HomeMy WebLinkAboutBuilding Permit Application g ALL
APPL-�ICAM_ SMU�QM
IMLM-T BE COMPLETED FOR APPLICATION MERE ACCEPTED
Date: B
s
Permit Number:i - ` 3 s
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�� - CEIVED"S `a;wilding ;;"ermit �pplicationJUN Pla,^=ndng and Developmentt S ruiner o82018Building and Code Repufetictp Div=siv:n cie Count i
230 Virginia Avenue,Fori:Pierre FL 34982Y, Permitting
Phare:(7 72)452-1553 Fax:(772)462-1578 Conimcrcial Residential X
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PERMIT
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Address: 111 CAtNIELOT DRIVE FORT PIERCE,FL 3 cM6 —` @
1S i.egal Description:SH>~!:AT-DIN -UNIT ONE-LG F d3 _.._ ___.___--------------____ 3s
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r °roper v Tax€D#: :.o£No.
42 �3
Site Plan Name: - Block No..........
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Project Name: V.PHILLIPS _
Setbacks Front Back: Right Side: Left Sire:
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40 GAL 1.AS IWAT Eta HE N i ER REPLACEMENT
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Tac4�ic�nai s�rorE:to
Lie Ge cr,�ea unt�er t�pe=int£-ci?-e--ck an '1`£apP9y:...._...
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WIC 1...-t Cps Tank I_juas Piping _l Strutters t�a1+'€ndovvs./Doors
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lZlecaric 1�.��t NumbingSprinklers � Generator U Roof � tiaaf pitch
Total Sq.Ft of Construction: St,.Ft.of First Floor:------------------------------------------------------_-
Dost o`Co21str4::tion:S 13219 Utilities: jf't6 r i wst?pti% Uii iilg Height:
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1l Name ~ Name -_ _
'E �Jr�.4 i'hiL?_3l'S JIS4riRE 8t?eEJ
t WW^"lFt.trT oR - -- FLORIDA bGLT MECHANICAL
Address;11, ., %. _ Company:
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City: FORT PIER"", State:FL Address:8402'-AUREL FAIR CsR SlsTE#111 N-
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Zip"Ode: 3;946 Fax: � City:3'AC.Is3,A. State:FL j9
Phory N0.777-46e5,>267 Zip Code:33610 _ Fax:800-219-0720
1 E-3Vtai€: *• __-- _ Phone No, 966-219-0880
r .a t K ._.a 5 3 FLPERi4 TS C-,.DELi-,&,N.I .Cl•iANIC`AL,GC4ti
Pi23 its a..s€t~nyal>?Title Faat�er ore n>=az Ppg..�if�ia'�...�..n� E-Mail: _ _ --- pl
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a E CFC1425917<rom ble owner iic`d above) State or County License: E
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Zp i3 value of con4tr uc ian is$2500 or gnor 6ir a RECORDED.Notice of Commencement is required,
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DESIGN E$°EhCEPEER- Not�pplicable
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I4f1O1dTfaAGE COMPANY: _._._..Not Applicable
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i Ad}dress: *....¢..................... I Address: __ _
Citvf S.tate'... . City:_ -............ ..... . .date, - -_
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7_iEf - ...........Phone ------- I Zip:__...••..._.........Phone! i
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EEE SIMPLE TITLE HOLDER: Not Applicable �BONDING COMPANY- Not Applicable I
fJamc: ? tame:
Address:. ..........•••••• - AddrErSs,...........---------------------------•--•----. --- - -- - -
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ity: ....... _ ..y_.............. ___ I City-
j zip: --------- ... Phons: I lin: ----Phone:
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OWINER/CONTRACTOR OR AFFIDVIT:Application is i.-rete nude to?.)b aro a pee rni:to do the:vorp:and?nsta??at n at indic-ated.
,certify thait no W04,t, M.9it.a ilatic rt 1'S_S(Can:nericed prior to the issuonte of a perrn t.
5$,i �cfe CGunty mak::s f rz:pres.,eritation thait?s grlrit?ng 3 JJh?fn)it 1Nii?RUIN, t7e tF1e pet'rTTlf i)71Cer t()ti.Eii(i tI'e sUlljC'Ct stfUCtLrE
which is in ron list l•1rith any appk_abie's tome.Owners"ASS(?CIatiOn.f Ules,byiRWS 01'arld C(T`OnZint.S that n1istrict or,(lroh?bIt such
-3 Stru,ture.please ronsult wiith your i omf-.Owners Ariio iation and r vlebS your deed forany re<tri�ions;S�I-,ii`i may apply.
9 in considerationof the grant?rigpermit,?do h?_rehV afire e th t I T+l`M,int all respects,{.`erkirnl the work
in acrordaace with the uppro;red plans,the Florida Su?Iding Codes and St.Lucie County Ameafdrrients.
•r tie.f0lo"'tin=bu 1Iding permit apt Ika?tions are exempt from Un de rgoinn•a:`i 11 concurrency review:roorn additions,
accessory structures,swirriming pools,fences,%Valls,Signs,screen roorn5 and aCces-ory JSes to anG'ther nor:-fesidentia,l use
WARNING TO OWNER.Your failure to Record a biotite of Commencement may result in your Paying twice for
improvements to your property.A Notice of Cornmencernent must be recorded and pasted on the jobsite
before the.first inspection. if you intend to obtain financing consult with ler der or an attorney before
C^,."ilmi-r11;A1�LS+ofk ci�reccor din your Notice of Cori'�C3ienciC t7' 'ni
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2 Sierature if CTir;ner,LySSEF.f(&;- aR,v`i�S�ni'Rf f)f:�++ne.'r ? signature of f'C RIT;s r��i£.e f'�ji3ii3 r
STATE OF FLORIQA I STATE OF FLORIDA i
COUNTY OF
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sh:roreping instrument as acknovvILdnad tof,r:me
The forgoingirstntm„ R�t..a
aS a:cn�l:Iedgetbefore me
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`\�� .a.4 •\. .a .�`;a' Jai\'moi '•' \ :?_.
•.. ?Lar1TF f7{pErs()n making staSterment Name of pFrsori..n",a\in jg statement
Personally Known \' Cori pro�racc=d Id:rit?fic ti(Tii "i?rsaliniit+Knf�i:+il u?i pi-ciduced I..kntificatiOn
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'ype o:Identificatio24 j Type of!dent!f icatio n
I Produced ; produced
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;Signature of Nt.._\�P u'>•rliC•State e.f Florida'
{ it*,netUi e�C�f��r•'';a�+�l li f Florida j
Commission.,
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. ission iio. CHEM
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REVIEWS FRONT
:�a �.�.�� �[Ra{�sa•. S ` ivcGE'ra�l'IC3rti SEA TURTLE : Bv9ABVCiR01iE
COUNTER REVIEW REVIEW ? REVIEW REVIEW REVIEW REVIEW
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?
DATE
i RECEIVED ! i i
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COMPLETED ? I ? ; 2
Rev.8/7./17