced
Seal
Commissi n N'o. ' :mission N .:(Seal) '
;E:••�+� CRYSTAL Mwr-CRU ,I
EElei 3
= (P1RES Jane 25,2016 CRYSTAL MMR CRUZA00
Revise 67115/2014 '"'` ` 'j
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na.�It'f PiOAdW� 'w1du.Wm i ",� � 1
(4 3 01 18
REVIEWSFRONT ZONING SUPERVISOR PLANS VELE OV
COUNTER REVIEW REVIEW REV.I�W RE=VIEW REVIEW 'REVI
DATE
COMPL E -J
INITIALS + '
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60/60 39Vd NId HOd39 N3SN3f 6ELSESEZLL EZ:90 TTOZ/0Z/90