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HomeMy WebLinkAboutBuilding Permit application t AGWOPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO B ACCEPTED dad• ermit Number:60 ON Building Permit Ap lication Planing and DevelopmentServices S all.-Ing and Code Regulation Division 2.3a Virginia Avenue,Fort Fierce FL 34982 ' F"hoe:(772)462-1553 Fax:(772)462-1578 Commercial Residential X -PEPMIT APPLICATION FOR: To Select from dropbox, clic arrow at the end of line - __._...ri__ Le�alDescription: Harbor Ridge-Fiat 13-Butfanbush Village unit 2 � Prov psty Tax ID#: 4426-8.15-0009-OOQ-5 Lot No. Sita Pan Name: - Block No. Project Name: [Setbacks Front Back: Right Side Left Side: - - -DESGR•I:PTI.O'NrCl -_�=--=�.====—_= - - - -- _.—_ :�:_.:.. _ Rernove existing windows and doors and replace with new'1 pact resistance windows and doors. TON-511N - _ - - - - - — — - - F _ - rtipna war to e e orme un er t is permit--c ec aa p y OHVAC 'Gas,Tank OGas Piping _5 utters � O Windows/Doors �"�"']] i I�...iElectric 0Plumbing Sprinklers"(� G nerator Roof Root pltcl Total Sq.Ft of Construction: Sq.Ft.of Irst Floor. Cast of Construction:$ 23,000 utilities: Ole er OSeptic• Buildin H • = g eight: ONT ' ' dry Name: i z rAaa`res' '/2 ©l`' i�/f�rMttSa2 <ri c� , G ) _-�— Compan Glass Block Warehouse State: FL Address: ,��{ (11th Vf� Zip Code: 34990• / � © Fax: 630..77'0-9732 Zip Cod City: ���"tif tFL Phone No_ . 34990 + State:,���"/��� E-Mail:dh9erda@comcast.net phone N . 772-78"1_2383 Fax:_�„�• Fill in fee simple Title Holder on next page(if different E-Mail: I Byer@glassblockwarehouse.net from the Owner listed above) State or ounty License: CGC1523666 If value of construction is$2500 or more,a RECORDED Notice of Commenc mentis required. E :... LAW=i(VFORM ATion( __ _. T = -: . EM.ENTAL_CONSTFtUGTI..._1V,. _ - DESCNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable Gare: Name: Ndcess: Address: City. State: City: State: Z ip: Phone Zip: Phone: FFEIIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable Dare: Name: A d less: Address: C ity. City: Zi p: Phone: Zip: Phone: OVA N..R/CONTRACTOR AFFIDVIT:Application Is hereby made to obtain a permit to do the work and installation as indicated. I certiy that no work or Installation has commenced prior to the issuance of a permit. St. Luc=County makes no representation that is granting a permit will authorize the permit holder to build the subject structure wh i ch;in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such strLs ctue.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. in conderation of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work in a cccdance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The fobvving 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 WARIING TO OWNER:Your failure to Record a Notice of Commencemen ay ult in your paying twice for improaements to your property.A Notice of Commencement mus e r rded and posted on the jobsite beforfthe first inspection. If you intend to obtain financing, co lth_lendgor an attorney before corrrrencing work or recon ' our Notice of Commencem Signattre of 10 Lessee/Contractor as Agent for Owner Signature of Contractor/license Halder STATE OF -IIfBA STATE OF FLORIDA 1/l COUIITY F cc -- = -r �'i� hcvnCOUNTY OF The fc� oing instrument was acknowledged before me ThFgoin instr en wasackno ledgo' reme thisb day of u 1�20 ,�b by thi of )At�� by 7 rn r7 va 14 &Of-6 C,,, Name of person making statement Name of person making a em t Personally Known Z?!< OR Produced Identification Personally Known OR Produced Identification Type 6f Identification Type of Identification Produced Producad JLJ Si nature of Nota Public {Si ature of Notary Pubil � ,rc� LAUK (Sig N o-. o any Public-St to of Lion d Del ►IIIEV. Ires'Ap�r.�Alborgo y• ;•; a!�i>isirin N FF 21522Commission No. N Nota Public,Sewmpshire Commission No. =�, 4oc M�r �.Expires Jun 29,2 1 My Comm'�ssio8,2820Bonded through Natlanal Notary s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED T t T77:1 Rev.8/2/17 }