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NOV-30-2015 MON 03: 33 PM CENTRAL SCHEDULING IT. FAX No. 3212686138 P. 003/003
DESIGNER/ENGIN EER: 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:
I certify that no work or installation has commenced prior to the Issuance of a permit.
St.Lucle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In conflict with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Nome 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 exernptfrom 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 Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing,consult with lender or an attorney before
commending work or recording our Notice of Commencement.
Signatur ow /Agent/Lessee Signature of on or/License Holder
STATE OF FLORIDA STATE OF FLORIDAQh
COUNTY'OF--- c`)1 COUNTYOF _ Ab f—
The ling inst ent was acknowledg d fore me Thecroing insY�nt was acknowledg�efore me
thismay of U.-4- zo by this day of 20by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State lorida) (Signature of Notary Public-State of rida)
.Personally Known OR Produced Identification _ Personally Known X OR Produced Identification
Type of Identification Produced Type of identification Produced
Catherine Konger
COITil1]issic a Commission N " 7i`'•.5
_ ��d�anisglaa RF172372 �edthdrine Ko ger
Expires OCT28,ZOiB ' .• WoWmissian#FFi72 72
• •. ' u �" IS'{'FLS1R317ANOTARY,LLC •r{�i,,..5• X SpNDxbTHit1J
Revised 07/15/2014 $TFLORIDAN
LLC'
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS