HomeMy WebLinkAboutBuilding Permit Application ALL AP004C#SLE t F0 MUST BE COMPLETED FOR APPLICAT1100 TO ftp ACCIP M � ' V!( q
Permit Number,_.l D �
Building Permit Application
P anii.ing and Uevelop"MM Sakes
f ik inp and,Cade 0000M 0105i0"
23W Vlrgiflid Avett.4T, f0rf PWCf'F,34982
Fftne: [7721 d62 1553 Fox: 17721+62-1576 Commercial Residential
PERMIT APPLICATION FOR', To Seleol from dropbox, click arrow at Me end of line
PROPOSEC+ lA► lPii i EMENT LOCATf�N:
Address: 24m►atwr Cava Dr. Fart Nterco, FJ WM%
SAL CSE BAH-SECTION ONE-THAT PART OF TRACT Bltm HAFR8C1►,i1'�.XNEt KNIT 11 MPbAF:
L"41 Description: _
CoMm Ar llut of col- IN OR AND N LI OF 1170 FT ANAIA RUN N$Y DECt Ob MM 47$EC W ALtl N RW AIA 391 t2 FT
Property Tax ID w., 14S-170t-4M-11040 I of No�
Site 4114n Rome. fikack No. .�
Project(Warne
Setbacks Front_ B.tc:k. Right Side. iLeft SWC
DETAILED DESCRIPTION CSF WORK:
3=5 ficin 16 SEER Sliaight Cecil Split System
10 KW Heat
Like For Cine
m
CONSTRUCTION INFORMATION:
Add itionai mark to „' ,Inrme d ranger this peer i t-.&ec_ 4 app
HVAE Lias tank865pirlinklen.
as Piping butters� Windows/Doorstleet�t Plumbing 1:1 Generator Roof Roof i h
Total Sq,Ft of Camtructioe: Sa. Ft.of First Floor:
Cost of Construction: Utilities: Lj Sewer Lj Septic Bu ikling Height:
I
OWNERAE'SSEE: COWMACFOR:
Name: p0baiaiir
Address:2+W Hatmr Ca" r)r Corn parry CantaftsRWIMUSAIrld _ s
fny: P'iarvA FI NOV Entorrarales OF LW 120
State: Addtts� _
Zip Code.. 34949 Fax: City: Pon Sant LLKM Stow.!
Phone No. ��.. _ Zip Caeia: 34M - ._ Fex; I Js•1!1', �It>tiU
E-Neil; Phone No. 772 73:I�D00
FIII in fele skviple TIft Halder an neret Pa#f M 01001111M Lrt 14lall cbkanr rl ar grn�i,l
from the Owrwrr Usted above) Matt ar uLem a CA1C1814 434
if value of rwrs tivc oft It$25M O?err,a FAC0110M NOW*of C0409netwoo Nrit b rs�gNlrrd_
°-� INFORMATION"
_ �J�t AppltMte
pPLNENIAL CONS-MUCTION LIEN LAW 6"t ' MATi t+ P�+r :
Sll _
Not A opkabie Mt?RTGAGE
DESIGtfli/ENG1lEER: Flame: —--- -_
lrarnP: Address: state:.—
-
Ad dress. city.
State: � Phone:
Gity:` Phone
-zip: -- �— — Appiitabte
BONDING
Applicable
COMP'AI111t:
�-- Not AIPP
SEE_51MPLE TITLE 1 (lLFiE14�
N arse: Address:
Address: City:
city: Zip. —Phone;_
Pb�ar�e
Zip:
: .
made to obtain a prytmlt to da the work ind insrtallaRraon as iritlica te ,
OWNER/CONTRACTOR AFFiIDVIT:Appkicati n i�! a issuance a#a peranit.
I ceT0V that no work or installation has corn fenced pror
ppeett restrict or prohibit march
St Lucie Countyy�makam no Tedthe Sul
prese bib RometCw�iytA%%DL ac«on900%,if
nx an cov�Ce3 U�nmwh mall a yru ore
which is in conflict with ark appllta
structu}e.'Rleis�e[�fl'�+J1t MYlth XOU!Hs1me owners A55ori,-r;'on and renew yOlJr dee'1 all reipvcLs. orrn I�ae work
in�consideratiaft of the granto oaf tarrt�th Fier da Bted u IdInP Code St'�utle County it. I do heMn Agree that I will, Angie drone is
in.a rdan ari,�r�the alt e p
The 1?o11[rwang au"�Idir,g permit apprcatrons amoxernot`rom undergoing a full corcutre'rc4 renew;room additions,
.d+ec�!sst °y structures.swimming poo*fences,walls,49ns,scxeer'nems ane!accesxDtY wyu5eis It In *n fn_a IIn 'wke for
WARNING?O OWNER:Vour f allure to R*cord a N atk*of�Cioienmeric�enaent ntaiy ra!su It In Mau p 3r nB 4
km p r�pwements to Vour Property. A Notice Of bta►ro f n neireg, canst��ncement mustt witlti le orecorded �an atter ey befosted on theore
before the first Inspe-Cion of your intend to+�
r_.
iccimmenci�tk_i recorirtr Noticeof Cornrr�i�taCrnen
Sigraturc o!t] n Liesseel oniractoe•�s Agee'far Uwmi rr pra
C ,� icense Molder
i STATE OF iFE IDA
STATE OF COUNTY OI"
COUNT1IOF r. -
- : The F ng Instrument wa i a�kn aw egeedd before me
Tfse# csme instfument was acknowled before me t�
this: day cif '���' ,i`t'�hl :'+ .10 by this aY _i -- 3R by
_&)b _ ►
#Name of wri making staternenm Alamo of pr-gon maki:1g ssaternent
persp+sait Knowrn 4R Prado»eek ldrrtifi€at�sn _-- y
PerSGna9ly Knovvrr�OR Producvd Ideritificarton Perslype of fdr ntl#icaiia
'ype of Identif;zation
rcxlu[ed Prod iced
S IISignature of Notary Public-5itatr larida 1
(Signature€f N terry Public-
' &Awdne Konpra�, Catherine Xonge
r rammi,5ifin N IRiF17Z3' i =g8vi lil�aadPPI1Z372
—� st C CT Z6,2 1® i Commrssiae.N o. -_ __ `Av`�e
_Expires:OCT A 2018
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REVIEWS FRONT 170NING ' SUPF RYISOR PIANS VEGETATIt�hl SEA TURTLE MANGROVE
IrtCOUNHR REVIEW REVIEW REVtFW REVIEW REVIEW RFVIi=V'J
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