HomeMy WebLinkAboutBuilding Permit Application 10/04/1811:58AM CumoleteElec 7723882411 Pagel
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DESIGNERjENGINEER: Y Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING 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.Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoclation rules,bylaws or and covenants that may re let or prohibit such
structure.Please consult with your Horne Owners Association and review your deed 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF IId mxRwR COUNTY OF MUM RIVER
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of QC+.0��3 e!z 20 L(,q this 4 day of .zo l 4 by
GAREIT GUIDR04-L GARETT GUIDROZ
(Name of person acknowledging) eqLperson acknowledging)
(Signature of No ary ublic-State of Florida) (Signature of to Pubic-State of Florida)
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.FF9015" Seal Commission No.FFw1564 a
V+Y° Notary Public State of Florida / Notary Public State it Florida
Revised 07/15/WTI) ycorRmrs;tonFFsaissa MY E p�r•a0s�f912 1s6111M.-i FF�i`sa uplrea 09/19/2019 0:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS