HomeMy WebLinkAboutmcarthurGILL APPUCAKE Wo MUST DIE Qompug �f�®rs�� af���r�A750A ire IME �accz �o
Permit Humben
Date: —
Planning and Development Services
Building and Code Regulation Divislan
23W !Virginia Avenue, Fort Pierce FL 349R2
Phone: (772) 462-1553 Fax: (772) 462-1578 Gafrl arc W � �. ResidentNI
I PERMIT APPLICATION FOR, To S818c� from drapbox, cflck wrow at ft and of line
LPROPOSED HAPROVEMi, ETC LOCM -r*N-
Address: b- t
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Legal Description,
PropeitV Tac ID #: 3 40d- ` 69 to - o3 (v0 - cXao -"7 .,._,.,. Lot No.
Site Plan fume: Block No.
Project dame:
Setbacks Front (Back: Rlght Side: Left Side:
5e f
ti Ccs ✓� c.E J e .� �� C �r yrc1J 4
1:3M1/AC Gas Tank
Electric Plumbing
perm; -• cnecK an inax appry:
Gas Piping Shutters WWows/Doom
Sprinklers Generator URGOT
Total 5q. Ft of Construction: So. Ft of First door:
Cost of Construction: S Utilities: So.
0Septic Suflding Height:
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CONTRACTOR -
Name
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aty: _' ` t' !s e _ .. -- State: Y4
Address: Q r \,e .
Zip Coder L[ 22E3 Fax: f ,�
City: r re a State: Fz—
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Zip Code: Y�f� Fax: L((-2 L( -.,.l (a-?
E-Mail:Phone
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State or County License' _044, VZ6
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Name:
Address: Stat
City:
Zip: Phone:
F12E �I PLE Yi Lr HOLOM— Not Applicable
Name:
Address:
City:
Zip: Phone:
MON
DigORTGASE COMPANY-*
Not Appffc,@ble
Name:
Add>r ess:
City: Mate:
.
Zip: , phone:
SCRIMS COMPAMY., Not Applicable
Name:
Address.
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Cour makes no represent�tion that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an pplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wit your dome 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 %dill, in all respects, perform the work
in accordance with the approved pians, 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 roams and accessory uses to another non-residential use
WARNING TO OWNER: Your %llur+e to Re�@Td a P3,Btjg@ @f cah-- MencmFjnent gnat' rasuis In Va
uu� payirug t,'sace 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 recording your Notice of Commencement.
_ Siifiature of Owner/ Lessee/Agent
ISTA7E- OF FLORODA
COUD1 1?OGS cam-- - 4Lc
The forgoing instrument was acknowledged before ine
this 3-�! day of � (' . 20 abyr
r' n Yl
(Name Operson acknowledging)
(Signature of Notary Public- State of Florida
Personally Known OR Produced Identification
Type of Identification ProcLucgd—_-_ -
Commission No.
Revised 07/15/2014
Sig&paffe of Contractor/License Holder
STATE OF FLORD UACOUN7V or
�
The forgoing inswurnent was acknowledged before me
this day of . .` -- . 202 by
/"'�' LA-) r
(Name orperson acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Producers
hs Pu4iie • Stsh of Fior mmisslon No.
Commission # FF 2160511 1
National
MIKE MARTIN
clary P*1c • Mite of
Commission I FF 211
REVIEWS
FROM"
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
Milli ALS