HomeMy WebLinkAboutPARKER RESIDENCE PERMIT ALL APPLIC LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I
Building Permit Application
Planning an Development Services
Building and ode Regulation Division
2300 Virgini Avenue, Fort Pierce FL 34982
Phone: (77 462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT A PLICATION FOR: p 1
To 5elect;from dro box, click arrow at the end of line
Address:
Legal Descrip on: 02 IF ✓ s w4
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Property Tax 8: 01%} ! tz:o0 ^-9 L No.--i::, I Ij
Site Plan Na —�- BI ck No.13 1 f
Project Name � "-,nLe-
Setbacks FI nt Back: Right Side: Left Side:
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do a we c to a er orme un er t is permit-check a apply.
�HVAC Gas Tank �Ga 3 Piping _Shutters ❑Windows/D ors
Electric Plumbing ❑5prInklers Generator Roof
Total Sq. Ft of onstruction: _ S Ft.of First Floor:
Cost of Conestr ction: $ �� o Utilities:[]Sewer Septic Building Heigh :
Name .7q eS , 2! Name: l r Ledo r. w
Address: S 70m+nio n C} Company: ro.-e-v Cr Sw eta j
City: Fot P, f �� Staf'i: L Address: J7ri
Zip Code: "5 0) `� ) Fax: City: �T� Sir Lvc..i2 tate:'Ft-
Phone No. I y3 .9dS8 i Zip Code: 3 `i°ISa Fax: � )`� (e)— 163
E-Mail: Phone No. � ^y(,I-1 13
Fill in fee situp a Title Holder on next page (if dif anent E-Mail:Wi lot 1,N�a/ -)(4u .Cow ,
from the Own r listed above) State or County License: C ►�CoSb03�
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If value of const uction is$25oo or more,a RECORDED•Notica of Commencement is required, I
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DEFAGNf ONEER: Not Appikable MORTGAGF COMPANY: Not Appit ble
Name; �L_
Address: II — - Address: 1
City: State: City: States
Zip: Phone: ZIP, Phone:
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FEE SIMPLE IfILE MOLDER: __.,.Not Applicable BONDING COMPANY: lNot Applic le I
Nalme 11 Name;
Address: �^ Address:
City: City:
Zip: 9, Phone: zip; Phena:
I cert'dy that n rk or installatlan has oommetwAd polar to the Issuance of a pe+mh. I ICI
St L qe[Dort ake no reprase tt tlon tha A erantin a erntft authotlie the arm@ holder Io bulid the blect stru ore {
wlale�t is In eon �t witch xn�applfiraq�r ttotrie s As oc�afion %l a bylaws orant�eaveY ants glgt maY rcstr x cr pmhlh t sach
stfucture• plea aw twthyaur came4wners Assotlatlonand wlewill edfaran restr laps whI may apply, �I
in ccnsideratlo of the grontingof this feWes[ed permd,t at hereby agrao than I wi$In all respects,piriorm the vI ;
in arcardanaa th the approved piara,the Florida Widing Codes and St Lucie toonty Amendments, 1j1
The foliowingis Itding pecrntt applications are ekampt II underaoin it fob comurrency reylawt foam additiaes,
accessorystruc rl wlmming pools, re+togs,walls,skoi,scraen rows and accassaryusesto another noo-rnsidenlialLisa
WARNING T DWNER:,Ycur failure to Racard a I iatka of Comm timneto may result In y our paying twice t'r
imp ovemen to your property.A Notice of Co;mman€e ant must be recorded and pasted on the Jobs to
be a the h inspection,If you ntend to obtRan ftnancE conwlt wit lender or an attorney before
Dom ericing 2itlattewdingr NoUce of Commen ent
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