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HomeMy WebLinkAboutBuilding Permit Application Nov 29 1711:27a First Choice Plumbing 7728797860 p.2 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED Dam Permit Numbil r. � 6 Building Permit Application b� 40U � 9 2011 Planning and Developmentserwces BY: Building and Code Regulation Division ' •'•••••••••••••.....,. 1300 Virginia Avenue,Fon Piero Fi.34981 Phone:(772)462-1553 Fax:(7721462-1578 Commercial , sidential PERMIT APPLICATION FOR: To Select from drapbox, dick arrow at tlie end of line b' Address. Legal Description: ProperlyTax I tf: 1�-`ZOUD 00CF Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: (�SkO t \<Y4VC�l» SVt\\1., �kOAbi \rrcC -ViCrS, CAA-tY lire Cdr ti C", WA-hf.r -S lute d'�-b CdMQte�t V;110 co.sr-,­e -Foy- C)rzt r-o Additional wcrk to tl�jrformecl under this perm –check all ttatapply: RVAC Gas Tank ❑Gas Piping Shutters J r Windows/Doors 11❑ Electric ©Plumbing Sprinklers 13 Generator ❑Roof Roof pi'Wh Total 3q•Ft of Construction: Sq.-Ft.of First Floor: Cost of Construction:51 `4 • d Utilities: Sewer 11Sep c Building Height NameVA0rA �f !'�C� pi1(o lP 2�� Name: r� AddressA 1\1 Q:cWrlV�I'S 4K-ckr [?i�V -� Company. i City:T[t\�Y�ac�Pr Stater Address:lJoll Zip Code:5M() Fax: City: State:l-„ Phone No Q LO'��Zq Zip Code: Fax:�l�2 _o b F11al1 l�LltR . NPS d�1,jZiv1�S•�r^ Phone No.� Fill In fee simple Title Ftotder on nerzt page(if different E-Mail~ tb I C from the Owner listed above) State or County Lice se: . 3 LA If value of construction Is$Z5410 or more,a RECORDED Notice of Commencement Is requ red. Nov 29 17 02:41 p First Choice Plumbing 7728797860 p.2 r DESIGN E RJENG INEER: _Not Applicable MORTGAGE COMP Y: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Pho e: FEE SIMPLE TITLE!MOLDER: Not Applicable BONDING COMPA _Not Applicable Name: Name Add cess: Address: City: City. Zip: Phone: Zip: Pho OWNER/CDIN TOR AFFIDVIT:Application Is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installatlon has commenced prior to the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the permit I tolder to build the subject structure which is in conflict with any,applicable Home Owners Association rules,bylaws ora coven nts that may restrict or pro ibit such structure.Please consult with your Horne Owners Association and review your deed for any i estrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all r,spects,perform the work in accordance with the approved plans,the Ftoriida Building Codes and St.Lucie County Amev dments. The following building permit applications are exempt from undergoing a full concurrency re otew:room additlons, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses o another norMesidential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may r muilt in your paving twice for improvements to your property.A Notice of Commencement must be record d and posted on the jobsite before the first InspectiorvIlf you intend to obtain financing,consult with lenc er or an attorney before comrsenclnF.w-ack or r of Commencement. ;Ware of Owner/ esseelContrecto entforowner Sign t e of Contra ar cense IderTOF Y pFLORIDA l�� ���>' COUNTY OFSTA OF ORIDA The for ng irstrum nt w s ocknowiedjsed fore me The fo Ding Instruroept was acknowle ged before me thisay of/� LLr�0 �7p�.�(1 by thisay pfby Name of pertrodmaking statement Name of perFo making statement Personally-Krwwn OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (5ignatvre of Notary P lir Stateofsilold ignature of Notary Pu c-State NANCY LEE LANGF Commission No.� SCY LEE LANGFO mmission No. $ } ontulssloN k Gf2 3 O�LtitISSf01 b OG20 .2 �� E MES:Oaoba 12,2 iL1W1RES:Onobu 12, or REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev,8/2/17