HomeMy WebLinkAboutBuilding Permit Application ALL APPLIGABLONFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
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. (772�878-5513t
9"Mm 'State or6ufity License:.8898.
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♦ 1 1 1 - RECORDED Nolfftfl
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: BRADEN8BRADEN Name:
Address:417cocoNUTAVE. Address:
City: STUART State: FL City: State:
Zip: 34998 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 County 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 Association rules, bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home 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/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF ��f L-OLi.e- COUNTY OF 'S L(,r-ce—
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �.G{�{��,� 20 1 by this D1 day of�G�a� ,20_jZ by
(5� U X err( (:s_ '6
(Name of person acknowledging) / (Name of person acknowledging)
16 C-4-
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known V OR Produced Identification Personally Known "/- OR Produced Identification
Type of Identificatio6 Produced Type of Identification Produced
Commission No. '1 l Notary i8���teotFi°dda Commission No 70� A �u Nota UkstateofFlorida
Kern Budka ? Kern Budka
Myr
mmission FF 978543 N
c My Commission FF 978543
yff Of 010 n-i�
Revised 07/15/201 `"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS