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HomeMy WebLinkAboutBuilding Permit Application BE COMPLETED FOR APPLICATION TO BE ACCEPTED ALL APPLICABLE INFO MUST S_ Permit Number: Date: Building Permit i i r f Planning• r Development Building • r Code Regulation Division II Virginia Avenue,Fort Phone; - 462-1553 Fax:(772)462-1578 Commercial Residential r i kPPLICAT.10NFOR: w tsi .�s;F "orf t r :na 'ti pT Z' �t7't i. t rat'! qr l ra is a r•1 nr •-t: rr a G re r" p 3h r:.a. ra''f'fiS'(2'•`'_� �_( -e?,,, 'x �a-7f .74.1r. l -c_ "'t'_..^-F,�I.•T} Pi � ''��{i}''t `1'J•L' ity111.IL ,r.• C' ra�`', qr4 ,r;15...�,+ a.Tl >:{*,�.?'(•rl..,rr, ,...lc,h x...11'{,-q...,t�' .?r: .,t.,.,. ,.YP jc{j- r 'ht r,.,•t f �. 'taY.,7�+ lt ; Y7 7 's.: t :`w}?:• -)y, _ ,l'tl,,..l,,�. * !) c!:,1 ,l,r .. 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'+Lx}r,;` ,Y' 1r:; a7�.{�4..1 { `•{:? r Wr tl r t ryr _ z f= n5, txr+ s7t: 1tr=j, ),Ik{ S,I. 1 L 121..1 t b{ �{},l:s i::a li,..•rY"t S slrC .i.,.tblirla.... a's.„�7«5.,1'. t+"?r avx 1•Sr a+7�—.x1.1y,I Lr,! y...t ) ,„. [ A ..L• -i L, ,•1 (�� .....,.>?..+r. � .3.._x 1W aS�lk.. �':�_akltlz.�:! +.nt..tlti w�.f�r..,•I.4aTs�.,=•.i:��%��rl�>�'�.4.a�_._., �'`' Name city: W ex-0— State: Address: Zip Code. rax. City:. -e State' Phone No-TJ Zip Code: ► HolderE-Mail: PhoneNo. Fill in fee simple Title on :: _t 9.0 Cit' from the OwneTlisted above) State • • - t rr i QESIGNEA/Ficin EER, loot App liable iy .. RTGAGE C£71M�'A Elf: Not Appliriable Name:. — - ,r -- NaMe, { Address: Address: City: tte:_M City: tt : Zip:_ Phone dip: EEE 1MPLE TITLE H0.4DEiR: _ Not Applicable 5014IlING COMOANYf Not Applicable Name: Name; Address: ' Address: cit 1.0ty, � �j�: �_I�i1Qri�: .. {�� .-- .m:..•_.,.-n--..-�*--„-�.---rte I certify that no work for installation has commenced prior to the issuance of a Permit, St.Luc1.p jaunty makes rio repre t ntalion tisat is granting a pi�rmit will 4uthorik�the permit h©Ider To hulld the svbject strp apre wh(ch is in conflict with any:appliicabie Name owners Asspctation rules,bylaws pt ,n I covenants That tnav,rsgtrl-t or prpbUt such structure.Pie consult with ygvr Htime Owners Association and r6iow your.deed for any restrictions Whig. ropy ,appty, In consideration of the granting of this requested permit,S d9hereby agree that i will,in all respects,periform the wgrk in accordance with the approved plans,the Ftorlda wilding Colles and St.Lucie County Amendments. The following building permit applications aro exempt from undergoing P full concurrency review:room additions, accessory structures,swimming pools,fence8,walls,signs,screen rooms and accessory uses to another non�rCsidefttial use WARNING TO OWNER-Your tellum to Re;card a Notice of Cr�mmengeMent may re-mlt in Your paving#At p.for improvements to yQi�li prc�}�er'cy-A Notice of Comrztencel:a�r�t��;�t be re'c6rd�d arz� posed on'the}gbsitQ before the first Inspection. Ifyou intend to obtain financing,cQnsult with lender or an attorney before cortttttencin work or recq ding yotaf lotice of Commencement, i � t A9 STATE i� cCr7rfE7i„nSsr Fto3t3t` l 4 , STATEfill=FLOR10A $TATE OF FL R1COUNTY 01 MUNTY The forgoing in$trument was ac,,know(adggd kfore me The forgoing instrvrnent Nvas acknowledged before me this day, � p Y this o �Q �� .by . 1 i TN-am i at person a knows d In lNGrne of poarapn 0�k)ow e nq}� Qax l XfJ 1. ... r •iignati re R 3}l6tar3 Pukttt">-Stt f q .a: 45ignn3tur8 ialpF ry Po li&-eta f i ri4i i Person811y Known >c OR Produced identification P@rsonaily KnQwn�QR R�'gfluced Identification Type of Identification a#len Pr .Li d Type of Identifl�atia Prc�duc d_ GENA LORENZ RUF, c".• fes, (Se i) ! �grr+t;flissipn.,Np• waft} ! • NoiB' ry public= to s of _• '•= Florida i . _ (ANA LOHENTftF 9579 'Commis8ion FF 67 NONry Public state of R (I i MY Comm: (pFe lrra f •„ 11R.".mo RIP 0 NIP ,,,�;h MY COMM Expires fed 7,X020 REVIEW$ FRONT f ZQNING SUPERVIS011 PLANS ui QkTATJQN J $U TU Vri- , IViANC-A(WE CCQUNTS REVIEW REVIEW REVIEW REVIEW VIEW REVIEW i QATE -.. _ -- --t- COMPLETE l i INITIA15