HomeMy WebLinkAboutjBuilding Permit ApplicationCONSSTRUCTUM Lfi I LAU � Gk7Ca`��i�ri o
DV ORTSA(SE CCOOMPAMY:
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Name:
Address.
State:
City'
Zip; Phone:
r -EE Smg(PLE 76WE HOLDER: � Not Appkabie
Name:
Addresi:
City:
Zip: Phone:
Not AapplicWe
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Address. State:
City:
Zip: . Phone-
SONOWS COMM. M. Not Applicable
Address). _
0ty:
Zip: Phone -
I certify that no work or installation has commenced prior to the Issuance of a permit.
,,filch
County makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
+,filch Is In co ict with any applicable Home Owners Assoc(ation rules, bylaws or andcovenantsthat 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
WARMONG TO OWMER: VaUP gmff rm to Gvc g=d a motelce caaf Udnv rre'%ml2 M your Paving �Wlca for
improvements to your proper. A Notice of Commencement Faust be recorded and posted on tete jobsite
beffore the first inspect, ion. if you intend to obtain financing, consult �Ath leader or an attorrneV before
commencine worm or recarrdine unr.irr Nntir p of rnmmonromont
ature of Owner/ Lessee/Agent
57A757A7E OF Fly®N90A y
The forgoing instru ent was a knowledged before me
this day of 20 ('7 bar
/0 L-113,',,IY1
(Name of erson acknowledging)
,s;, J l
i, i A-G°G'tJ
[Signature of Notary Pub1lo- State of Florida )
Personally Known OR Produced Identification
Type of Identification PMOWN
Sig of Contractor/License Holder
STATE OF GaL(97RODA
COUR17 7
''fie forgoing instrurnent wras a knowrledged before me
this day of, L. 7� _ _, 2® js by
(Name of perlifin acknowledging)
(Signature of Notary Public- State of Florida j
Personally Known 1,.,' OR Produced Identification
d'ype of Identification ProduE — — — —
Commission No. ` `, Njghf rbllc -Slat* of Fl l [[ l ommiss€on No.
• cminission # FF 218951
My Comm. Expires Apr 5. 2019
Remised 07/15/201
Mf Public - State of Florl
mission # FF 216951
My Comm. Expires Apr 5, 20
REVIEWS FRONT ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
SATE
COMPLETE
INITIALS
UNFO MUST 01 CoMpLg7go FOR APPLUCAT90M TO r9)EACC19PT'R[D
pefffol", Nuffibey.
'W'Ofifilfig and Dewimment swWas
Building OW Code ft010thm DIV190fi
2aW Wronla Avenue, Fort Pkme FL 34962
Phone: 1772) 452-15S3 Faw. (772) 462-1578
PERNTAPPLMATION FOR-. TO BOW frOm drOPWH, OU ck 8frow at 5W and of Ins
PROPOSED NPROVEMENT LD - CAMON:
Address- '-!C-( I L -\ f- r :- rel 5 &.7'n
LeZA Dasq;dptlon;
Properly Tax ID #-. -) 'i0 -5 ' 5'ba, - 0 t Ll,;L - 00C, - --1
Site Plan Name:
Lot No, —
Block No.
PrfaJect Name:
setracks ROnL--. WN: — Rw skir Left Side:
MAIM DESCRPTION OF WORM
CONSTRUCTMN NFORMAMON.
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12 Plumbing
bo, �2
PIPIVII! L—j 0 Wifid@wW000rs
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nklers 171 eenangtor L=-Jj Ran?
Total Sq. Ft @? construction. Sol. Ft. of Fivat A@=
Cost of cons-tFudiam
Utilities: OSewer Lj Septic auflding Halghte
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City:
Zip Code. Far.
E-Mail-
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Name:
Company:
Addrm:
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Zip Code:
phone No. IL
State or County Ucensa-'
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