HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I • UST • • • Appur—A=N To BE ACCEPTED
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Permit •_
Date:
Building Permit
. 1 • •
Planning and Development Services
Building I • •r' RegulationDivision
2300 Virginia
Phone, • Commercial Residenflai
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01/26/2016 09:22 7724612036 STEVE SMITH AC PAGE 03/03
DESIGNER ENGINEER: 'Applicable MOTGAGEE COMPANY: Not Applicable
Name.
Name:
'amL
s;7_
Address: 7Address:
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 installation has commenced prior to the issuance of a permit.
I Lucieco"n ermit will authorize the permit holder to build the subject structure
Ifi n cogmakes no representation that is granting a fa
which is ct 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 tender or an attorney before
commencing work or re din your Notice of Commencement.
Signature of C.'wner/Lessee/Agent Signature of Cofitrntor/Licensg Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY
Thefo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this. day 'JUAf- 20 46-by this day of..-_JW-L20 LL C
isy
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature,of Notary Publio-State of Florida) mm
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of Identification Produced. Type of Identification Produced
Commission No. Oft%nfission NP015120-1 (Seal)
Alolw%NWARY FUiNX
STAR OP 10LOA IDA NOTAFtYPUBUG
STATE OF FLORIDA
Revised 07/15/2014 EM11110"5"IM19 FMI20i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE.
INITIALS