HomeMy WebLinkAboutBuilding Permit Application 77287 O8G3 p2
Miranda Plumbing&AC 7728710863 p.3
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DESIGNERJENGINEER: Not Applicable MORTGAGE COMPANY: Not A plicable
Name: Name:
Address: ! Address:
City: State: City: tate•
Zip: Phone: i Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not A plicable
Name: Name
Address: Address:
City: I City:
Zip: Phone: i Zip: Phone:
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I certifythat no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subje structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or rohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which rnay ar ply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the wo
In accordance with the approved pians,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-residents il use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying tv ice for
improvements to your property. A Notice of Commencement m e-record - d posted on th jobsite
before the first i ion. If you intend to obtain financing, suit with lender ora attorney be ore
cPmnvRgjTrg work or record ulr Notice of Commence
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Sr eofOwner/Lessee/Agent S' ofCdntractor/License Holder
STATE OF FLORID STATE OF FLORI ,
COUNTY OF L 't COUNTY OF �`'�• 1— ; �
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The`--ioing instrument was acknowledged efore me ti a� The!orzo-ng instrument was acknowledged befor me
this day of p—)Oo L"CU r 20 I( by c u�N iis�Fday ofd(r-xr, 2{3 16'b
y
(Name f person acknowledging) ` o o Name of person acknowledging) o $
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tr (Signature of Notary Publi�to of KIorila) u,► .4Sig ture of Notary Public-State o(Florida) a ; 1%,
14
Personally Known _� OR Produced Identification. �_ersonally Known D Produced Identifica .a.
Type of Identification Pr
yp odup-qsd ype of Identification Produced
Commission No. (Seal) Commission No. r eal
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE VlANGROVE
COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW
DATE i
COMPLETE
INITIALS
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