HomeMy WebLinkAboutBuilding Permit Application Jan 22l0OS:5Qa Dodd Enterprises Inc.
772~335-3810 p.2
Jan 22 16 09:59a Dodd Enterprises Inc. 772-335-3310 p�3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGINEER.- x NotApplicable MORTGAGE COMPANY: x 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:
I Zip: Phone: Zip: Phone:
1_ I- I
I certjf�that no work or installation has commenced prior to the issuance of a permit
St.LuciejCountv 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 Home Owners Association rules,bylaws or and covenants 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 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
commencln�work or recorchng_your Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF COUNTY'OF
Thef Ing instrurRent was acknowledge4 before me The forgoing Instru ent was acknoWedgelbefore me
this i-ri'My of 20 ��.by this-3 ( day o T;z�_-iLA_20 AQ by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary PubW-State of Florida iSignature of Notary Kblic-State of Florida
Personally Known OR Produced IdentiffiCZ11941-1 Personally Known OR Produced Identific;�tibn
Type of Identification?rodZrd_--' -141p_T Ty)e of Identification Produced
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ERGNT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW. REVIEW REVIEW REVIEW REVIEW
DATE ..........
COMPLETE
INITIALS