HomeMy WebLinkAboutBuilding Permit Application (2)MORTGAGE COMPANY: — Not Appficable
Name: Name:
Address: Address: State:
City: State: j OILY:
Zip:
Phone: i Zip: Phone:
FEE SIMPLE TITLE ijOLDM _ Not Applicable BOpMNG COMPANY: _Not Applicable
Name. Name:
Address: Address:
City, Caty.
Zip:Phone: Zip: Phone:
I certify that no work orirstafttion has cornmenced prior to the issuance of a permit..
St. Lucie .ComEY mattes no rePresen�ion that is granting a permit will authorize the pe�mit holder build the stb jea structure
which is in ton"£i'ii#.wies or #3Ie-Home owrremAssocotion rules, Bylaws or and cav arrts that may restrict or prohibit such
structure. pI� consult w your Home Owners Assadaaon and review Yourdeed ;or any restrictions which may apply.
In consideration of the granting of this requested Permit, I do hereby agree that I will, in all respects, perforrn the work
in accordarce with the approved plans, the Florida Building Codes and St. Lode County Amendments.
The following bti ding permit apprcations are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, stem r oorrs and accessory uses to another non-residential use
wAIMMT0 �: �`�* failure to Record a Notice of Corner:cern
Brit may result in your I twice for
improve is to.y�.properiY- A Notice of Commencement must be recorded and posted on the .jobsite
before the fsrst"iMpection- if you intend to obtain financing, consult with lender or an attorney before
rnmrr;ierdte work or recording your Notice of Cornmencement-
ent
STATE OF f'LO A r , •.
COUNTY OF
TheDing instrument was acknowledged before
� me
this day of �� 1t V1 . 20
40y_bw hw � SOY
(M1marnogf ws n aacknowiedginii )
(Signature of Notary Public- State of Florida)
Type Of 10 _0M T>�M A QUFVGnno
IN
.()Mgvi,SSIUN 9 Fr(.S0e40
Com EXpIRFS I. ). 31. 2Agai?
3!1'`(401) 396-1j,
Revised 07/15/2014
- or/I,c�se i-toider
STATE OF FLOR!Df4 a��
COUNTY OF
The forgoing inst. rngy was aclmowledged before me
this [ I) day of ;1 --, 20 _LW by
s -- -y
(Tame of a admowleld%' rig )
c�V
(Signature of Notary Pubitoute of Florida)
Personally
Type of Ide
commission
l
REVIEWS
FRONT
COLM7ER
ZONING �
REVIEW
SUPERVISOR �
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RM
DATE
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COMPLETE
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'-vivtMISSION # F 904pg8
EXPIRES Juli?2019
VEGETATION I SEA TURTLE I i NGRCVE
REVIEW REVIEW I,