HomeMy WebLinkAboutBuilding Permit Application 12/28/2015 13:36 7724662417 SEACOAST SHEET METAL PAGE 02
12/28/2015 13:36 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: r Not Applicable T 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 o your property. A Notice of Commencement must b recorded and posted on the jobsite
before the fir inspection. I ou intend to obtain financing, consult ith lender r a tto ey before
commencin rk or rAcor1fin'gAuAotice of Commencement.
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_Signat of Owner/Less /Agent SignZCIF
of Contractor icense Holder
STAT OF FLORIDA STA FLORI
COU IqTY OF STLucIE COUNTY OFsTI-uc
T oing instr acknowledg efore me The forgoing instrument was acknowled ore me
t&day 20 _b this 28 day of ❑Ec by
JO LANG JOHN V LAN
( am perso acknow le {ng) (Na person ackno dgl )
(sig tore f No ry ublic-State of Florida) (Signatur Notary Publicaa%of idaPersno OR Produced Identificati❑n Perso II Known x Identification
Type of Identification Produced Typ ofon Produced
CommissionTRAnY KAY �°AWhEL Commissi �A TRACY y
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE T
COMPLETE
INITIALS