HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC'TkE INFO MUST BE COMPLETED FOR APPLICATION TO HE ACCEPTED
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Buildirig Permit Application
Planning r • Development
Building ♦ ♦ 'ode Regulation
11 Virginh Avenue,
Residential,Phone:(77 46271553 Fax: (772)462-1578 Commercial
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DESIGNERIE- GINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: I Address:
City: State: City: State,
._ .
Zip: Phone: Zip: Phone:
FEE SIMPLE I TITLE HOLDER- _Not Applicable BONDING COMPANY: ,,,,Not Applicable
Name: I Name;
Address: Address:
City: City:
Zip: Phone' Zip: Phone:
I certify that nc work or installation has commenced prior to the Issuance of a permit.
St.Lucie Countmakeno representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conf ct witt any applicable Home-Owners Assoctation rules,bylaws or and covenants that may restrict or prohibit such
structure.Pleas consult with your Home Owners Association and review your deed for any restrictions which may apply. .
In consideratio lof the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance th the approved plans,the Florida Building Codes and 5t.Lucie County Amendments.
The following b Ilding permit applications are exempt from undergoing a foil concurrency review:room additions,
accessory struc res,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use.
WARNING T OWNER:your failure to Record a Notice of Commencement may result in yourpaying twice fpr
improvemen to your property.A Notice of Commence ent must be recorded and pasted on the jobsite
bef a the fl t inspection. If you 'ntend to obtain financi ,consult wit lender or an a orney before.
com encin din r Notice df Commenc ent.
Signat a of ee Sig lure o Co tra ce se Hold
STAT OF F R1DA 57A E OF
COU 0 l COU QF„
The for Ring i tr ent was acknowledged before me The forgoing inst ment was knowledged before me
this day 20 Eby this , 6ay of 20-1LABY
ame of perso acknowledging) (Name of persona nowiedging)
nature of h t. y Public-State of Florida) ature of Nota ubli�c-�State of Florida)
Produced Identification Personally Known `-r vet Produced Identification
Personally Type of Identific duced
Type.ofldentl a�q�,,, •
,•t`�YP�°• A YNN U ELL
° � �� Commission Na _ YIVN RUSSELL
Commission ° f a f Florldd fY *P` Notary public-State Of Florl
My Comm.Expfres Jul 22,2017
°P�`� Commission F ul 22,2017
•`"7ll,r� F 038392
Revised 07/ 5/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INIYIALS