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HomeMy WebLinkAboutBuilding Permit Application ALL " + • MUST BE COMPLETED FOR APPLICATION T• BE ACCEPTED • r i Building Application i . ! Planning / I DevelopmentServices Buitding and Code Regulation / 2300 Virginia Avenue,Fort Pierce rL 34-992 Lucie • FL Phone: 462-1553 462-1578 Commercial Residential MOM 1=1 H Ong h 3'i ;:'L• -v<,tic.<Sx- ::'�•,.;auv7-:'_ .tr•c;s;�q as'- ter,.. •YW*o;?,".,.rqr:: 5Y' ::rc_::7- - - '-^7:a;:c. .,.rf;--- - Property Tax ID#: Lot No. Site Plan.Name: .-h� 7`�Vl. .h<'fr::w. .?it.L '(-., �,-, di��-.::�.,"'':�,o-J.r.'G'�:` :,r .:Y �w•;r:>r,"i;,'iit'�-. 3•s'_i;"-„�3i_'s'�': x;v.5,:i.. •,,?v,�/. .3,�?x'_4;::,7./;�•^,�ah;�•..:: •�.t ,.6 .I: :.,3�.ry �� ,1.I'',:,r`ri:'�. ^� o- -�Isa'y9 i+,,,,,,_.n..�:� ''r 'C'A.r��J'35�3`t.P�.•�,z'�a s• .:S” :' ,^,'.t.r if c'r;.l;s ,./...t,�i f^ ...�p'�ro hi�w ,.,,:.' .{:kt�.,U ur.J;�.. ,wr.E:'• ., ,�l •:,v; ...{�'..t..r _ ,.C• ..•t y'• c V'"'f, , ,1 ,r�c�: �.^ ,,.,J s,+' .',�"%'. ,,c •h?�d, �M �r,+-•.,r. 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S:e'll;�„r.51.., ,:.�i.. ..t�,_., _•.�::7wti�r.' :�,�uvr5i•K,.P._G_ Wit..__ v'ik!,y�:rFarr4Y;:•c:.m•,s.�.�x.,,,'.'aM<....'...., ,�:h+s`vr;... :r;w — - Sewer /. 1-���•�,• r.� .Ai��j��'1 lam`. �- i Address: !•ryry a Zip Code: Fax; State or CoWnty License: ice of Commencement is required. if value of construction Is it or more,a RECORDED bE51GNERJENGINEERr _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 noworkwork or installation has commenced prior to the Issuance of a permit. St. is in county with anrepresentation lmeaOwners Assoc permit rultesabylaws or and.covenant that may restrictborr pr hibiitt 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,l 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 property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing,consult with lender or an attorney before commencing work or record our Notice of Commencement, s Signatu nen/Le Ke/Agent Sig70AF: ont ctor/License Holder STA Olt STLORIDA COUNTY OF LuC COUNTY OF L LIC 1 G The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this,,;,day of 20 1. .by this '- day of 20 f.'7,py C t'Ca YY 1QX11'l 7—rd�e, 6 VG S SYYI ray (Name of person acknowledging) (Name of person cknowledging) C (Signature of Notary Public-State of Florida) (Sig ature of Notary Public-State of Florida) Personally Known✓OR Produced Identification Personally Known_. ✓ OR Produced Identification, Type of Identification Produced Type of Identification Produced Commission No.¢FDO �LOUDERB mmission No. D -. �;;°� ea ,►Y"" �,:-~` K ISTINA L LouDrz C'. KRISTIN MYCOMMtSS1 ? ;gq 009222 2 P�ror EXPIRES August ''�rkA,!' EXPIRES Au ust 7.2017 ..wM, st 7.2 .7 �Q�rised 47/15/201 �..,�.,, 9 (407)388-0553 Ftot�daMatarysenico,00 (407}39&of53 FioddallolarySarvicBcom REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS