HomeMy WebLinkAboutBuilding Permit Application 08/10/2015 09:48 7724662417 SEACOAST SHEET METAL PAGE 02
08/10/2015 09:48 7724662417 SEACOAST SHEET METAL PAGE 03
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Jill; 1111 +DESIGNER/ENGlNEEl�, Not Applicable MORTGAGEPANY: 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. Lucle 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 OWNE :Your failure to Record a Notice of Commencement may result ii your payiIte for
improvements to y property. otice of Commencement must be recorded a pasted oobsite
before the first ins coon. If yo me d to obtain financing,consult with lender r an attorner
commencin wor r ordin ou of of Commencement.
s
_Signat caner/Lessee/A Signature of Contract License Holder
STATE F i ORIDA STATE OF FLO �/A
COU OF SrLUCiE COUNTY OF ST cic
The forgoing Instrum t was acknowledged_before me The forgoing instrument was acknow ed fore me
this !✓ day of 1V 20 -?,by this '07" day of AUGUST 20 by
JOkN V N Ll JOHN V LANGE4
(Nam t
f r n acknowl Ing (Name of per n ac wiedging)
(Signature c (Signature of Notary P Stat
TR hA
Personally K €iavn4• �� ffiUiz° personally,Kno NG
Type of Ide s ,Po I Type of Identif 6 iio r,,ttud'dt9 COMFAISSt40�
,.,'► n ,Com
Commission 713986f53 FldrideNCtary,S om Commission N LFldctt4otaN
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 5EA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
-COMPLETE
INITIALS