HomeMy WebLinkAboutBuilding Permit Application I2/16/20I5 14:37 7724662417 SEACOAST SHEET METAL PAGE 02
12/16/2015 14:37 7724662417 SEACOAST SHEET METAL PAGE 03
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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 County makes no representation that is granting a permit will authorize thepermit 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 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to yo property.A Notice of Commencement must be recorded7anosted on the jobsite
before the first ins tion. If yo in nd to obtain financing, consult with lenderattorne of re
commencingwor reco din o N e of Commencement.
s
Signature wner/Lessee/ nt Signature of Contracto icense Holder
STATE LORIDA STATEryyO,F/1FLORI A
COLIN OFSTt.UCIF. COUNTY OFSTLUCIE
The Ing instru s acknowl before me The fprgWrig
Instr m as acknowled ore me
this ay of by this, ray of 20 LL by
JOHN V CL
a e of perso nowledgin (egn a nowledging
5ignatur o ic- tate of Florida) (Si e o o a tc•St a f Florida)
Perso Ily Kno _OR Produced Identification Personally o n x 0 oduced Identification
Type Identification Produced _ _ Type of enti ' ation Produced
r' '19\ TRACY KAY LAID
Commission.No. Commissi rY�Plo,�; .¢,
Y �NG�L ?. " MY COMMISSION#FF1a8o72
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•� EXPIRES Au ust 3a.201e
MV CSM ��+.°..,.. ......._---
Revised '- EXPIRES August 30,2b18 (401)3pa•o1s3 t=lorlCoNaa SeN{ce,cem
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 5EA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS