HomeMy WebLinkAboutBuilding Permit Application HALL APPLICABLE€NFO'WST BE CONAPI ETED FOR APPLICATION ION TO BE ACCEPTED — �
Date: Permit Nu tgW EM Aml1 an spark
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»...���.. 2018
i11 � es1?Y11 JUN 15
P'.annir,ar?d DeveloprnerrtSeaarFces
Building and Cade Regulation Division Permitting Department
2300 Virginia Avenue,Fart Pierce FL 34.982 S I , r l
Phone:(772)462-1553 Fax:(772)462-3173 Commercial IieAkll-eb�'t'ie County, FL I
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PERMIT APPLICATION FOR: Piumbin ��
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Address-. 145 SANDIA AVE PORT SAINT LUCIE,FL 34983 �
Legal,Description: RIVER PARE-UNIT 5 E3LK 45 LOT 19 �
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Prap2riy i ax IL)fir: — .t l Lot No.�
i Site Plan Name:A.ZPO II-ANO -- — --- - - Block No,_
Proiect Name-. — -- ---- ------- 6
i Set,back-S Front Back: Right Side:T Left Side: E
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50 L ELEL.WATER HEK ER REPLACEMENT
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D ESIG ER/E�``i INE R; Not applicable V _. MORTGAGE" C 5'�`:�$:�AN - _. Not icab!.–._....
Name: �
City: StdtP.:............. i CETy _ Sty t9 l !
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. g Ov%'N'SR/CONTRACTOR,,xi:'FI.D+UT!Apalcu:ion is he,eb I naive to obtain a,,p.ernnit to do the work and ins'3?`aattio l as indicated.. �t
!av ity Yiiat no Work or installation has commenced prior LO the iSSiia nce of-a permit.
l: LU ie rot.irit'f tllakes no repysetltation that 1 grunting a pnmit Will cau horize the peer;nit holier to L`ulid the s;ubjec t structure
E Nis A W CUiI?=V With any applicable�Hl'.ome Towner s Association rules,bylaws or _C enants tot mr r�gdd or 7rOl4bk Sikh it
St UCtitte.PhMe CMISult W th YOUr itonie v'v'lilei 5 Association and review your dead for any restrictions l•`dhicll may apply. it
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!n consideration of the gmmi'ng o€thls requested permit,i de her eW agree that 3 taAl,in al respeds, aerfa m the Wtlr?, it
In amordance With the approved plana Me rinrida f3ii!!d!n„Codes and St.Lucie County Amendments.
t he:oiioSving building pert it'applications are ex"Ipt from undergoing a Tail concurrency review:room addidons,
accessory Structure 5,iwirnrniing,pools,fences,w,-,JI5,sign%semen rooms and accessory Uses to another nonmesidential use l
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WARNING TO OWNER:Your iLlilum to Record a lZafi:`:e W Corit ncefc4 ent nay r es•uit ii:Vow pa inn,L6rice for
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3 impmve'.tZ`EenB to your property.A i otice of CL mf-rii'_ncerneent must be recorded d and paged on the j bsite? ti
ale€ore The'ilrst inspection, il'you intend to obtc in financing,consult with lender or an attar nee before
t wr?nl^�ie� u,vivari our reg rdin o�o$ice-of Commencer gwft, !
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Signature a Oi:
no,,LasseefCi7ntraas Agent roe owner Signa ure of Coy t kens c a r i 3p
! S„`'ii,Tr":\3l'FLORIDA e STATE OF FLO IDA
COUNTY OF –S COUNTYOF
he fot?oing&Strurl'feill`Was i dulowledued before me The io;going instrfJm it was acknowledged before elle i !
d t this 'll•day of�ri'd� .— E` tl� r- t this day oP� u �.?�. , _ems by
t4�� y " +r � ?�C+�r,
i • ,..,.M..;�:�:��.:.�...1.,:,.�:'..,,,,n�•::��a:f:..c'F:��-.... ... .............'a..a * `yn t..—�.s...\�iwS+'_.'\v.�.v�.I ^---•--�\: ti. � i ;t
Name of peno_y ti la Wng state.{icant•. ..:\ 'S.n d � P\aril`..'of person making statemes!
fi Personaily Known5�.-----C�ht E1rC)c�liC"Ct it�L'tlllii� �C .r'°_ f + Personaliy Kmwn i''`ce Cin Orviduced WentitEC�ihl��L�.?4 � �p
i Type of ldentif.cabon � � I Type of Iden li'icatln;l
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l ? f'rodu=ed a a as i Produced ---- �;
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?i f tS;dti�hYL Jf h;ei3ry r9 t�f.c Stats of Florid 3 {Sirno�.ti�`af Notary rl a; !� ,l
,.,.� ! tblic-state r3¢ orid- \ eta 4l
? Commission No. •..,: '` °:z, (Sea!} 3 ��il.s"R Commission No. jWalm ":'S;,•-. 0 i it
l j ntwtw; FRONT ZUNI I NG i SUPERVISOR i PLANTS ° VEGEIA ION' !
l3? ii—i3�',•i-E — 1i — SEATJR-VE i MAN ?�t1
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_iliTER R VlEvREVIEW REVIEW REVIEW EVV REiti
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i RECEIVED IDATE
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CONAPLETED
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