HomeMy WebLinkAboutBuilding Permit Application SEACOAST SHEET METAL PAGE 02
08/11/2015 07:40 7724662417
08/1112025 07:40 7724662417
SEACOAST SHEET METAL PAGE 03
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D>_SiGNER/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,4ucie county makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con llct with any applicable home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Nome 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 WNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvemen to your pro erty,A Notice of Commencement must be r orded and posted on the jobsite
before the fto
'inspection f ou end to obtain financing,consult wi lender or n attorney before
cammencin or ree d' r Notice of Commencement.
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_Signa a of Owner/Le eJAgent Signatur f Contractor! erase Holder
ST OF FLCiRIDA ST OF FLORID
C TY fl F sr Lucie CO NTY O F sr Luci,
The Ing inset e t a ackno Iedg a ore me The forgoing instrument was acknowledged before me
this day of � i 24�y this LZ day of nuausT Zo _ by
JOHN V GELi. JOHN v LANGHL
of person ackn ging) (Name of on acknowle g)
(SignaOnlown
Notary Public ate a F orlda) (Signature o otary ublic-State Ida)
Person x _ OR Produced Identification Personally K OR Pro aced Identification--"' _
Type of Identification Produced Type of identification Produced
_,�^._._.,..,-- '�w`5" TRACY KAY LANGEkS
Com + �?f CANfti7 Co triisslbn oto. FF14807 al)
s� A. t FF1480�?, zm_ '
MY COMMISSiQM *n8 �.•' EXPiRES August 30,2018
XPIRES August 14071iiq mem Flor1dsN0tarpServiGC,eOm
Revs c ,�3,;,' 20>.�kxltl�Note sctvtae.Com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS