HomeMy WebLinkAboutBuilding Permit Application Jan 271612:OGp Dodd Enterprises Inc, 772-335~3310 p.2
Jan 271812:0Qo DoddEntorpdaao/no. 772~335'3310 p.3
SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPL E TITLE HOLDER: x Not Applicable BONDING COMPANY: x NotApplicable
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.Lucie 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 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
improve ments to you r p roperty.A Notice of Corn mencerne nt 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 recording your Notice of Commencement.
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
� J STATE OF FLORIDA
Theforgoinginst ment was acknowledged before me The forgoing instrtqnent was acknowledged before me
thisj&e day of
U U
(Name of person acknowledging) (Name of person ack ing)
(Signature of Notary PubTl State of Florida (Signature o1F N ota1y_*u_bi I c-State of Fl ori da
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Personally Known OR Produced Identific Personally Known_!!!!:�_OR Produced IdentificWdn__
Type of Identifica Type of Identification
Pr
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Comm skon,No. Commi s
iz-XpIRF 2017
-70 . ! ember 12..2
_S DeCen
SMU
REVIEWS-,- FRONT ZONING LIPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
CO.ONTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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