HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit •. . r
RECEIVED
Jul_ 16 1
Building Permit Application
PermittingST. Lucie County,
Planning • r Development
Building • • Code RegulationDivision
11 Virginia Avenue,Fort
Phone:
• . FaX (772)462-1578
Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Code:Phone No. Zip
Phone • r
Title -6143
Fill in fee simple * w_0 •
from the • or • � ; /
if value of construc6on is 00 or more,a RECORDED N66ce of Commencement is required.
dE BG#�ER Int iNEi Rs NOC Applicable MQ TGAGE COMPANY, �� NQt Applicable
Name: Name:
Address: � Address,:
trlty: r-.5tt : City,
zip_ Phone: Zip: Phone:
FEl €SIMPLE TITLE HOLDER., Not T BONDING COMPANY: —�Applicable
Narne, - .� Name;
Address: Address,
City. City:
Zip: dip: Pltc+re:
I certify that no work or installation has commenced prior to the Issuance of M permit.
St.Lucie count�;makes no representation that is granting a permit will at ithorixe the permit hgl0er to build thr�spbject strycture-
W clI i5 in conflict with any ggppiicable Home Owners Pssodatio pules,byla�ys Qr and G*yenants th4t mPy r$stricr or iirobi�it Such
structure. Please consult 3vi=_h yryr Home Qwners Association.art review your deed for any restrtctEatls vrl9icll f--n y apply
In consideration of the granting of this requested percent,I do her0y agrbe that I will,in all rezpects,perform the work
'in accordance with the approved plans,this Florida Rpilding Colles and St,Lucie g0uniy Amendments.
The foilQwing building peri-nit applications are exempt from uridergoing d Pull concurrency r8view:room additions,
accessory structures,swirnlnlrlg pop1s,fencer,walls,signs,screen rooms and accessory uses tg ariother rjun,resideptipi usQ
WARNING TO OWNeR;Y'uar failum to Repro p Notice of CQir m#ncetine0t mal+resin your po iq twi-ce,for
irn royernents to your property-A Notice of Cc?rnmencernent rnt:5t be r'ii6Q* rdgd P.nd posted on the 100te
before the first inspection, !f y.6u intend to obtain financing', consult with lender pr an attorri�y before
,
commencin work or t ecordln�Stour N t6 of Commenrpement,
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STATE OF FLORIDA STAVE OF FLORN.
COUNTY CSF . � ... � . � I �f3E��+°��F
The forgoing instrument was aE krowledggd kfore corp The forgping instrument was ackngwledaed before me
thisslay this of 20 z.
-.�,. . � .. „��lu'Y .� +day of + .2Q I a' i3Y i
t
t (Name of person aElsnpwle,agln (Mame o;pffaan ack imvleti
rAt
itis % l�`'�.+• i\ d 7"� C ��.L
signature gf iV¢tBtY pUl7iiG taSlRrld$i ( ,5our Vis€l�pEary Bui?li ^ t f K�ti7Pida i
Personally Known ed Produced tdentificatin { ?4rsonally snpurn C FC Prod identification
TYPe of ldentifjcatl4n r'rndu d Typo of Identificatix n Rrgouod_
L GENA LORENZ RUF. 5 3 i
Z1'rif(�I$POi�yflilQ, � P$I�
_ Notary ptiti �" Tarte of Fiar da' � .+YR
i° Commission FF 957981 _ Notary PEEbita.State fli Florid
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%,,,.:F MY Gomm,Explres Feb�7,020
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REVIEWS FRONT � ZQNING SUPERVISOR PAN5 VEGUATI911 Sr,ATVR7i'l.ir
MANGROVE
cOQNTER REVIEW REVIEW REVIEW REVJE-w � REVIEW REVIEW
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COMPLETE.
INITIALS
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