HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�zte:
-�cnnrnc end Deveiopmer,� Ser✓ic_=s
3uliding aro Code Recuiation Division
230C '✓irginr Avenue, Fort PierCe F! 3498.2
Phone :1772)A52-1553 Pax: (772)A52-1578
PERMIT APPLICATION FOR
-
Addressto a ctt a k j
Legal Description:
q' 1 — ZTal Qn
oropery Tax ID #: "]� _US/JJ
Site Plan Name; I 1 �,,/ I 1v.�
Project Name. WO- w rT 6
S>_ibacks =rent Back: —
Perm.a Number.
Building Permit Application
cornmer-cia: Residential
1 111A
Right Side. ! e*t Side:
jtiTIke J,�4 rz
,
Lot No._
Block No.
Adcrtional wo to
e pe orme under this permn—
/
Mechanical
_Cas Tark
Gas Pi in �
— P�
— Shutters
✓ Windows/Doors
Sprinkiers
Generator
S3- Ft.
os'irs- -1,00r
-c-,21 SG =* o� Ccnstruttioc
cst of Construction:
S � • 0.0
Utilities: —
Sewer Septic
—
Building Height
Name '`_JI Ki-u1j ll K_A, L''i�tw
Marne 1pn �7�
�n^-Company. tri Y.:��a;se
ACCresS lJ LYc�rrsd :�G•.
Ci_/:Y i _— *ate 4—� Address: 1105 o Hawk i
r
Stare: !' �
Zip C44
ode: �-! 1 1.Fax: �� I Y"7 C'Ty
^� /'-C'�SI� ?ip Code: 3 93 -' ax: 52-1 777- LIZ5
?none NO. 1� t11•F /C"I�IQ� - ------
EMail:_ Phone No. 772-5.37-4`170
Fill in fee simple Title Holder on nett page (rf different
from the owner listed above) State or ount License:
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
.+� Liiji.-: -ay.'s'-.>. _rt`�-v':'.s_ ar. - rash .-W�.vn STc•Sai' -:
DESIGNER/ENGINEER Not Applicabie ! MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address Address: _
Cztv: state: City:
Zip. Phone: Zip'. _ phone.
! FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Apollcable
Name. Name.
Address: •. Address.
City.
zip: Phone. Zip. Phone
_ert ,y thai no wcrk or !astallafior has cofnmenC2.n. prior t0 the Iss ca:n �2 O� a D2rma.
Si Coun?y makes ^0 reOfeSE"1 ction :hat 15 granting = Y mi- will au hori_c the p2 '-! ::old el v Build r2 Seo eR >t UC:f2
.lC"c h'- <�rh
'rh ny Home Owne.-s us
t
deed or any resrc
ourbOme Owners AssOC at'Or a C evle
5thUCtu'enis ,P ase CO Suit Withyiew yo CI' o s which T2v aD. Dk,
In conslaerzoor of the granting OT:_ this fequesteC oer-nit i do hereby agree t'%ar J will, i❑ all resp2Ct5. ne�orrn -.h= work
in accordance witi` the aoproved plans. the CIOrca oiulld!ng Codes and St. LLCie County A.mendmen•S.
The following building pe m.lr appinca-ions are axe.vot from uncergoing a ub corcu rf icy feW2W' rO0'1 -dol Ons,
accessory, Structures, swimming Pools,fences. wails, signs, screen roorns and accessoro ' ses to anoth_.r lo—residenziai ase
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your Paying twice for
rovements to your property. A. Notice of Commencement must be recorded and posted on the;obsite
imtt
t
nerii Ag2a '. signa`uf2 O� CJoir3�.c'-_i<2ns2 tiOlde:'
STATE OFFLORIDASTATE OF FL D_A
COUNTY DF- f'l� cltd COUNTY OF �I(1�
be r Oinye in _ 'was ck-aOv ec r?c'e '"�_ The ,.I a: ✓no wletlgec e'orE ^..
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chis day of [ A r. n-t_4b, :h,s
' 1Na e Der P. ac . owh. a ,-% eo er ack IA1g
I
'u o SIS p4 Flenda 1 u - .a f Flcriaa
?roduced 'd niificac;on Ge On Frocuced identifica t.On
Tvoe 'I" - ed Tvpe e F oduced
''onr.ission VOA Commiaioh No.
Kevnsed Gi 151
V'RVdS FRONT ZONING SUPERVISGR FLANS '', VEG E: ATION sEA TUR71_E MANGROVE
COUNTER REVIFVv j REVIEW REVIEW REVIEW REVIEW REVIVFW
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