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HomeMy WebLinkAboutBuilding Permit Application �1 220 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dare Permit Number Building Permit /application Planning and OeveioomerESe vices 30ding ana Code ReguiGrion Division 2300 Virginia Avenue, Fort Pierce,FL 34-982 Phone: (772)462-?553 rax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: J yr Legal Descr=iption. L-1-1 a06 LIE Qm Property Tax I =: Jc ( X IXL-1 Lot No. Block No. Site Plan (name 2 Proiect Nan e. AR Setbacks rront Back: Right Side: Left Side: 1�S a! 1,jCo C t %i criir z �Oo< l .Additional work to be pertormied under this permit—cheCK all tat appy: Shutters ✓Windows/Doors Mechanical _Gas Tank —Gas Piping _ — Electric _Pium✓; _Sprinklers _Generator _Roof S Ctal SQ. "r.Of i-onstr uction Sq. Vii. Oi r St �fOOr: Cos of Construcnon: S J � Utilities: _Sewer _Septic Building Height: Name Name: prcc;rr� Address: �('; _�Y Company: m,n te =e. : se 0 &nit,- 0 dh� i re iii C;ty: nP State-41 Address: i 05 `7 2 Fax: N! I city: end<an a�� {�edc1� State. Zip Code: ` I 'ip Phone No. Code: 'G�t37 Pax: 3L1- 777 LI-7-344 Phone No. 772 337 1�17J Fill in fee simple Title Holder on next page ( if different E-Mail. L5517uun17'k-P vKiAoj -3 from the Owner listed abovel Stae or County License: .� ^I� If vaiue of construction is 2500 or more,a RECORDED Notice of Commencement is required. .-'-....'•__.�_.� .�a. _ .y.-_-^'a�� - ._ -�.- --3iYvc�'��a... _ -_-_ _ - _ i_S^moi-'-i���_ _ _ _ -_ _ .� DESIGNER/ENGINEER: Not :•oplicaabie c MORTGAGE COMPANY: _ Not Applicable Name: Name: j Address: i Address- Ci tL Y: ddress:CitY: State: I City: State: Zia Phone: _ Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address. Address Crty: City: ! zip: Phone: Zia: Phone: i certliy that n0 work or installation nas Commenced prior to the issuance of a permit. Sl. _ude Coui iry i'lakes no r epr e5enta-bon that is 2r2Fitini_7 a permit will author)-e the permit!folder to bulb the subject structure which is in cenfiict with any apolicabie Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit-uch st-acture. Please Consult With your Home Owners Association and review your deed for any restrictions which may apply. -n consideration of the granting o,This"equeS:ed .permit, I do herebv agree that 1 will, in all respects: perform the work n aCCOfdariCe Wit":tTie approved plans,-I-= lorida Suilding Codes and St. Lucie County AmendmentS. -he following building permit appiica:ions 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 WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the job-site before the first inspection_ if you intend to obtain financing, consult with lender or an attorney before commencinif Work or recording a Notice of Commencement. i s i Signature of Owne-.'Lessee;`Age-, Signature of Contract or/ricense Hoiden STATE OF FLO A STATE OF FLORIRA COUNTY OI '� ]-__ ' COUNTY OF 1(A I ne -or�osng mstf en-v,as ack-n�gi2dg�d -'ore me i he orgoing instr me,-.t was acknowledged b&ore me this day of __ h ' this d 20 by (Na -s C. nowl g? P me p rs cknot i 1 na• tai % O IGfICaa of=!cnida ; I Fiers a.. R P' doted Identif:Caton s • ! o Q rOCuced Identification Type o 'd -ifica du + OT i d ed ' BROOKE SZIUETI BROO _ Commission o: y' Commission �. *- COMMIOKES#SM F,; COMMISSI0 244655 . EXPIRES:Jana 25,2019 EXPIRES:June 25,2019 � ` %ndedThruNotaryPubGciJnderwritem 0011U120 I FU NOtalyPublicUndenedhrrs Revised 0 .rI 0 i REVIEWS =RONT ZONING SUPERVISOR ! 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