HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FORAPPLICATION TO BE ACCEPTED
Date: i 20161510046 Number:rmit lir•i
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Description,
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Company: Cook Electric Inc,.1
IAddress: 1 SE Commerce"
• • ` Pax, City, Stuart FL
Phon6 No. Zip ••- 999184
• - NO. •7
38
Fill In fee simple Title Holder on nexi.page(If different i E-MO- cook9lectricinc0com6ast.net
from the owner listed above) State or County Lice nse, ECO002265
ff-v-aFv-eof construction rr . i'• •
03/04/2016 08:39 7722879084 COOK ELECTRIC INC PAGE 03/04
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DESIGNER/ENGINEER: Not Applicable ; MORTGAGE COMPANY: _Not Applicable �
Name: I Name: _
,
Address: ; Address:
Cit
y, Stater ; City. State.
Zip: Phone: i Zip: Phone,11
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: ; Name•
i
Address: Address: I _
City: City: I
Zip: Phone: , Zip: Phone: I
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 p� rmit,l do hereby agree that t 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
Comme r►g work or recording your Notice of Commencement,
S.
_Signature of Owner/Lessee/Agent Sign`Tt4e-,'oftContr ctor License Holder
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STATE OF FLORIDA STATE OF FLORIDA I
COUNTY OF � COUNTY OF
The forg Ing instrument was acknowledged before me.. The forg ing instrument was acknowledged before me
this ay of n [-,by thlrZ2dayof X11 c, 20 by
( i
(Name of person acknowledging) (Name of person acknowledging')
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identiificatiors ''Perwnally Known „ Oft Produced identification
Type of identification Prop ti` �•r Type of Identification Produced 1
Commission No. EE VZJ'4A1 ,r •PAMICIAA•i!I Wrrim ion No. f
,c• ■ MY 00MMW1oN# E 71433 KMYCOMM1559)
ZMLN_TI1p);BpNWq
EXPIRESMarch9, 16 N 4 FE 171439
ondetl Tiuu 80ay puhV4(k*"'tn
Revised 07/15/201.4
1 REVIEWS I FRONT ZONING SUPERVISOR PLANS I VEGETATION IIISEATURTLE MANGROVE
I COUNTER REVIEW REVIEW REVI5W REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALSjig
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