HomeMy WebLinkAboutBuilding Permit Application 11/08/2017 02:40 7724663737 BOYLE i PAGE 01
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„� IN lir BE COMpLMO FM APPUMTM To BE ACCE"ED l
Permit Number: -
53
Date:
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Building Permit Application
Pkrnnfng and Develepwmt Servka
Building and Cods flegukftn D Mstnn
2300 Y6 UIM Avenge,Fart Place FL 34M
Phone:(772)462-M3 Fax:(7721462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end pf line
PROPOSED IMPROVEMENT LOCATION:
Address: �Mmjm r 5
Legal Description: '
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Property Tax ID#.- "000" J tot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front _ Back_RIRht Side:_ Left Side:
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DETAILED DESCRIPTION OF WORK:
U ICS- : . stxl r'tW .3.5 -bn� 114 S IC) Limog 1i 4-aS-tM QCJfrh
5 M htc+, .
Cpb " M,00 i* Iu"Px -041-z3o, Nor 64Ler mad�l�CI3iCZ��ra��
LCON UCTION INFORMATION:
a wa o normed un er s rm -c e a at apply.
IjHVAC T]GasTank as Piping Shutters 0 Wine, /Doors
ClElectric Plumbing Sprinklers Generator Roof
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Total 54.Ft of Construction: _ .T, .Ft.of First Floor:
i lBudding Height:
Cost of Construction:$ 0 Utilities: Sewer Septic
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OWNER/LESSEE: CONTRACTOR:
Nam MrAl Name:
I ♦
Address! (bI L Company: t'1
City-Y�hi, - - -State:�• Address: ?5P.
Zip Code' AIA5 Faw-.- N�� City: Q.((� i state-,n,-
Phone
taterPhone No. --M,:•6fDg3 Zip Code: I'. Fax:
E-Mad:_ o - Phone No. YI?L 4 - '4141
Fill in he Wmple Tide Holder on next pace(if Offamt E-Mail- _
from the owner listed above) State or County License: M,11):9194
if valuer of UW46uetlon lsS25m or mors,a KU*DED Notice of Conwmalmnt is rsqubed.
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11/08/2017 02:40 7724663737 BOYLE PAGE 02
SUPPLEMENTAL.CONSTRUCTION UEN LAW INFORMATION:
DLSiGNE EIMGIMf:ER= Not Applicable MOR[6AGE COMPANY: `Not Applicable
Name: Name;
Address: Address:
city; State: City:
P'
ZI Phone: Zip: Phone:
FEE SIMPLE TITLE HOLIER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name-
Address: Addrew.
City' Caty'
Zip: Phone: — -- ZIP. - Pftotte
I ce�rtigfy�that no work or installation has commenced prior to the issuance of a perrrdt.
irh is �o�rt tte angmr�hl liortdie[)wire i�I bvwm a rot" the ct ort cure
suucwre.Please consult with your dome dwriers lis+or3atlon and rrAEw vow treed for my��whk.h rrt v a�dy such
In consideration of the granft or this requested permit,I do hereby that I w1II,In A rr'vmA,peforro the work
in accordance with the.approved plans,the Fk>rtds gtrNding Codes and SL Lucie County Anwuhnents.
The foUowityl buNdMg Permit apphea kArm are emmpt from undersolnd a full awmaT Hcy rewkw:room additions,
accessory structures.swww"g pools,fences,waft,slsns,suzwe rooms and accessory uses to ana"w non-r+eddenthl use
WARNING TO OWNER:Yourfeilura to Record a Notice of Cionwranconsoft may result In your payt twke for
Improvements to your property.A Notice of Commencement must be recorded and pasted on the Jobsite
before the first inspection.If you Intend to obtain finandn&consult with lender or'an attorney before
commencing work or recording r Notice of Commencement.
eaturrr of SIp►ahwe of Cnlmt wrfteme Halder -
FLORIDASTATE c� l ul'IQ. COUNNTY��ORIDU4
COUNTY
OF 3t-
'me=
OOUw
f Hent wasadmowlem before me 'Mebv as before m.
oft Ofel 20_V bV
_TT v
(Nutria of person adm ) (Name of pem*admwMe 1w) .
(*Mture of of Fkxida) (s6 of Notary State of Hon- . Ida)
PersonalV7Personally Knower OR
TLC:
e NIM TIIi� CONwELL
Type of Lt.
N v Pwic.leve o ori �,•• �,•, put►ilc•alMi a Floc i
missi son IM� �y Comm KottlY M do
. IAy Cantu,Erplfis fir r Vv comm,Exptnf AuoN f1,
rtatu%Atli•
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REVIEWS FRONT ZONING SUPERVISOR PI ANS VEGETATION SEA TOKU MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
pATiE . .
COMPLETE
INITIALS