HomeMy WebLinkAboutMercadoT BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit APPlication
Planning ond Development Services
Buitding ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
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Address:
Legal DescriPtion:1
Project Name:
Setbacks Front-Back:
-
Right Sider Left Side:
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Dr.{d
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thrs permrt - cl
l-1o", Piping
l-lsprint<lers
aDplv:
AC Gas Tank
Plumbing
Shutters
Generator
E*,noo*s/Doors
Electric T tr l-l noot f Roorpitch
Total Sq. Ft of Construction: _- So' Ft. of First Ilqor:
-
cost of construction' t'm u,,'*'"rE;"-"r E;"
Lot No.--
ProperEy Tax lD #:
Site Plan Name:
lf value of construction is $ZSOO or more, a RECORDED Notice of Commencement is required.
PERMIT APPLTATION FoR: To select from dropbox' click arrow at the end of line
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Zip Code:'dl\lry =, F?x: I I l-"
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
rmittodotheworkandinstallationasindicated.
lcertifythatnoworkorinstallationhascommencedpriortotheissuanceofapermit.+^ h, ,ilrl +ho cr rhiect structure
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ln consideration of the granting of this requested, permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the ffotiO|ijuiiJinii"O"ii"O it' Lucie Countv Amendments'
The following building permit applications are exempt from undergoing a full concurrency review: room additions'
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of commencement mav result ii f":rts;'Jl*,H'iTJ3'L"
improvements to y";;'p;il;il.;iffiii;" 6icd*r"ncement must be recorded ar
beiore the first inspection. lf you inteno io"ou''#n fi;l'liia::j"'it 'iii[linoti or an attornev before
commencing work or recordi r Notice of Commencarng.&
pe-ripn maki ng statement
Type of ldentification
Produced-
(Signature of Notary Public-
#F.FL72372
0c[ 28,2019
BONDED THRU
Lessee/Contractor as Agent for Owner
Nanre of Perlol making statement
Personally Known A On Produced ldentification
(Signature of Notary Public-
sEA TURTLE
REVIEW
PLANS
REVIEW
DATE
COMPLETED
Rev.8l2lt7