HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Per—It Numbe'.
Date:
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Plonnina ord peveiopmen_ Sa^ Tces
5uiid1ng cnd Code Reguiarion 7ivision
.300 Virginic Avenue, Fort Pierce FL 3438.
Phone: ,7721g62-1553 axi7721A52-15%8
PERMIT APPLICATION FOR:
Address:
Legal Description:
property Tax ID #:
Site Plan Name:
Building Permit Application
L�t--k I—fin
Project Name: ---tom= I-�
gent Back
Setbacks
tlrtiona wa o oe performed on
Mechanical _ Gas Tank
PlectriC _ Piumbing
Tctal Sq. -t of Construction:
Cost of Construction: 5 —
Commercia'
Right Side. Left Side:
Gas Piping
Sprinklers
Resideniial
Shutters
6eneraiOr
Sa R of `fr: =ioor
Utilities: _ Sewer _ Septic
Name
Address'
C r1 �.� rC p Cate. L
Cir{ nn ((II��
Zip Code: H)w g US Pax.
Phone No --lily 10
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above
If value of rnnstrudion is 2500 or more, 2 RECORDED Notice of Commencement is required.
Loi Nos
Block No.
✓ Windows/Doors
Roof
Building Height:
Nam :J-�.i��.L� `o��<:>;�
` _
,ompany y Y ��"P S
Address: I(Ob o^aha D/
3es� State:
city: 7..d.«, 1ta.ry.. —
7ip Code 3693 — ''ax: 3' I 177- �Z3�
Phone No. 77 337-4470
Avail. � CC .moi %!G.1'1/ iN � 9.. _:�,•�.
Sta. or Courty License ^�!✓I 1
C2
Name:
Address: State:
City:
DID phone:
FEE SIMPLE TITLE HOLDER: Not-palicabie
Name.
Address:
City
lip:
Phone:
MORTGAGE COMPANY
Name:
Address:
City:------
Zip :._ phone.
BONDING COMPANY:
Name: __-----
Address
Ory -- --
ZipPhone
Not Applicable
Sta:e: --
Not Applicable
oriTy that nC wClK Or Irtsta;la riot I]as Coin T.enCeo prior to the 'ss� n` -e a m I-
-rc
mitv.tll ho'lZc n pa_,,- Jr ei C DL -,he SJ :c tt1
makes ^o repres n:acion thaT :5 lrantin� r - I ws or z a ova s that may e 1 o o b1. urn
r }
$ _!1dc County ed or anv es ic+Icns hlCn 'r_y zoo s
whice is in confllc with any appli r Ho Home uwn -s Assoc r an rules. - Y - m i1 '' yl, reso_�. oe orn `n` work
5truc:u'e. Please Consult with your home O'//hers A>SOC- lint' an0'heY g you.,
`"
In consideration o" the granting o h s requ o da Buildin dC cPer�copes a d Si. Ocie Co .n -y Amen m ns.
in accordance w�tn -he approved . i r's, i''- Io €
he following bull permit aFPiications are 2xe^pi Item undereoing a lull cora r_ncy rev 2w: eom dd JOni.
esult in your paying twice for
accessory s[Ncturen swimming pool-, fe^.cosi walk; signs. screer. rooms and acce sort uses t '1 that no esiden z e
A Notice of Commencement must be recarded and pasted en the ;obsiTe
WARNING TO OWNER: Your failure to Record a Notice of Commencement may,
improvements to your propery.
a obtain financing, cersu It with lender or an at`'.amey before
before the first rnspection•._4 1Y intend -,0
of Commer.ceme n
jigrtature 0--
STATE
f Cwner/ Lessee/ A€enc
STATE OF FLOTL\i ad
COUNTY OF
-be - o -ng instrimeAnt w`as' ackro Iecge h-, ^'
rhic dav of
Revised 07i! S
R E`JIELNS
INITIAI c
ate of Florida
?roduced denti`caron
t FF 2446bs
STATE OF FLO&1 ��
COUNTY OF
The *ongoing n . u=v^ lr�l\�=•.'^Jw'ea€2C Ybo`e n•e
N
Commissioe
FRONT ' BONING SUPERVISOR '..
FLANS
COUNTER REVIEW REVIEW REVIEW
produced idencincat�.on
Bi?OCKE S21liFTI
EY,PIRr, Jully-25,
� o"Eed Tt tJ Ia/P :Ir UnaFrw 1_" !
VEG- '.
E_c ".A 7UR-LE naANGROVE
— CN SA''.
REVIEA REVIEW REVIEW
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