HomeMy WebLinkAboutBuilding Permit Application Dec 221G031Up First Choice Plumbino !
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Dec 22 16 03:10p First Choice Plumbing 7728797860 p.2
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMF NNY: Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: P one:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMP i Y: Not Applicable
Name: Name:
Address: Address—:
City: city:
Zip: Phone: Zip:-P one:
I certify that no work or installation has commenced prior to the issuanceofa permit
St.Lucie County makes no representation that is granting a permit will authorize the per it holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and co nants that may'restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for a y restrictions Which may apply.
in consideration of the granting of this requested permit, I do hereby agree that I will,in 11 respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County A riendments. I
J
The following building permit applications are exempt from undergoing a full concurrenc review;�'room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory u es to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement m V result in your paying twice for
improvements to your property.A Notice of Commencement must be re;: riled and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with rider or an attorney before
commencirig-work or r9corcling your Notice of Commencement,
s
Sig toe of Own 4&e_5.�o ntractor as Agent for Owner Signa re of Contract r 'Ce—nseHolder
TE OF FLORIDN+. STA E OF FLORI
NTY OF LtAcu e, TY FF
e forgoing in!Ltrument was acknowledged before me The forgoing ins m nt was acknowledged before me
th!Q&day of:ZJ!Cr,-_ this CR day of 20
20 1�,by _L(Rby
m result
in
re Yrd Commencement
d
VOL
c n, or a posted
with er n a'
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A!-, Signa ac r License Irioldei
ST I STA E
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(Name of erson
edging) (Name ofper nac owledging)
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'Signature of Notap,,�-Kllllic-State of Florida) (Signature of Nota r) ubli of Florida)
Personally Known_V-� OR Produced Identification Personally Known— —OR Produced Identification
Type of Identification Produced Type of Identificatio Produced
Commission NogSV
j93(fe_ (Seal) Commission No (Seal)
Revised 07,11 TINA A,RAMALHO I ON TINA AAAMAL."o
NOTARY pL1a1 tC.s-rA7E OF FLORIDA baa
NOTARY PUBLIC-STATE OF FLORIDA
nim#'Fr.957046
—CIMAR
IRES I 12.03-20V_
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