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ALL APPLICABLE INM MUST BE COMPIXTED FOR APPLiCAT 1PNY 69 AC44PTEP
Pormit Numb RECEIVED OCT 22 2015rt
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Building Permit AppliCation
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City.. PT PLE5AS r i
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Phenq No. :tir, p code 850
Phone x
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Holder on
1: owner Iistqdabove) Pr ♦ rp♦
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MIGNER/ENGINEER: x Not Applicable [ ORTGAGE COMPANY. X Not Applicable
Name: . ;Name:
Address',
city,
dip: FhQrte, Zip: Phvtye.
E MIMPLE TITLE HOLI Et; Not Applicable' Rif
d Wi BANY't Not App&iiblo
Name: Jam@;
Address:
Address: ... . . . .
city: i ZIP:
zip:zip: Phone.
QWNER/CONTRACTOR AFFIOVI'Tt ARpli;:2tion is hereby made tp obtain a permit to do the work and installation as indlcated,
I Cerci€y that no work or ir,sta118#inn hay Crarnr snCCd prior t• the I non a 4f a permit.
St.I� cip cauntfy make no represent ;1Ssn thak is granting s p�rrnit will authOrtz�Ct�� ermit holder to build the subiest�#rUctu•,�°$
which is In con llct wit any applicable. 4�m�Owners A,ssoc�atign rule¢,bylaws or an covenants that rrfey restrici or per�athliart sUGh
StrUcUre.Please eQnsult with ypur'H4rti®iwners Asscrpia#irin and review your deers4r any restrictions which rnay'app[y..
In consideration of thQ granting of this requested permit,I do hereby agree that 1 will,In pil respects,perfprm the work
in accprdance with the approved plans,the Florida wilding Crid*qs and St.Lucie county Amendmens.
The following building penri t applications.are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,Walls,signs,screed rooms and accessary uses to another non-residential use
WARNING TO OWNER:Your failure tc Rcor NO
i a 9f Commencement may result in your paying twig for
improvem nts to your property.A Notice Qf Carnmencp meat mast be recorded and posted on the;absite
before the first inspection, If you intend to 'Obtain finoMing,consult with lender or an attorney before
commencing work or recording our Not!
cs of'Comm. cement,
N
igi� ter r Agent 5ss 5.ign r p tiraeior a t. nsa Hader ..
5TATF OF FLORIDA 5TAT9 OR FLORIDA
COUNTY OF sr wqk Ir��3� s�tp sri uc�s
Thefar Ing Instniment wes acknowle ed b afore me �list fsargc+ln�instrument was aeknt�wledged befczrc 1x111
thlr� doy pf... �« by %hls.
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Si5n+vop cif Notary pu ltC- Cate RT idi�'I' lgnat Grp of Alot:Orir P�Ia. s4eof Fivrls a)
perspnally Known x 09 PrQdyced ldentificatlan�,o � � Fgr:,onplly Known ,.OR ProduEed IdentificetiOR
Type of ldontlfleatian Prodgced Typ;�of Identifleotiar,prodtscpsl
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• Nourp Public-State M F Natuy t 3rttc-SIM Of FloridaC ;
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plisi Oct 6,2010
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REVIEWS FRONT NIN-0 �VPf RVI$OR PLAN$ VOGETATION SEA TURTLE MAN15RQVF
COUNTER MVIE W ftwtw REVIEW REVlEN REVIgW AEVIE
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CO PLET-151)