HomeMy WebLinkAboutBuilding Permit Application Nov 0710.02:28p Tracy D.Steele A/C|no. 772-336-4171 p.1
Nov 0716,02:26p Tracy D.Steele AIC Inc. 772-336-4171
p.2
SUPPLEMENT1 LCQNSTRUCTION.LIEN LAW INFORMATION.:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: I State: City: State:
Zip: I Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: iNot Applicable
Name: Name:
Address: I Address:
City: I City:
Zip: I Phone: Zip: Phone:
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I certify that no work k or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Horne 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
commen in work or recording our Notice of Commencement.
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Signature of Own a ee Contractor as Agent for Owner Signature of Can ctor/"se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF s'"LU6E COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of G°q't$ '. , 20 L2by this b�day of� 20 by
TRACY D STEELS TRACY D STEELE
(Name of person acknowledging) (Name of person(acknowledging)
(Signature of Notary Public- tate of Florida) (Signature ofNotary Public-State of Florida)
Personally Known f 'ttEPrc�aleriEr��trrEY Personally Known !r° Pre% ►�tiCiEY
Type of ldentificati r, d MY COMMISSION#FF081098 Type of Identificati ri�'r 5�E MY COMMISSION*FF081098
N; EXPIRES V"uEXPIRES February 23.2018
Commission No. I +o��39A153 Florida Service,eom Commission No. t48T 398.8153 FiorldaNi& '�icecom
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Revised 07/15/2014
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REVIEWS IFRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
d )LINTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COM PLETE
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