HomeMy WebLinkAboutBuilding Permit Application 06/25/2018 23:57 7724663737 BOYLE PAGE 01
ALL APPUC 11141 F FO MUST K COMPLETED FOR APPLICATION TO BE ACCEP?ED /l
Date: d ro 0
Permit Slumber-
oft mm
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Ran CIVE'D
Plann/nQ and bevrMprnem sevJtes Building Permit APPlical ion JUN 2 6 2018
RuJlditrp and Code Regubtbn nhft on Permitting E3 e p men t
23Q0 VirgJn►a avenue,f ort Pienx FL 34MPhone:(772)462-1553 Fax:(772)462-1578 Commercial �66WAI Co U y, FL
PERMIT APPLICATION FOR: To Selad from dropbox, click of ow at the end of ins
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Address
Legal Description:
Property Tax ID#: r�OQ a - to "oL+l -0 00 -Q Lot No.
Site Plan Name; Black No.
Project Name-
Setbacks Front Back- Right Side: Left Side:
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WQ � orme un er s pefnl .— e all almly; El
HVAC Gas Tank Gas Piping _Shutters 1Mndows/Doors
Electric Plumbing Sprinklers ❑Generator C3 Roof
Total Sq.Ft of Construction: Ft.of First Floor-
Cost
oonCost ofconstruction:$ DI10,�0 Utilities: sewer IJSeptic Building Height:
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Name Name:
Address: Company:
City-, State: Addre
Zip Code: 34q5 I Fax: City: Stats:
Phone No-�"j � !3 ,f Nig!K Zip Code: Fax
E-Mail- Phone N61.1 41- 1
Fill In fee simple Title!folder on next pate(if different E-Mail;-
from the Owner fisted about) State or Cou z License: 1 C 1111 $
lfValue of cmsbudim is$2M or more,a P&CM D Nation of Comme noement is required.
06/25/2018 23:57 7724663737 BOYLE PAGE 02
SUPPLEMENTAL%AA1"1'RUCTJUN WEN LAW INFORMATION: .
DESIGNE Not Applicable
Name: NION116AGE ANV.- Not App[ka
Address:
City: state: rte,;
Zip: __phone; Zip:. Phone: State:
FEE SIMPIE TRtE HOWIL. —Not Appllcable BOWNG COWANY: Not Applicable
Name: Name:
Address: Address:
c1tw: City:
zip.- Phone: Zip:
I certify that no work or insiaNadon has mmmmn ed prior to the h9ance of a permit.
v�rl�rtdt q`oon T aHH� tM�a k� U atefiorfze the m build the subject
structure.Please rmnanks
oonsuh�Horne Owners Assadat 'n•yjew 4e;bylaws;or a rt1►wh=soply. asuch
In consideration of the srantkgl of thio requested parmlt,l do hereby agree that 1 vAll,in all mets,perform the work
In accordance with the approuad pLOns,the FloNda kudldim Codes and St.Lucie County Miendments.
The frsllowing builder permit application are exempt from undergoing a(up ammrrency mew room additiarrs,
MessatV ftnKhnvi6 ma mrdrta Anols,%nars,wak x%M screen rooms and ao mmwy uses to ana dw non-residential use
WARNING TO OWNER:Your NIIkn to Record a Notice of may result In Maur paybtg 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 financing,consult with lender or an attorneys before
commendqS work or recortift Mr Neriine of Commencement
Sivatrme of Own age!rl Suture of Contract ooducense"Ohler
STATE OF MMDAQ ti- UAN
STATE OF 11ORIDA
COUNTY OF JT, COUNTY
The forgoing irtstrument� admowledged before me The k Wument was admo ed before me
lisle -of . 20104 J this�day of �I,tM e_ _ . .20 IM
Aka( F Boyle) Wc` Cie f F Boylv o
(Name of person admowle4 ) (Name of person admorrkAft)
(Signature of Notary Pu -State of Florida) ftgature of Notary -Stalm of Florida)
Personally Knarm R Personally Known OR Produr%d Identiflcatlarr
Type of Iden , ' uce J.CON1NEt Type of
F
Not ml
Put►Na•fitlle ire „��,p CHRISTINE -
Commission N mml/rlo o17Ds9 Notl�r Puulit•state Q17e3�,
My Comm,EK04ee MI II1 201 V-- ee nn N GG Q178S
Ntuon'ad, y Ibrn. Comm.Explrn Aug 21,202D
IPed101>x
Revised 07! 5 14 so
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW IWAIEW
DATE
COMPLETE
INITIALS