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HomeMy WebLinkAboutDurkovic permit appl.ALr APPLTC+BIE INFqMUST BE COMPLETED FOR APPIICATION TO BE ACCEPTED Date: d la 1, Y 11 Permit Number: Building Permit Application D 'O.^-ril/( YrV-Cxi.s{rrPlonninsondDevelopmentServices Y (W- ?Xi-N1/fql Building ond Code Regulotion Division AA n.1n, 23$)Virginio Avenue, Fort Pierce FL 34982 , ,/ I I v{We Phone:|772|462-L5.53Fax:(772|462-t578Commercia|-Residentia|V Address:SE Qsz Legal Description:v Property Tax lD #: Site Plan Name: -5 -csc.ta3 Lot No. Jrs Block ruo. 3 3 Project Name: Setbacks Front- Back: - Right Side: Left Side: Qt C "-'r L;o,R.- S<a ,\ appry: trl HVAC Electric I $as Tank Wvtumtins [um Piping Shutters Generator lll *,noo*s/Doors [lsprintters |-lnoot [-] Roorpltcrr Total Sq. Ft of Construction:So. Ft. of First Floor: utilities: Fr"*", E**costof construction: $ LQ ! 9:99 Building Height: ?f value of construetion ls $25fi) or mone, a RFCORDED Notice of Commencement is required. PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line company: H {l+ A reryue 6,@, citv: VuA &Pa'tlr state:-H( Zip code: 3 lqQZ rax: 77 2--77D-Y65L Phone No. n'l a- -7ag 8l q'{ E-Mail: [l t*Pinvew @ betl foulPh ,n:el stateorcountyLicense: Af C 0q8 a'73 tra_ Phone No. fl rl3- Fill in fee simple Tide Holder on next page ( if different ftom the Orner listed above| I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie CounW makes no reoresentation that is srantinc a oermit will authorize the permit holder to build the subiect structure which is in conflict with any dpolicable Home Owiers AsSociation rules, bvlaws or and covenants that may restrict dr prohibit such structure. Please consult w'ith iour Home Owners fusociation and review'your deed for any restrictions uihich 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 Comrnencement may result in yougpaying twice for improvements to your prpperty. A Notice of Commencement mutt be recorded and popted on the jobsite before thEfirst inspectiy'yi. lf you intend to obtain financing, consuft with lender or an/ttorney before commenofDE work or Notice of Commencement' Rerrised 07lI5l2Al4 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATT COMPLETE INITIALS MORTGAGE COMPANY: t/ Not Applicable FEE SIMPIE TITLE HOLDER: V not Applicable BONDfNG COMPANY: l./ Not Applicable The forgoing instrument was acknowledged before me thisL4 aav of rf*"<-- , zo i? uv \J rnalfy Known J oR Produced ldentification Ul+ of ldentification Produced > no. (fto+v+o (Signatuie of Notary Public- State of Florida ) STATE OF FLORIDA ^COUNWOF J fLd-L9/$-- l\J,U-Ptt) The forgoing instrum€nt was acknowledged before me this;ff,day o1 Qu,ra^.*-.r . 20 tA-by t My Gomm. Erpircs Jun 2.l, ($orlhission # Ft 108006