HomeMy WebLinkAboutBuilding Permit Application 12/21/2015 I5:40 7724662417 SEACOAST SHEET METAL PAGE 02
12/21/2015 15:40 7724662417 SEACOAST SHEET METAL PAGE 03
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DESI NERIENGINEER: _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 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 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your propert .A Notice of Commencement must be record d and posted on the Iobsite
before the first ins rir/ofrecordi
ion. If y u i to to obtain financing,consult with len er or an a orn Wore
commencingwork r otice of Commencement.
s
Signature of 0 er/Lessee/A ent Signature of Contr or nse older
STATE OF RIDA STATE OF F RIDA
COUNTY STLUCIF, COUNTY O s'rLUCIE
Theo aing rostrum t knowledge afore me The forgoing instru en was acknowied a ore me
th' day of 20 y this z,,.:._day of 2 _by
JOHN V
am f rsan acknowle ing) {Na of p rson acknowl ing a
ry is Flori (Sign ure P blic- to of Florida}
�b1ii.Idr
Personal own x R roduced Identification P ..., d Identification
Type of entific ' ---4-71— yp n I FlRg4 My COMMISKAY LA -L- SION
COMMISSION�FF148g72
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Commission No, i•! }" MYCOMM1g6PM "FF149Q72 ionW./R (seal)
EXPIRES August 301 2018 A7 a '0' {ar q 4 18
OF! In4madia=M
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATiON SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS