HomeMy WebLinkAboutBuilding Permit Application Aff. Pt Q4 `1�F0 FO*AI kjCATKMi TD I AC
Permit Number:
Date:
-I.ftifdft Pomit'AOPOICOM
Planning and DeuabPnWlrt.Servkrs
Bald ng and`Gade Ra9lrforlo0 DMslan V
� rgbt7u Avenin,fort Pleree R 2 34
Phonw,'VM)462-1ssa F=(772)4U-I578 Com�ncrcial Residerrtiai
Pf`RU1`f
DESIG S Mot Applicable MOFdeAGE COMPANY: Not Appilcabie
Name: i € Name:
Address: i Address:
City: f State: City.. State:
zip: Phone: F T Zip: Phone:
FEE SIMPLE'IITLE*HOLDER: Ndt Applicable BONDING COMPANY: Not`Applicable
Name: Name:
Address: Address:
Z_p: Phone: I Zip:. Phone:
1 certify that no work or,installation has ca'ra' enced priorto the issuance of a permit.
St.Lucle Cou , makes no rep�ntation ih t is granting a permit will authorize the permit holderto build-the subject str cture
which is i oon ict•wM any app►ic�able nrirlre OwnergAssociation rules,bylaws or and covenants that may i astnfit or prohf z such
structure-Please consult with your Horne owners Association and review your deed for any restrictions which may apply.
►n consideration of the granting of this regcted permit,l do hereby agree that 1 will,in all respects,perform the work
in accordance With-the approved plans,the F arida Building Codes and St.Lucie County Amendments.
The fofiowing building permit applications are exeinpt from undergoing a full concurrency review:room additions,
accessory structures,swimming pc t)04,fence,wails,signs,screen rooms and accessory uses to another non-residential use
WARI4ING'10 OWNER:Your failure fit}{�Etecord a Notice of Commencement may.result in your paying twice for
impproirerr►ents:tri yoUr.property.A Ndtice of Commencement must be recorded and posted on the Jobsite
before the first inspection.If you intend to obtain financing,consult with fender or an attorney before
commenclnlz Work or recording' out litotice of Commencement.
i eelAgdnt I :'. , or flcense Nolder
z„ i
STATE OF F4 D,A' ,y -, STATE OF FLOR A t
COUNTY OF LLX 1-��'� COUNTY OF
Tire ►ng►n �m,�r`� as arknowledg' efore me The forgoing instrument as ask' )wiedged before me
thlscS0_day of� zo lyy this day'of� 120 *by
(Name of rson acknowledging); 1 i (Name of person acknowledging)
LLai
(Signature of Notary Public-State of Flo (Signature of Notary Public-State of Florida)
i
Personally Known OR Produced lde tmcation Personally KnownVfs
Type of h entiUkAtlun 0 elvregd Type of►dent cat
CRYSTAL QU �•• :*s MY COMMISSION#FPS04048
commis �A_ Commission No. 2019
EXPiRdS J*31,201f3 t ase.o�ss M aeewea.
roan -
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REMEW
DATE
COMPLETE
INITMLS
i
£0/Z0 39VJ N31W3Nd V60IZ69ZLL 6Z:0T 5T0Z/LZ/0T