HomeMy WebLinkAboutBuilding Permit Application Jan 1Z Z01B 11:33:1Z Via Fax –> Vonage Page 00Z Of 003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: tom_ l_c j Permit Number: --
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RECEIVED
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Building Permit Applicatf n JAN 12 2018
Planning and Development Services 0 QW0, PfrMitting
Building cad Code Regulation Divfuon
2300 Virginio Avenue,Fort Pierce FL 34982
Phone:(777)462-1553 fax:(772)462-1578 Commercial ResidentialV*'-
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PERMIT APPLICATION FOR: Chi �. _ lei g e- ;6y L'i Ke-
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i PROI>C�Sl:D kIVIP,ROV.(;11�'IENT�I_DCATEt��i: �� �.
Address: i C1 A 0'R6-nr L, 45.6 '.
Legal Description: Gjt �•f�����.r2c� t'�j��, �.. ta� I X40
Property Tax ID 4,`� �� � i �� ' ��� � +�a�'4-ci Lot No- I p
Site Plan Name: _ Block No. l
Project Name: -.....r._.
Setbacks Front Back Right Side: left Side: T
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TETAILED:DESCRIPTION,OF WORK:
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CO N STRU CTI ON.-#-N FORMATION: .
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Additional work to b er�o�med�er�
permi�w c ec a appfy-
�VAC Gas Tank []Gas Piping LJ Shutters �Windows/Doors
Electric Plumbing 05prinklers Generator �Roof Roof pitch
Total Sq.Ft of Construction: SCI. Ft.of First Floor:
Cost of Construction:5 _� Utilities:05,ewer _septic. Building Height,_...__
C1WN1=R/LSEE:..: . _
CONTRACTOR.- _w. ..mw :_._...
f Nan'ie r Name. ,Jame55rcyder
Addres :-L&IM&.Ipi�j� -T ,.f r ` eY,p y; �ydw's Cooling and Heating,Ina,
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City: 14 State: '. Address: P-0, Box 2007
Zip Code: , Fax:_ City: Fort PierceState,.FL
Phone No.7'?,;� "' ���}- '�49b l=ax. 772-600-4811 i
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26-3x77
Phone No. 772-5E-Mail: _.--..... .....................
Fill in fee simple Title Holder on next page(if different E-Mail: snyderscculing@aol.com #
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from the Owner listed above State or Count License: r-AC18165791 A26414
County :.
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I f value of construction is$2SOO or more,a RECORDED Notice of Commencement is required. -
Jan 1Z 2018 11:33:43 Via Fax -> Vonage Page 003 Of 003
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DES GIltER ENC NEER: __.. Not Applicable + MORTGAGE COMPANY, Not Applicable
Name: Nam ' -
Address: w Address:
City: State' City.• state.
Zip: Phone; Zip: — Phone:— ... .—....._
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FEE SIMPLE TITLE HOLDER: Ntxt Applicable I BONDING COMPANY: _►! at Appiitabie
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! Name: i Name: --
Address: i AddrMss:
City: - �.. ._ j City' . _......,. . . ... — --�
Zip: ;~hone: — Zip: — -Phone -
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I c ortify that no wank or instafiation h=s comrnenc.eo prior to the issuarice ofd Deraft.
5r.Lucie County makes no representation that is grantinh a perrnit will authorize the permit hoider to buiid the subject structure
which is in con,iict with any applicable}some Owners Assoc-cu-ion rules,bylaws cr ane covenants that may restrict osprohibit.such
structure.Please consult with your Borne Owners Association and reviewyour deed Tor any restrictions which may apply.
in Consideration of the granting of this requested ren-nit,I do hereby agree thi`_;I w--1, n all respects:perforrn the,worse
in accordance with the approved plans,the Floricie 3u"•ding Codes and 5t,Lucie County A„ettdmerts.
The Following building,permit app6ciations are oxompt from undcrgoine a Full concurrency review:room}additions,
accessory strUrtures,swimming pools,fences,walls,signs:screen r.,-),?!Ti,and ac,-,essory uses to another non-residential use
WARNING TO OWNER,Your failure to Retort€a Notice of Cornmencement may result in your paying twice for
improvements toPor-cat
r property. A Notice of Commencement must be, recorded and posted on the jobsite 1
before the first inon, Ifyot� intend co obtain fina!�cingcansu{t with le er or an attorney before
commencin w ording your Notice of Cor>�mencemert. y
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2 of C)Wner!Lessiw/Accnt ! Sie `(:rantr:Xro/Ucwlse Holder
ATS 0 FL
1 STATE Ait:Of Fi.C}R
COtiNTY OF
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The:or ing ins ni••vas ock.nowiedge''ef�.re nl -hey for cine iris(, nt was acknowledged before rne. �
j this day<+s�l l.�•K 2C by j :his. day of �u.aX4i.20 ��by
EngJ i 1
rN,_me of person acknowledging j i (IVan-w or person at:i;nowlpdging) !
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Personally Known 1r" QR Produced is nt fd T�pp2 ."t rsonaliy k town 1P OR,Produced
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Type of Identificadon PoJuced.„ '
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Revised 07115f20?4 'J[Iltlils�l�►!N�
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REVitEWS I FRONT i ZONING � supt:RVls',4 i P .ANS s VEGETATION i SEATURTLE � PAANGROVr
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