HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR,APPLICATIONTO BE ACCEPTED
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Planning and Development Services
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DESiGNERJENGINEER: 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: ___,Not Applicable
Name: Name:
Address: Address:
City' City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit,
St.Lucie County makes no represent tion 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 anq covenants that may restrict or prohibit such
structure.Please consult with your Home 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 additions,
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 Commence ent must be recorded and posted on the jobsite
bef a the first inspection. If you 'ntend to obtain financi ,consult wit lender or an attorney before
comkiencingw din r Notic c ent. `"
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The fprgoing inst m t as ackn wledged befo rite .. i z The forgoing instryq� n w acknowledged before me
this,U day of 20 ,o this day of t �OYiy o G in
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{Name of per o acknowledging) �, (Nance of person a know ledging) f' .tom
gnature of No ry Publlc- tate of Florida) nature of Nota ublic-State of F orida)
Personally Known"�JOR Produced Identification 'Personally Known —�-- CR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. C ?R Z_ (Seal) Commission No.V'r'I�QQ '. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONiNG SUPERViSOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS