HomeMy WebLinkAboutBuilding Permit Application (2)DESfGfiIER/MGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TiTLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: ,/Not Applicable
Name:
Aaarocc-
City. -- State:
Zip: Phone:
BONDING COMPANY:
Name.
Address:
Zip: Phone:
Applicable
I certify that no work orinsta)lation 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 an 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 yourdeed 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
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
commencing work or recording our Notice of Commencement.
/feor/Vicense Holder
-- essee ent ;
STATE OF FLO I�� }l`Y A I STATE OF FLO,�� 1 f A-1COUNTY OF I/Vl COUNTY OF TI
The fo oing instrument was acknowledgeldI'' before me
this , day of i ( 20 LbY
(Name of person acknowledging) Ul
(Signature of Notary Public- State of Florida )
Personally Known y/ OR Produced Identification
Type of Identification Produced
The forgoing in merit was acknowledged I before me
this day of 20 JL by
-
(Name o9erson acknowledging)
(L
(Signature of NotaryPubl' - State of Florida )
Personally Known OR Produced Identification
Type of identification Ppdig-
Commission No. CRYSTA)QUEVEDO I , Commission No.
Y
,'c MY COMMISSION # FFSO4p48
+9b-0"bb
Revised 07/15/2014
CRYS��T��App��}},�A QUEVEDO
MY COtJINTI�5310N a FF904048
EXPIRES July 31. 2019
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
REVIEWS
FRONT
COUNTER
DATE
COMPLETE
INITIALS