HomeMy WebLinkAboutKenneth Farrell PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Num:er.
nate:
P!onnina and Development x ,•Ices
7uiiding and Code Reguiation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:{772j,.52-1553 Fax: (772) A62-1578
PERMIT APPLICATION FOR:
!Address:
Legal Description:
Building Permit Application
Commercia; Residential
property Tax'ID #: Uri L - � L - M LA14 -kms- )
Site Plan Name: �---
Project Name:
Ri tt Sde. Leit Side:
Setbacks 'rentBack: g 'Y
'..�.7:J1
Loi NO.CZA
Block NO.
d tuna wo to
a pe orme under thrs Pena - U'c�n -11 ..•�.
_rr. .
Windows.�Deo-s
— Gas Tank _ Gas Pcping
_ Shutters
—
_Mechanical
Piumbi^�g Sprinklers
_ Generator
Roof
—
_ P_iedric
_ _
Sq. :=i.
Of Flrit =ioor.
_
Total Sq- =i of Constructor::
._
-n
Building Fizight:
Cosi of Construction:
5 � I 6D 'Jtiiities _Sewer
_Septic
Name -3a
Address:_
City:
ZIP Code:
Phone No.
s"R]1111111111i2
State.
e-Mail:__.rt,-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Sf'l�?-�.nna
. - . o
Company: r� E'*�.l�'s` .7= LXru(jl
Address: 1108 a ak 6
City:
lyd..an kn�lja..i 3e>ch Siate:_r
p Code 3 43 =ax: 3Z1- 777- qZ3'!
Phone No. 772 .537-=1,470
se
sta.. or ount4 Lice-'
i{ value of construdiort is 2500 or more, a RECORDED Notice of Commencement is required.
-
Will-
DESIGNER/ENGINEER:_ Not Applicable ! MORTGAGE COMPANY: Not Applicable
Name: Name:
Address:
Address:
City: state: City: StatE:
Zip.
Phone: Zip: Phone.
! FEE SIMPLE TITLE HOLDER: — Not Applicable ! BONDING COMPANY: _Not Applicable
Name.—
Address Address
City Ory.
7_ip: Phone. Zip: Phone:
i certify the- no Wcrk or installation has comfrtencec prior to the ;ssuan e of a Derma.
st _uc e County makes no representation that -s 21alTlng a pe—m;— will autInoriZe Me re -r_ ^older 70 boli re sublem t c ore
icbi, wCh
which rconflict tiorbHome Ow�e-s ltS
structue,Pl_sonsulwthyuhome Owners Arocalo: ancrevLwyou deed or any resctic may may 2DON.
In consideration of the granting or his : eques d ,.e -dt, ' dohereby g e 'n=_*' v, ill i_ all re o eerorr-n the work
in accordance with the approved plans, zhe Flo da Building Codes end St ..ie county `.meo-_m_nr, s
he following building permit applications are exemot from undereoing a'uil comic r ncy -eview room addrt;ons,
accessory structures, swimming pools, fences. walis, signs, screen rooms and acce=ssory uses to _loth_r no .. esoent;a; cse
WARNING TO OWNER: Your failure to Record a Notice of Commencement may, esult in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before t e first inspection. If you intend to obtain financing, icon !t with Ierder or an artorney before
comme n work or r or in your Notice cf Commerc=mer::.
s
_ Signature of Owner/ LessEe; Ages° 'Signature OTOa=r;"_ice. se F+olde:-
I STATE OF FLEA STATE OF FI OMPA
ICOUNTY OF LXC\l,lY� COUNTY OF�1�"',Ai���'��lli�
he 'c going i - - kco 'ed_e e c. e -�_ he *orgorn¢ .n :- =zs =-,_ ow\ dge'c` oe ore
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w e t of Florida ? o ? !endc !
n
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REVIEWS FRONT ZONIN:; SUPERVISOR --L-INS - `.rG^,'!CNI SA T'J R-'_c N'.ANuROV=
!. COUNTER REVIEW REVIEVd REVIEW REVIEbV REVIEW ! REVIEW
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