HomeMy WebLinkAboutSignature page Apr. 04.2016 09:36 RG GARAGE DOORS 7722075368 PAGE. 1/ 1
SUPPLEMENTAL CONSTRUCTI014-:LIE.N: NX
DESIGNS ENGINEER: Not Applicable MORTGAGE COMPANY: —Not Applicable
Name: Name:
Address: __ Address:
City: State: City ...-_ state:
Zip: Phone' Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BgNDING COMPANY;
Not Applicable
Name: Name;
Address-, Address;
City: - city:
Zip: P h One• Zip: Phone:
Itcertify that nttoov work or installation has commenced prior to the issuance hof a permit.
whlc�cls In 4onflicmtawit�i a 1� pp cahlelHcm oiwr ens��aclatio I ru�el,�yl®wsz�r anforcovenants®hitt may,regriictbdr prs h�irlt such
structure.Please consult w your Home Owners Ars
and rev e.. your esd any restrict am whit may appy.
In consideration of the granting of this requested permit,I do hereby agree that I will,In 211 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 yourProperty, A Notice of Commencement must be recorded and posted on the jobsite
before the first Inspectlon. If you intend to obtain financing,consult with lender or an attomey before
commencing work or recording our Notice of Commencement.
s
_Slgnatur r/ ®/
Signattl5r4f C5FectorWense HOpr
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF A" L.L&Z , , cotmw of „alt.-41ja 1 a
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this-JL day of ISA A I?Ql rl . 20 Eby this IL day of 20 ,�by
(Name of person acknowled Ing) (Nome of person acknowledging!
0
(Sl natu a Pub ate of Florida) (S1g Public-State of Florida)
Personally Known OR Prodweed I n fl ti Personally Known _OR Produced identification
Type of Identlflca � Type of Ida tlfi o P
A�"rt���,�„ PATRICIA HERLEHY
Commission No. No.- Pus itto°t FloridaFiidCommission No, ,�`4p�r n �,y lar Puhll Sgpl 01 Florida
Comm, , sop Zt,gots Y d �
ComnitfalaU FF 129908 My Comm,Eapltpt Sep 21,2018
ZNA Z
''��°�t�t��` Ilonded 1laouph NawlCnalt Na1iIrY Wsn.
Revised o7/15.2 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS.
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