HomeMy WebLinkAboutBuilding Permit Application (2) AP 01, 2016 9: 15AM Ge rel co No, 7908 P. 1 k
RECEI'.' -D APR 112016
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•SUP.P-LeMf N�'AL•CONSTRUCTIONt L)EN•LAW.INFORMA11ON:•••••
DESiriNER EN1S[NEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address: j r
c State: City: State:
Zip: Phone: Zip:_Phone:.__ ..
FEE SIMPLE TITLEHOLDER: _Nut Applicable BONDINd COMPANY: _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.
St�ucle Coun makes no repr #adon that is n a ermitwlll a tfiorixe the permit holder to build the ubjectr�acture
S,%
is to an lct with a ppi ca le Hog Owners As�nr�clan rules,�yiawva gra d covenants that may restrict or p hiblt such
structure.Pease consult w�t�i yauitomensrs Association and review your�eednfor any .restrictions which may appy.
inconsideration of the granting of this requested permit,l do hereby agree that I will,In all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and St.Lude 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
impprovementS to your property.A Notice of Commencement must be recorded and posted on the Jobsite
BQfore
the first inspection,if you intend to obtain financing,consult with lender or an attorney before
c4 mQnGin work ar recording your notice of Commencement.
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_Signature of Owner/Lessee/Agent Ngnature of Contractor/License H [
STATE OF FLORIDA STATE of FLORID
COUMV of COUNTY OF
'rhe fling Inst r ment was acknowledged before me The forgoing Instrument was acknowledged before me
this 6�tlay of . za Eby this_day of j,.. .24 UAL by
(Name of person a now edging (Name of persona nawledging)
(Signature of Notary Public,State of Florida ure of Notary Public-Strata of Florida)
Personally Known OR Produ AMUM6.11WAnown ^OR Produced Identification
Type of identification Produced t RiRAmf Id ttflcation Produced
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VARES;Fe T� Id6R
CammisSlanNo, Wed nWR" st Na, my commissiom 0 I:Fpal d
ESP
Revised 07115/2014 . NCO
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE !
COMPLETE
INITIALS