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HomeMy WebLinkAboutBuilding Permit Application COMPLETEDALL APPLICA13LE INFO MUST BE, FOR APPLICATIONTO 8E r
+ pPermit Number.
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B.Pilding Permit Application APR 2.4 2018
Planning• Development
Building r . Code Regulation Division
County
// Virginlo Fort Pierce FL 34.982
Phone. 462-1578
Commercial Residential
IL
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Project Nam
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Cost of Construction:
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diEal IZ GINEER; NdtAPPlitxble MOR't'i3:AGEfAIWANY' NptAppficalale
Name, _ Mame:
Address: Address;
Gly: state: City: State, :
Zip: ! P gnw:_ - — (p: P anal
IFEE SIMPIJ TITLEHOLDER: Nat Applicable SDNDINeCOMPANYI ut Appllcahie
Naroeti -Name:.
Address
Address:
ZIp: P brie", Zip; Phone:
I Ca"urat o work or installation has cornmwted odor to.the Nsuence of pwmil,
Stl.ur rr�akas nd M that i5 r�ratrng rmltwiil;�udiarirrtfhepermit hgftia.byil the•subjott st uzIr g
which in let v�tl�sr�Y appi�tabla"AM Owfi rs J�S�Ca�tion nr6es,tsyta nes or aq tovena x ac ma T trkt or Pro Tb►t such
aWtttlr@. aarravlkwtt►fyourHome owners�Sor ianand rwffwyourgeedfor any rastrT iom!h Olay apply.
in cark#era n of-tha grMft oftta-requgsved p4 ma.i do hereby ogrrethat I will;in ail rasp",perform the work
in aha withtlte appy d alw,g.the Florida ovikilag Caries and St.Ludo CvurlQy,Arrzendments.
The tallawin Idisr>r permit 71315llcat100s are Worript from undergoing'allWl wv wr tency revielks'rown additions,
aaesw um,swirmdng pools,lbnces wails,env,careen roams and sawssmy uses to anoth-nun-res*ntlal use
WARNWO OVVNER.Your failure to B*aord a Nofte*lF Carnmeneement may result In your paying twicsfor
img,*roirom CS to-your property.A 4'�affiag of CoMmenrernent mustbe racord�ed and posted on the jobSite
befar9 the rst inspearoA.rfyou interni to otrtaln finanoing,consult with lender Cran attamey before
&9m n. work +ero+.tlln r Noticeof Commaernent.
S
Sn� r contractor as►rears ror own®r gnaulre CpmracCor cease Haller
STATZ OE F ORInILSTATE OF FLQPJDA
COUNliY COUNTY 0 rN`
Flw rr5py ani ac cwwledHQ�before me The g s ip a.t was ackriaWledg odfore me
FF, —.p bF rhis day Of jbym m (lump bt pe n acknowludgng} (Meme of person acknowledgingQ w Q - .
a2E
.0 u,n ergo 011 Produced ldleotiftttUon� Parsorral K OR Produmd rdetltific?ptrn Hl
pep ldgllt ors r4dlrc Type a ntificallon Produced_� -Cpmnussion �L19 (SeaQ CamraiasianNo. (Seal) �
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REVIEEIAAI5 Ofd1 ZCININGi SUPERVISOR PLANS VEC7ETATION SEA TURTLE MANGROVE
I COUAfrER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPt,
II MAIC
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