HomeMy WebLinkAboutBuilding Permit Application 2018-10-11 12:59 PM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 1/6
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ALL APPLICABLE.INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED
Date:_ \OlANNIFt_---- PermitPermitNumber:Number: 8ID-0214
Building Permit Application
Rlonnim orid Develop e ti:Ser ices
&illdrnq end Code Rego.i trns
2300 W`irgin Avenue:Fog'Pierre F1,34982
Phone:_(77 2)4'62••i553 Fac:(772)462=4.578 Cornnereial Residential X
I PERMIT APPLICATION FOR: PIumbirzq
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Address: 58-12:PALM DR FORT FIERCE: FL 34982
Legal Description: I? M=AN R€VER.E$TATE$UNIT 08 __.._... _
Property Tax al?": 34172-£09.-0376:.0(0-a Lot No.
Site Plan Nati)e; Block NO: •
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Project Name: $ IVS+ Iv
'Setbacks 1-rent. Back:_ Right.Side; . Left Si e: . .
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440 GAL ELEC WATER.HEATER ER REPLACEMENT
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0HVAC jGas Tank Das Piping I Shutters Wini o fsii:loors
l lectrid .Plumbing 11Sprinklers Generator 0 Roof Roof pitch
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Total:Sq, Ft of Construction: �_ -- -- 5�.it:of First
Cost of Construction:$ 1188 ' j'ewer 11 Septic Building Height:,� »
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t Name KATHRYN'RENON t4ii m :
it Address: 48't:r PAL M'OR Corn>a,a r�
i=_ t?ICsA DELTA ri.ECI�IAN C"iL...«..»...v « _
Citi FORT PIERCE Ste RAi#8i s :.84Q?LAUREL,FAIR CIR SUITE-111
Zip Code: At)82 Fax.: city, TAMPA State:FL
Phone No.772-284-2,06. Zip Code: 33€10 Fax:.:8f-6-2t9•-0729t
-Bt tail; Phone No. 366-2:t9-0883-
Fill.in fee simple Title Holder an next page 4.if different L It+fall: FL-PERMITS DEL TAMECHANI ;AL.COM
from the.C;wner listed above) State or:.Courtly Lice rxse: CP 1.4259"17
If value of construction is.$2500 or more,a RECORDED Notice of Commencement is required.
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2018-10-11 12:59 PM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 . Page 3/6
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i:Aat:g.tkkatillatkUUMIRknatattatidAVVANED ROODUMMINUMONMEi.M.MNS:OP:iii:)
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DEStGNEiVENGINEER: _Not Applicable l' MORTGAGE COMPANY: NO Applicable
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• I Name:, — i Name: i_
I Address I
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dress:
City: • .. .. . .. State. t Ci.y:
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I FEE SIMPLE TITLE HOLDER: Not Applitable ; BONDING COMPANY: Not Applicable
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I Name: _ I Name:
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Address: Address:
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ZIP: Phone: I Zip: _ Phone':
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OWNER/CONTRACTOR-AFFIDVIT:Application i hereby made to obtain&permit to do the'work and?nstallatIon as indick.ed,
i certify that no work or instailation has-commenced odor-to the i.st.iance-of a permit,
St.LucieCounty ma ke.s no reore,4:entation that is grantint a pertnit'o;!illaothori-o,the oermit holcler.tO bad the s:vbject strpeturel
which i in ct..p:?tict:-.wiril. rt., s'praicable:Hdrne,Owners,Assotaetion rolos,bylelp,5 cr zinc)cspeoaats#Iot 3n-ay restrict or prot Sthr:11
structure.P.Iesa!:e cOnsuit with your Home,Di.kmors Association-and review •our seed or any restrittionN'Whiti.h tt-ry app-iy: • - I
• In topside retIon of the granting-of thIsMIW.i.?it.:0C.4 p-erm , rio hereby agree that I will,in all respects,perform the work
in accordance With themprovod pi ans.,the Eloride P.I.3i.lding Codes and St.Lucie County Amendments.
The kiliowng butidin permIt ap cations are ekemot from undergoing p full concurrency reYiew:rOOM.etiditions,,
accessory st-Nctures,swirnming.pools:fences,.wail5,Sigt15,liCte€111 rooms anti accessory uses to another noe-resideptial use
WARNING TO OWNER Your failure to Record.4 Notice of Cornusqooretlieitet may result In 9•60rpayIng twice for
improvements to your property.A.Notice of Commencement must be recorded and posted on the.jobsite I
before the fiAinsPeOtiOn.:If you intend to obtain financing,consuit>Oth lender or an attorney before
commencin$wprk or ricordir your Noticefrf Commencement. l"
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i Signature of Owner/Lossee/Contrador as Agent for Owner 1 56f ore of:...aptrattorlikense Holder • 1
I STATE OF FLORIDA ., STATE OF FLORIDA
COUNTY OF
COUNTY OF
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I The fgrgoiOginStrument as acknowiedged before me. The fo• ',,i-Ai ii,strorno,nt Ista45 iriit kr;ow[8:doci.before me
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V 4. .; . .IfA NSMit of per.zIon making stateetent I
POS0e$;311;i 100W1......:*&....._'OR Produced iderfliic;3+ Per,;onaliv:gilown •X:„.• OR 1-rockleed;denfifit,Ation...______.
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1 REVIEWS FRONT ZONING SUPERVISOR l KAM. I VEGETATION SEA TURTUE I MANGROVE,.
COUNT Ek REVIEW REVIEW i REVIEW i REVIEW
.— - - 't--- REVIEW. I REVIEW. 1
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I"UATE- : 1 i
RECEIVED I i
DATE
.I COMPLETED I
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Re.v. 8/2117
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