HomeMy WebLinkAboutBuilding Permit Application ALL APKWMLE INFO MUST lE CaAMICAMON TO B E ACCEPMD
Bate: Posit Number:
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Building Permit AP flacation
Pkaning DeveopmentSeadc2s
Building and Code fle_w1GVbn Mision
rominla Avenue,Fort-Pierce rFb-:WM
Phone:(M)462-1553 Fay: ) 1578 Commercial Residentlai
PERMIT APPLI MO FOR: TO keit from dropbox, cfiaif at ft end of lbe
Address: � tic--�c�fi-t �.-�^- L sl� Pori S Lash 34952
Igo Descdpfian:part of 3414-501-17014 -Spanish L
Property Tax.RD Lot No.
.Site Plan Name: Block No.
Project Name:
Setbacks Front Back Right 571 de Left.Side:
L
D P a ll E- 'DE5CRAPT 10Ni I r�.�ORK:
DeIon of MoNfle hoMe
CONSIFA' U;C '10 UNFOR3mJ1,A ON:
A it►onai livor to a aerrormed under this Perm.it-c eck a a appY
LjHVAC Gas Tank as Piping Shutters D Windows Doors
8ectric PlumbingSprinklers Generator Roof
Total Sq..Ft of Con sMic ton: Scl.Ft. f First Floor:
Cost of Cons#n,cbon:$ '�Z 5' Utilities: mer Septic Building Height:
mami"Me Btaft cowaum Nam : Ma w Lyle►ynne
Address: SOUlh LAS#,Stade 402 C ny.Wynne Daml�t Ce aeon
Pork'St Ltaa 5latea Ad di ss:8030 SOS RAS I;StAte 402
zip code. � -� 24 od SL Lucie Stat :Fs_
Phone liar. -8713 zip C,)de:'34559 F .77.2-:784)224
E-fi ail: w teo �.
phone pjo. 772--$78-5513
MR in*wdmPle Tt' bn next pqge dWarent i:-�M ,l- MMOwpwmbccwn
ftm timOmmerbsted abme) State or County Lto nse:
if vafue of zonstruction is$2500 or more,a fteCO Ea wrance of comm camentis required.
i
DES46RIERWENGINEER0 __,_Not Applicable �.� . � ��� l�A °�a : loot Applicable
Hart ea a>
Address: Ad
dr
City: State:. Citj: Stade:
ea
Zi a: Phone: Zips Phone:
FEE SIMPLE TnU H® E!1> Not Applicable SON INS COMPANY; Nut Applicable a
Nam.e: IUar
Address: Add r s:
Ofty:
Zip: Phone- zip• 'Phone:
I certthatt no work or installarmn has commenced prior-to the issuance of a permiL
St.Lurie CDan makes no representa&m thaHsgranVngap anit> i4 a `�ithee ait homer tobuild the subject sbvcture
which is in.convict t h-asnaf apprkable plc Owners Association rules,b a or an covenants that mai restrict-or prohibit saadr
5hUC ate,i?� sult t r fioane .�lrs soda a and r ear �u deed for any restricrdom rich rated apply-
In consideration of the granting ofrthis reed permit,d do herebyagr that i rein!,in all respects,Perform the vmrk
in accordance with tae aper€jed plans,the Fbdda Building Codes and St,.Lucie Count-y Amerndanents.
ThafollowingbuIl ding.perntit appl`uagons areaxe niptfro rn undergoinga 11 contcrerrenV red r mom
accessory y s ctu ,smrno ng pook Hennes„Walls,sws,sa.moms nd axcessoK yp asses to another newt-rete a$use
WARNING TO 0W,§a.V 1W#9ura to Reewd a Madw of
improvements to your property:A Wotk&of Comnencenwn. most be recorded and Posted on the jobsite
before taeairst inspection. If You intendib obtain financing, nsult with leader or an.attorney before
conimpnOnwork or recording our.Notice of Coe-Mencem
_,,,.Signature of Sign re of CoritractodUcense Ho letr �
$TATEOFFLMDA OF FLORU>�A
COUNWOF' si re CCM :sc
The fo ascent was adawwfeclg gb�reme The- gasiatg instrument was admcwWedged ire arae
ais30 a by t ay of 0"t z
(Name of p owl in ¢ice of ps rt aclCateaaarle
ung
a atu tte-of Notary Per -S to ofar passeor'l rg�p hli Stat leaxie$a.
Persona*i£n€tm ced IdenVOcafion p 111pin u OR Pmduced ldeaffication,
type of Idem 'T Bd �Ocatfort Produced
......... SUSAN UG—EE
xna7tissios3 i+3ct_ =` c m MY GOMMISSM 167647 Corot is csaa 143aa Co
ft
IBES:Fe nary 3,2019 AN
`y Bonded Thru Notar;Public Undenrriters ? :¢= MY GOMMlSSI E
ON#FF 187647
A;,w Bonded Ttuu b atarr Public Underwnters•
X1 95 �i SUPERV RGUATION SEA-W T di�AWROVE'
COU I R � REMMVIEW IRMEW REVIEW
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