HomeMy WebLinkAboutBuilding Permit Application Jan 061G0Q'5E� DoddE�orpr��o. Inc, .772-335-3310 p.2
Jan OO1O08:G8a Dodd Enterprises Inc, 772-335-3310 .3
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SUPPLEMENTAL CONSTRUCTIbN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x NotApplicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip-, Phone;
I certify that no work or instal lation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the eninit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or anscoveriants 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 concurrencV review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fallure 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
-commencing work or recorcring.your Notice of Commencement.
Signature of Ownerl Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
The f ing instrunvnt was acknowledged before me The forgoing instrument was acknowledged before me
day of U _Aeby
(Name of person acknowledging) (Name of person acknowledging)
t41-Ou4-P-9"
7�7ture of NotiF�Pu blic-State of Florida) (S ign tureofVo_tary Public-State of Florida
Personally Known vl� OR Produced identification PersonallyKnown ��ORProduced.lclentification
Type of Identification Produced Type of Identification Produced
Commi_"Ioa.No. Commission No. a
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