HomeMy WebLinkAboutBuilding Permit Application '
05/02/2015 14:38 7724662417 SEACOAST SHEET METAL PAGE 03
06/02/2015 14:38 7724662417 SEACOAST SHEET METAL PAGE 04
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DESIGNER/ENGINEER: ,_,-,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 Counter 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 OW NE :Your failure to Record a Notice of Commencement may result in your paying twice for
improvements
to
property, Notice of Commencement must be re riled and posted on the jobsite
before the first ins ction,If yo intend to obtain financing,consult wit ender or a ttorney before
commencingwor r recordi o r Lice of Commencement,
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5
_Signature wner/Lessee/A nt Signat;rreihtractor/Liven Holder
STATE LORiDA STATORiDA
COU OFsTLUCis COUNTY OFsTLUair
Theforgoing instrurnr was acknowledge' efore me The forgoing instrument was acknowiedged�efore me
this J'-'-day of_U A Q 2 this 2 day of �uNe 20 1 by
JOHN V EL1 JOHN V GEL
(N e f perso ckn ledging} person ackno ging)
ry PubliC tate of FI - tate of orida 1
Person I ylo�PI, � P t1CeL7 PdEftlTt ion Penally '" � CRIB i Ica I
tlb �-6 IDN# Fv4a01P tGe
Type Type 0 ettTyp coyS _-
F1 48072
jY+oii:dt`°S EXtyII�>=S August 30,`x.'01 �"?o�'n�.'f EXPIRES August
Commis 9AjjY EM&N,01 Se�+e Commissio t>IlAx ...
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Revised 07/1.512414
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