HomeMy WebLinkAboutBuilding Permit Application Miranda Plumbing&AO 7728710883 p.2
Miranda Plumbing&AC 7728710863 p.3
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"DESMINIRIENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
W Name:
Address: Address: I
City: State: City: Statb.
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: I
City: City: I
Zip: Phone: Zip: Phone: I
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I certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no representation that is granting a permitwill authorize the permit holder to build the subject st ucture
which is in conflict with any applicable home Owners Association rules,bylaws or and covenants that may restrict or pro[lbit 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 1 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 exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential u e
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 Jo bsite
before the€irst inspection. If you intend to obtain financing,consult with lender or an attorney befog
commencing work or recording our Notice of Commencement.
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_ Ignature of Owner/Lessee/Agent Sign-2Kulre of Contractor/License Holder
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STATE OF FLORID STATE OF FLORIQA
COUNTY OF �_lIC'1�_ COUNTY OF 1�-
TheforP�li�ng instrument was acknowledged before me The for ping instrument was a knowledged before m
this�`�'2lay of ` Y 20 1 LP by this_ ay of 20 1 n by
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(Name of pe cknowl gin ,w,,3 (Name of pe n acknowled 1 ,� E Q
OLDignature of Notary Public-State of Florida) - g atuMR
re of No lic-State of Florida) $
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Personally Known�OR Produced Identificati '"'fit '''�. Personally Known (/OR Produced identifcatio rl ' c• ''�,
Type of Identification Produced = Type of Identification Produced _ =
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rrnn l qqS` g (Seal) vrh`14
Commission No. t�q � (Seal) �,��•�• Commission No. ;110IF"`
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS