HomeMy WebLinkAboutBuilding Permit Application I -
ALLAPPUCABE W10 MtW BE COMPI M FOR APPLICRI 1i 7O BE ACCEPWED j
Date: 6 % Permit NumRECEIVED
1
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Building Permit Application JUN 19 2018
Planning and DeMbprawtSehioes Permitting
&AWng and Cade Regkdabfari D3Wan Department
zwwow Avenue,rwtmmFL349$Z St. Luc! ounty, FL
Phone:(`m)4R 15S i ac(M)4Q-1M - -Commerdal Rew e
PERMIT APPLICATION FOR: To Select from dropbcK click arraw at the end of I'me
PROPOSED IMPROVEMENT LOCATION: .
Address:
Legal DesaxWan: 3. c S ee.- s n i`vi 0 1C
Property Tax ID# �,�1i 33- aU= LotN*- _
Site PlaaNarae• _ } - • Block No..
Pogjeest Name:
�a -
Setbacks Front Back itig"de • LeftSide:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION.
Addwonal worlic to rni un er pernm •'. a ap .
HVAC Gas Tank �P'gimg Y f1Shutters �WindowsJOaors
[:]Electric 0 Plumbing i-,,,ISpnnklets �Generator PAof
Total Sq.Ft of Construction:,_�T .Ft,of First Floor:
Cost of Construction:$ ,,;,��,6�� Utifiirtk=LjSewerElseptic, Building Height 4py
OWNEWLESSEE: CONTRACOR:
Name C-F rF� Name: & -Q A6 11C
' Address S t f Company: t tc
Addt+eSs: fm
ZIP =_ - FayW P tcpc� S abe:_F-L
Phone Ho, Zip 3ef 52' • Fay 2 fid;
E Malk . Phone No. f— 3 b
Fitt in fee Tide Holder on need page(if rrt Mat
from the Owner'listed above) State or Countf7ilceaw
u vahee ar aorahuction is$?500 or nnwey a RRODRDW H0fte of Conrrr ment is required.
"DESIGNPENGINEER: Not Applicable MORTGAGE COMPANY: Not Applcable
•Name: Name:
Address- Address:
City: State: City: State:
Tip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: - - dame:
Address: Addrr .
Cur
Zip: Phone: Zip: Phone:
1 certify tint no work or installation has cotmuenced prior to the tswance of a permit
St Lode Counr�ttyy no rep onttmt tr granting a ppeermitwUl a the holderto build the subject structure
which 1n corrfil�ar�y appff -- Owners Assouation ndes,byy 9 and covece:is may restrict or prohlbd such
structure.Please conwltw�th your Home Owners Aeration and review your deed for any restrictlons which may apply..
in consideration of the granting of this requested pernik,I do herebyagree that i will,In all respects,perform the work
In accordance with the approved plans,the Florida Bulldit Codes and St Lude County Amendments.
The following'btu'ft permit applications are exempt from undereft a full wncurrency review:room additions,
sawwry►swucture�,swimming pools,fences,walls,signs,sc eewroontVaad ammsory uses to another non-reddengal use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In yotir-oaying twice for
Improvements to your property:A Notice of Commencement must be recorded and{posted on the jobsite-
before the first inspection.If you Intend to obtain with lender or an attorney before
-commencina work or recording your Notice of CommericerYterlt
u
SWwtdre Owner) r< mSignature of Co er w N
STATE OF fIORI STATE OF FLORI z
COUNIYOF x o� A con 1_ a m N
_ I& $
� a e
The h>stru was 8r V ThefioR$ was before ��w
thtrL � - m ?=W . this day of 204 by �
CD
(Name ofpemm admowkdgYg) (Name0persona-I -MVledgtV) *„"..
y
Signature clary PubAc--State of ) (Signature Public-State of Florida)
Permu*Known F OR Produced)d on Personaft Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal) '
Revised.07/15/2014
REVIEWS - FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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