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HomeMy WebLinkAboutBuilding Permit Application ,CEI V E ALL APPU LK 1 ..0 MUST be LET l Pg�l7Ql AACC�PYEp't data: ermit:Numher: ... ... . Oulld'ien�Perrnit•Apofit�tion Plarming and Dev2lopmdAt'5ervioe� BtJilding'q'ttil Cady Ae�t�latipri•tlivisian : . � .. . 2�0t1.VirgFnlaAveloue,For�t'P.1.ef�e:FL'�49�'�....., �° . . .. .....'. .. • .: •. '' .. •. .. . Phone:btn)462x1553 Fax-:(7724462-i57-,8- ' Comriler-dal, �_. :RCS.id4't tial PMMIT•APPLICATLaN:FOR`. To Select-from ditb x,.dick arrow:at the erld of Iine :H C MEN OEM 'Address-.:.' .. Legal�eseaptlon: Praperw Tax 10 Lot•No. 'Site Pian-Name: 81ock Na,. Prnlet�Name; Setbaeks •Front aC 'c•: RightSid.6"' - a War o me Under is perm : G.:OCK.,111 appy: VAC • :Gas Tank' .: ': . raas':P'ipl►fg•• 5hf tCers ElWindows/6o' rs �>lectPic p16mbi'ng•' f�Sprinlcfets: ;Grener iti it Roof � Roof pitch Tota!$q.Ft of Construction: -- 5 .Ft.cif:l lfst•FFldorc Cost'cif Cons ruction►:$ tStillfies; 5etnner Septic gullding Height.' Name . Ni�.rrte: Address:' Comp rry;.- City: State.:. Ad�lre a Zip Code: a� x�. :' - Citij►:' State: Phone No. . .. zi'p•tade¢ Fax; 1E-Mail• Phone r�a�' fill in fee•strnple:Title*Holder.ori'next:p�a�get.if�olff.d ent. • �tviail: T from fhe Owner Ilsted•above) St rCe:nr bounty ticensei. ifvalueof.cvastruitldi 19$Z00flemo0e, (i�CGf{D l].tilotl ofCoifim�ti enlrittit'i :requ�redr . RECEiVET} 01�28lZ811 03:01 I 110MIGNEVENGINEW: X Not Appllcabig MORTGAGE COMPAl Y: „[ © Avplit sola Name: Name- - Addressti _ Addresm C1tV' State• 11� #ate:_ ZIP: Zip: FEE SIMPLE TITLE HOLVIER. Not Appiicabiia BONDING COMPANY., L)ltnt Afrpilcable Name` Name• JlldRlrebs. Address• Cl#yo City: } 7J P., Phone; SIR: Pilaris; OWNER/OUTRACTOIR AFFIAMT:AibpllMdOft 11;hereby rhode to obtain a permitta an the work and ibumilatlnn as Irtdis3ted. I cerKytt at no work b'r inAmUAtian has cammenced prior to the rlsuarim of a permit 5thtycte Counnt r makes no representation that is granfrn a it ill orrxp tii0 rtrrit hg[do build the su4iack re w tcn Is In co let with a► appllcabla FkMne Omrners A ac't n ru esabylaws r aq tovena �may ttratrict nr pep ueh dttwcsura,Rfw;o consuh witl't y9ur Home OwersAmod600n�artci revia vaur t�eerF far tinp rearictinnu uv}rich may aPPN• !n consldef&&M of the#M ming of this retiuested permX,I do hereby agmq that i wiii,in all respects,pe!fb*".the work In aceordanto Wfxh thn vppytintrad plain the Rod&BuIlding cadet and St.Lucie county Arnendmenta. The dnik►wing building permlk aPplicalfta are exempt from underpoing a full imcurranLy review:room addltioas, accessory strudures,&4m r nlrtg pQo1s+fences,walls,signs,screen moms and accessory asps to another non-rfadential use WARIVIMS TO OWNER:Yaur Ullure to Racord a Notice Of C6MMahenn Et may result In V*iw pn*g twke fur improvementr.to your property.A Notice of Commeocoment must be recorded and.pasted on tlre,jobsite 13e11br a the first inspection.if you intend to obbtalri financing,consult with lender ar an attomep before wrnrnendng.wQrk or recordIng Vour Notice of Ct3rnmL41nceme U-- slgwtun!ofQ*ner/Lessee/Con methras Paent fur Owner A6am�oigontreckor� er TATE OF FLGIIID Stil►CI"X14 FLC�ItIfS COUNTY CtJIMtTYOF Gt�- COUNTY OF.- ahrp — .-- -- Thw ng inst etc 1Mas cMowled&ed befom me ThQ R last& e s cknow re ma ,g this �dai►of�t �bp .,30 Fal CilleiMy4f __a�tl by .w �0 �+�[ r f pe h malting sla6ement gr n malting statement 3 Vo g allyrtn t oRfhoduced identilicatian nttallyKn tiltproduced`Identilkation, � W 3 m Wiwi cirtinn '"�' _ n Pra "Cell produtfetl is la � 9k m *ate ,", 'MO (5l$natwe oP Notary Public-9lnte of 1:10608) T �5i a of rye Pu61tc-Sia#e of Florida) y CommW10TV No. ] {seal! romminuian No. (Seat) REVIEWS 'FRONT 70NING 5UPERVI50H OLAM VEGEMMON SEATURTLE MANGROVE COUNTER IMMkW REVIEW REVIEW REVIEW REVIEW REVIEW -OffE RECEIVED DATE WMPLEIEQ Rev,8/2/1.7 Wd99�E0 �ti0�l6•ilxe mnL'�o�Ei