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' - :4a n,. ,,ro'�k,..•.�'vf,;�. `k,*�'.,r-.,f 1f_,. .;C- �CrR,".«ry°tf-jr„l..�iv ��t c W:9s:, .�..•'si7> "G. 1�., S�`�,55,,? ��,;!a. .S"sKx,,,'r5`.:_�'? �,Gr1�h��.�t:;.sna.,;i e:.:e„<r �:3,2..�T.z,r*,w..,-�'_ 7� �v.�;,>.. r;,ir'+rfi`�t�rs..:i�r�ci�`.�,:_..�.v,:',..r,..,.47a-t\x:.rx.d�.kdc-,,...$i.�F.a,:1,.,.a...'•?. s':,cn•.r,,,�"Y:f:tr}„•t...•,+.�','vv,•.t,.�.. .-,'.a•x' Name e5 Sta te ' ■t ! �� r i • .. ♦ Phone ► �. ir 'f i_ i • • fill In fee simple Title Holder an next p;�#e(if different a Owner listed above • • I L�1SIGNER ENGINEER: Not Applicab a MpitTGAGE CCRIVIIPANY: Not Applicable Name: Name: Address: Address: . City: t8te: City: . . . State:— M PhQna Zip: Phone: Zip: Fit SIMPLE'TITLE HOLDER: �Not Applicable 1 QNDING COMPANY: ____Not Applicable Idame: Name: Address: Address: City: city: Zip: ,—Phone: Zip; Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. St-l ucfe coup makes noYrepresentation that is granting a parmit will authorize the armit holder to build the s blect structure trurtwrenpleasle cp suft withpyoiur H1ome 9wil Assoclap qnT nd revSewyyour e�dn or o Y aestrill that taon wYhic�t aor appjy lblt such In consideration of the granting of 015 requested permit;,t do hereby agree that i will,in all respects,perform the wgrk In accprddnee yvith the approved plans,the Florida RuiOng Codes and St-Lucie County Amendments. The following building permit ep0catigns are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pli fell walls,signs,screen rooms and accessory uses to another non-residential Ilse WARNING TO OWNER.Your failure to Record a Notice of Commencement may result In your Paying twice far improvements to your property.A►Notice of Commencement must be recorded and posted on the job5ite before the first Inspection. IF you intend to obtain financing,consult with lender or an attorney before commencing work or recording our Notice of Commencement, Signa caner/LQsse�/Agent %naa ractbr Lltense Holder S`CA'LE OF FILMDri. STATE OF ELORI Q► COUNTY OF Ll �, - COUNTY OF, ` �' The fo Ing instrufnent was acknowledged before mfr Tho for in$ins; r}�mer►t was acknowledged before me this Qday of -PJM f�C�v L�' 20 aby , this day of�Qrld�20 by (Dame of person Scknowle ng) (Name 9f person 4cknowledg n j (Si'natfare of!Votary publlcr 5ta Florida 1 (Siltinature of Notary Fublia-State FloFida j Personally Known:V----QR Produced IdentificatfonPersonally Known %_� OR Produced identification 7y Type of Identification Prot.aced ,�;wW :-q• GENA LORENZ RUFQ r eat G _ -iol pubHt:--State of Flarf J Commis o►i. kb 4 _,.tea-tORENi RU ' Commission N FF 957967 ' Notary Put.lie.-State of FtArida . . •'- . ''; My Comm.EkWil Feb 7,:2026 M RbVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SPATLIRTLL MANGROVE COUNTER REVIEW REVIEW REVIEW REVIRW REVIEW REVIEW DAT COMPLETE INITIALS