HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED
Date: Permit Number:
ar - RECEIVED,
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Building Permit Application AUG
Planning aDevelopment
Building ■ • Code Regulation Division
I!Virginia Avenue, ..
• r 462-1578 • Residential
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PlumbingL,-.�HVAC ED Gas Tank []Gas Piping Shutters Windows/Doors
0 Electric ■ Generator •..
Total + of r s t FR.of ra
Cost of a ■n:$ Utilities, ■
Sewer ElSeptic Building Height:
-
City:
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State: •
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Fill in fee simple Title Holder on next page(if
different
from �' • `.
- Owner listed above)
If value i • - !
of . $2.500 or • RECORDED . . • -• r
'DESIGNS ' hfeat Applicably MORMAGE COMPANY. Not Applicable
Nate: Name:
Address, Address.
city:w..-�.�-,_,•,..... _
Stt�: _ „� City'
Zip: _Pl�t�rre:' Zip.,
FEl SIMPLE TITU HQkDER: � Not Applicable I 13ON ING COMPANY, Not Applicable
NaMe.,
Address: 1 Address:
City: City-
Zip: P .on-: I zip: Phone?
I certify that no work or installation has commenced prior to the issuance of a permit.
St.hucie Co=crakes no r@parrrsent%irrn that is granting a permit will authuriye th.e permit holder to build the sgfkject sg' sr€
vsihtch is in Coritflplel with anx applicable Home owners F�s�E at,crn rules,byli!Ws br an�r Wvfmants that n1ay r�Strict or p�ro�sp6�ir gtae rt
stru Cure.f?leasa Consult wit ya�r•Home fawners Assogistii7n and review your dsaad tier Orly re 1s vOlc. m@y apply_
In consideration of the granting of this requested permit,14o hereby agree that l will,in all r%pects,perform the work
in accordance with the approved plans,the Florida auilding Codes and 5t.l.uela County Arnetydmer,ts.
The following building permit applications are exempt from undergoing a full concurrency review'room additions,
accessory strvCtures,swimming pools.fence8,walls,signs,screen rooms arta accessory u¢estp another non-residential use
WARNING T43 OWNER;your failure to i efrrtrst t Oti 4e Qf Cotyrm nee rnent may result;in yAgr PRV108 twi,e for
improvements to your proper tA lvc�t-Ce of f r1►tn�nCemi rpt rest be re grded and posted on the 19bsitea
before the first inspection. If you intend tQ obtain financing,t~carrsult with lender Qr an attorney before
commencing work or recordir rzur NotiCf}of�arrimen�etr�er:t. rt�
18n3 . �4,- �erj64 fAgenL "ai€n n 'cYQrf ?;ens9 fl "N.
STATE OF FLORIDA STATE OF lat,Qi!l
COUNTY 011 ...�- -�- COUNTY OF • r �
The for in instrume.it wos acknoQ-le4ged before rvi' The for irtg instrument was��knowledged before me
this;' da of 2f7� �* ihls of by I
�N,�me of person ariinvw(ed$in� ... il�l�#' sem�ctrrtc�►vi�j��J'`. . , .. .. I
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igi�atuCa iif IPtary PS!i�li��5iafi3'. .a rid ISti9n9 tlf s3#i3€�tttry Pd r it<-bra.. f ltl rRid0
Personally.known� OR Produced identification Personally icnoWn OR Produced ldentlffr atlon
Type of identification Pro U ed i r'{Re of identification f rWuced_,
CzEIVA t t�f4€N2 RUf. 4
(die l) Cgmtxtlssrcr !`tIo_ a1)
' • ,"s fuot�ry PutYll 0 of Florida ' TOREN iiUF i
' Commission Ff:957987 '� Notary public_state of l
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+?: My coinni,E%
My Comm.E>PIM Feb 7,2020
REVIEWS FRONT i ZONING SUPERVISOR ' PLANS VEGETATION i SEA TURTLE MANtae��?VE
WLJNTkg RMI E`hfll REVIEW Revl�w RFVIEW AEVEEW REVIEW
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