HomeMy WebLinkAboutLEVIN PERMIT 9490 S OCEAN DR 315 li till
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ALLAPPLIC LE INFO MUST BE COMPLETED FOR,APPLICATION TO BE ACCEPTED i
Date: Permit Number:
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Building Permit Application
Planning an Development Services l (f}
Building and ode Regulation bivision
2300 Virgini Avenue, Fort Pierce FL 34992
Phone: (77 462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT A PUCATION FOR: To Select from dropbox, click arrow at the end of line y
WA,011
Address. AiLmci
Legal Descrip on; 0C<oe,) T-b, ,w-3
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Property Tax #: 3 535- 1- 00�>2 V L No, _
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Site Plan Na � BI ck No.
Le� �:.
Project Name 4•l �SI CO-
Setbacks F nt Back: Right Side: Left Side:
t: !
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Mona w to e erorme un ert is per nit-checka apply:
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HVAC �GasTank ❑Gas Piping _Shutters ❑Windows/D ors
Electric 0 Plumbing S nklers Generator Roof I
g P'. I,'I II
Total Sq. Ft of nstruction: _ S Ft. of First Floor:
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Cost of Constr ction: $ � �9 5, Utilities: Sewer Septic Building Heigtow moo=
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Name Wi . ( Name: � r �� IS�i ( s
Address: ocfiItie Ja Company: 6�� °✓d Fti� fe ' " e '
City: Q r, Stata:�C Address:
Zip Code:—'Ali 4'_r Fax: City:
Phone No. Zip Code: SA Sa' Fax: .1L"12
E-Mail: Phone No. q -+D - f1)3
Fill in fee simp a Title Holder on next page(if difi arent E-Mail:Vr-)vL IbrQ 6ro
from the Own r listed above) State or County License: C ACOS'6�3t1 4i j I"�:.
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If value of const uction is$2soo or more,a RECORDER Notice of Commencement Is required.
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MSMNE GSNEER; —Not Applica, M0M';ACaE COMPANY' _ _Not Appil ble i
Name, Name:
Address: 1 Address• —
Ulv: State' City. State
Zip: Phone- ZIP --Phone:
FEE SIMPLE fTLE HOLDER' Not ApplltaWe BONDING cOMPANY: _Not Applica le
!'lame: �{ Name: t
Address: Address;
cCty: City:
Zip: f Plione: 21p: _ Phonai
t certify that n kor instsllatlon has tommencad prior to the Isstame of It perrnh,
:it.Lug Coun ekes no rep e l tW thatfs eraittinga ermitI%p ria*the mft hold Io bulidthe object siru" ure j
which Is In e9n Q with anT epPTWau iUaa Officers Al tbn ru6os bylaws Oran eouenants t tlaC may Y or prMtl tsttch
Structure, plea cnnssilCynthyourNomeOwnersAssotlaxianandtaviewyour+4edforanyrestrictorldw mavaoply.
in consideratlo of the grantfngof this requested permli t do hereby acre*that I will,ht ag respvcm partorm the work I`
n acterdanca th the approved plans the Florid'6tdlding Lodes and St Lute County Amindmtnts.
Thefoilowingb Itdtngpelmdtappilcatlonsaree>ompt munderitoingafyllconcurraltyreviewt room addittons,
accessory strut rMirwJm ols mingpo ,leroces,wafts„-'''' `1oscraen tows arid attassory uses toanodwnon-residentialuse �
WARNING T OWNERs,Your failure to Rtcord a kiatkeuf Cetnmantdttetlt may result fn yQur payitug twke for
imp of eme 1 to your property.A Notice of CwTimeri exit must be recorded and pasted on the jobsite
beF a the fI inspectlnn.If you ntend to obOn firutncf consult wit lender or ettomeY before .I
On encln din r Notice of Comment rent
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Signat for se ,y 51%AMFO
Co be to Hotd I
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ST U OF RIDA ORIDA
TheforsoingI trumentw sadmowleAptibeforeme llleforgoinginstru ant Wsacknowledgadhefareme
this�day AJa)�s: 20j)Yby this2Zatyof PjW 1/)div by
(Name or pen ackrrowJe Bing) (Name of pawn eelmowledging I
IsIgnature of Lary Pubka State of Florlda 1 ti {Slcgaturs of WAlry Py6Gc•state of Floddt'I
P*rsonaay Kn ✓ _.oR produced Idanafteatlon �._ Perwnally Known _ Oft Reduced identItkotien
TyptofldentlH Ion Produced TypaofldantfflatlanNuduaed
commission [ab71 i T`'9 tseasl ' Comrrricstan Na; l'h 7I71
p6g81i1EyN�SON ? WCO ORN 134
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REVIEWS FRONT ZONING SUptRVlSi]R PLANS VE(jETATION SEATURTLE MAN ROVE
LOUNTER REVIEW REVIEW REVIEW REVIEW REVIEW Ri EW
DATE
COMPLETE
INITIALS
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