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HomeMy WebLinkAboutBuilding Permit Application AMAPPUCME BUD MU f 13JECOARPLEMMRAP1411CATIONTOBEACCOYM RECEI"'D SEP 2 6 2017 Building Peit Application �t�rni►,n��mz��► .�i� Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce Ft 34982 / Phone:(772) 1553 Fax") Commen®al Residenfial V {PERMIT APPUCA17101% FOR: T®Sdedfmm aft off Wm PROPOSED,I,MPROVEMENT LOCATION ` � �`° � ! ` #� F Address: tj)1n.ILVZ_,," 1oLs_.. o ,�v ���t '�I Lu19-0-xt, Property Tax ID -,7 – _76)l ©06 I—CCO Lot No_ (`{ Site P6-mn u -- :&AA(AaG1^ B 9To_ S� Prate Setbacks Front Back: Right Side: Left Side: li orf �t � Fk �s 6A P040 � s. . Additional work to MGasTank orme un ert is permit—c ecamshumm app y: UVAC P[ Total Sq.Ft of Construction: S .Ft.of First Floor: I s� Costof n:$ S74DD4t D(7 lDloiWE *rerSepfic W&ft HeightId � ER�LESE` Name GVH Name: Address: ? Company: \ Phone No.:7T7i'~ (D Z Zip Code: Faw. E-Mail: Phone No_ 7 Fell in few shnple Title Holder on mss page(ff&ffarent E-IA71a L- �C S\ w 6 �_1 f ) torr 11i (fC o�7&16 Car -Z If value of construction is$200 ar more,a RECORDED Notice of Commencement t required. F `§, 'X4V11 ? 4 k_. SUP—P.EME CANS til�ii�i LiE 1�L ,iN AAA Aid 5 �` {: 1; �,.;..� d Name: Name: Address: Address: utr : Utr Std: Tip: -Phone Ax phare: FEEDOMr t Appezabue Name: Name: Address: Address: Zap: : : OVMER®CONTRACTOR AFRDViT:Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. SL ioair-+nmm 1 C� _ �srt�tn�➢ dim (fpm IIIMM&ae whiBaanorbillre w1li i ch FIE lamp i i9a�_ A mon tttrdk�,, axr it<f t�'7 sb r�� fFi�owasd i lht}muter INlmra a Omni orsAmon Mm al amyl r iWw%mu td4md fbir aW mes nikifimmrs w Kdh,aW W01W Un awndmatm r fd a panoX II da U wilk iem a9'!1 martrrra ama waft in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The faliom mig build irg i erm d appheadom are exempt from undwg=g at full mmew:nxxn sdnat _ _ e =Is�sfgmso scam umms am�anammig mses tm amOnw - we WARNMG Tfl OURML,Y -to Remd a MMm of aWresaftin VcarpaWiqCtwicefw impta'gwr _A Magm GTCdn=DeauEamnt clam be It' ed wild pssUad ern lhejdhsk-- before the first inspection. If you intend to obtain financing,cons It with lender or an attorney before comrr 6ncingwork or rerording your Notice of Commencement. // a� �tr�xmrsr STATE OF FLORIDA STATE OF FLORIDA Caulffff OF '6 Jf. A-N) couKff ar- e.N -, %-V t-ce, TRI: i� acllarrr»9 WbIM MR911 tt mltt ail +gal-,dam mate tdb dlay 5 O- 1INicS W 3 .2811 by 11, % **V� A- LG{5ky\ UMM off PMWM Mav� �Ubme off Pau=m4 lfpy Deaff1WkM ffma om lfy mifIkdi�rVtii6ita�6rarm Produced .ti p L Poxhitcedl ftn,awe afF f . -S aff FiIt1 )) Mgmablim — = :• �1:?AARIE GIVENS 15SION#GG 022023 Commission No. �k :,'��, ommissio it : 5� :December j(s = Mf COM dN#GG 022023 voF?;R�'" Bonded 7hru Notary Public Underwriters EXPIRESmber 16,2020 Bonded Thru Public Underwrite REMONS � R46 SUIS AIMS IrAml91 COMM REY&W i � REWW 91MEW REVTEW DATE liELHV® ®ATE COMPUETM 81M 3(2A7