HomeMy WebLinkAboutBuilding Permit Application too J52
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dale; to. Permit Number:_�__ `
RECEIVED
Building Permit Application OCT 2 3 2018
P1 d D
.'an.,71n,gan evewpmern5ervi= ST, Lucie County, Permitting
Bvildino and Code Peaulation jDivi5ion
2-300 Wirginir,Avenue,Fors Pierce FL 34.992
Phone:(772)46Z-' 5S3 Fax; (772)462-1578 Cornmerci@l Residential
i PERMIT APPLICATION FOR.
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Address: 4-)r)1 '5) Y-�n
Legal Description:1L)'U1A'&
o..,cq, ac'�
prooerry.Tax;D 9: 21LANPI-00n Lot No.
Site Plan Narne; Block No,
Project N,arne:
Setbacks Front�— Back:_Right5lde. Left Side;
PWona work to be pe -friied—under-tFis--p-e—rrn-Ff-check all that apply:
—Mechanical —Gas Tank Gas Piping Shutters (windows/Doors
Electric — Piumbinc Sprinklers Generator Roo.
Taal I Sq' Ft of Cons-:ructiom Sq. Ft. of First Pioor:
Cost of Con5t truction; $ Utilities: —sewer Septic Building Height:
N a rin e I Name: na
'Addre5s: '%rLY� Company; 411'rt ;_�l a-'- Z=
Ad
city: State:J� Address: NOB
Zip Code. Fax:
City: State
-Y) zip Code: -7
Phone No. 0 R-777� !z_q3 Pax;-32.1-777, yz�—q
E-Mail: 1"I V�4'- 1; Phone No. 7;72.
Fill in fee simple Title Holder on next page (if differ-ant n VAL,%*-9- 5—
from the Owner listed above) state or County License-.
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
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[F'DE 5 1e,6-N C' NI N
R E G EE I-IR- Not Appicable MORTGAGE COMPANY: Not Applicable
Narne.
Name:
Addliess: I Addre$s:
I city:y State: State:
I zip- phone: zip: Phone:
t
FEE§iimpu TITLE HOLDER.- Not Applicable BONDING COMPANY: Not Applicable
Name. I Name:
I Address. i Address:
City:* City:
zip: Phone, zip- Phone:
certify that ric work or instailation hEscommencedl prior to the issuance of a pai
St.i UGje COUS-5tyr.'12kes no represemezion That is granting spermil,will authorize thepermit h0)diir to build rhesuln#--ci-Sti-EX-ul-e
arhici;is in convict with anyaPolicabie home Owners Association rules,by!-A*wg or and covenants ints that may restrict or pro,
structure.Please consult with your Home Qv hers Association andreview your deed for any 70St,iCt10nS whiCh,MAY aPPIY-
in considerztion of the granting of this requested-perrnit,I do hereby agree That I will, in all respeCrs, Perfiorm the work
in accordance with the approved:
plans,the Florida Building Codes and St. Lucie County Amendment,-:.
.,je folJowing building perrni't applications are exempt from under
-going a full concurrency-eview:roorn additions,
accessorys�,Turtures,swimming pQo.,5,fences,wails..signs,screen rooms anti accessory uses to anothernon-res"d4ndai use
WARNING TO OWNER-Your failure to Record 2 Notice of Commencement may result In your paying twice for
impr§vements to your property.A Notice of Commencement rnust be recorded and Posted on the jobsite
befori&,she first inspection. if you intend to obtain financing, cpnsu;t with lender or-=n attorney before
corni-hencip-work o,recording your Notice of Commencement.
-IivuvLL
Signature of owner/Lessee'%gen% j Signature OT C0ntrZCt0;-/'UCen.e LiOlder
STA-1i OF FLDA STATE OF F 0
COUNTY OF-TR-\Dnj COUNTY OF
Tie-'jy;9o!r1q Inst sed
C nowled orz me
cis 20 +bi-- day of
this JLJ� by
I per 0 n f
of Morida 1 r
or
50. R roduced Id-entificavon I r Produced ldentificat!on
C'.1 CIL, P du d t e od ted
Comrnzi
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ISSION 4 1`1`202146amycommill 24?655,
Fp:xp P 9'.11 lh=00 nn4 N
'ed 07,1-5/2-014
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V!EWS FRONT I ZONINC- SUPERVISOR PLANS I VEGETATION VKi Lb lVIANGROVE
COUNTER REVIEW REVIEW REVIEW
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OMPLETE