HomeMy WebLinkAboutBuilding Permit Application 10/26/2015 08:39 7724662417 SEACOAST SHEET METAL PAGE 02
10/26/2015 88:39 7724662417 SEACOAST SHEET METAL PAGE 03
DESIGNER/ENGINEER.- Not Applicable MORTGAGE COMPANY- Not Applicable
Name: Name:
Address: Address:
City; State: City: State
lip: 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 Count makes no representation that is grenting a permit will authorize the permit holder to build the subject structure
which is In conYlct with any applicable Home Owners Asgoclation 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 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvemeniA t )pD . A Notice of Commencement must be reccj?ded and posted on the jobsite
Pt 0 your rty
before the f inspect' n. If you intend to obtain financing, consult with/nder or an attorney before
commencirgworl(or cWding your Notice of Commencement,
pr
ST OF FLOR A STATE DA
;r' VL04tPr-i,1 7
The! ing instru e , a acknowledge I fore me The forgoing in5trument was acknowledgigO.7efore me
thid av of 20 this 2(' day of OcT
17 20.1j_by
nh�a
_Lqckn
C'X
(Slgrna eofFlorida) (Signature of Not
Personally wn X. Zroduced identification Personally Kn n x OR Prouced Identification
Type of Identification Produced Type of Ident ication roduced
is WHO (Seal)
ISSION#r
Revised 07/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS