HomeMy WebLinkAboutBuilding Permit Application 02/03/2017 09:51 7724626448
SLC CODE COMP
PAGE 03/07
ALL APPLICABLE INFO MUST BE CIOMPLMI)FOR APPUCATION TO BE ACCEPTED
Date: 2,' 1 Permit Number, 0 to
RECEIVED
Building Permit Application FEB 0 3 2017
Planning and Dewtopment Services
Building and Code Regufation Division PERMITTING
Phone:(M)462-1553 Fax-(772)462-2578 commercial Residential
Legal Description:—j
Property Tax ID Lot
Si te Plan Narne- Block No,
Froject Name.,
Setbacks Front_ Back:_Right Side.-_Left Side:
[��ETLAILED DESCRIPTION OF WORK.
CONSTRUCTION INFORMATION:
-M Piping
ElElectric rqn
)4,J Plumbing 1JSPrJjnkIerS 0 Generator HRoof
Total Sq.Ft of Co nstruction,- S Ft of Firstfloor:
Cost of Constrmcfian.,S LUX) utilities:tSewer Up* Building Height.
Name
A drA —j-- Name
d re 10 company: r
Zip Code-, Fax.:_ city; State.
Fill In fee sirople ritte Holder on next pegie(It differant E-Mail,
from the owner listed above) State cr County Ucen$e:
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02/03/2817 89:51 7724626448 SLC CODE COMP PAGE 04/87
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:Name: Name:Address: Address:Zip: Phone: Zip: Phone: _Not Applicable Name: Name:Address: Address:city-, City:QWNER/CONTRACTO IDVIT:Applici3tion i's hereby made to obtain a permit to do the work and installation as Indicated,I certif�that no work or installation has commenced pricrto the Israjance of a permit StLucfeCoun makes no reprraentartipn that 1.5 gmntlng agmitilill authorize the ermit ticilderto build the subject structure which is In con1w,ct witli any apolica ble Horne Owners As�ccja Qnrues,bylawsor� restrict or prohibit such.p covenants that may structure.Please consult with your Horne OWAM Association and reviewyour deep r any restrictions VAlich mayapply.InconsTd rationof the granting of this requested permit,[do hereby agree that I will,in all respects,perform the work in accord ce with the approved plans,the Morlda Building codes and St Lucie County Amendments,The fQllo S building permit applications are exempt from umdergeins a fun concurrency raviww:room addition#,or accessory ctures,swlmm ng pools,farices,walls.signs,screen roams and to another non-residential use k. your paving twl WARNII OWN ur failure to Record a Notice of Commen result ce fdr im rove e sto ou pr ertY,A Notice of Commencement must �_-Cord4kd a posted on the Joinite be ore th I inspe !on If you 1nteD*r6 obtain financing,consult lend r n attorney W6M,Co enc a r orr Ing yo'ematice of Comm cement.signature of Ow tffT Age Lessee Ignatvre cl k Holler cont Wcol STATE OF FLO A VATIE OF FWRII(Signatu otary P blic-State of Florida J �NatM�Pwbdl�j State of Florida Personally Known OR Pwduced identification PersonBlly Known,—SL OR Produced Identificati Type of Identification roduced Type of IdentIficationif'rodual Commission No. (seal) commission No. (Seal)Revised 07/1512014 REVIEWS FRONT ZONING SUPERVISOR PI-ANS VErvETATION SFATURTLE MANGROVE COUNTER RE-VIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED PATE COMPLETED --J I�