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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE ItIF0 MU�ST BE C©MPL!<TED Fpt� APPLICATIbI� Tp i3 Date; C- C_ Permit Nurnber: Planning and Develo B u ifC� i pnaentServlces ng PermPermitApplcaj 9 and Cade 23I1Q Virg, Regukrtlon Dlvlslc, n 9ulldlnns Avenue, Fart Pierce FL 34982 Phone; {772j �s2-15s3 Fax: {772} 462-1578 TCD 7 fCSPERMIT APPLICATION P©R. .Resident- ialPRQPpSEpIVR07 ° SelectfrOM dre be ATclick hereMENTAddress: t Legal Descriptlf Property Tax ID #: 1C Site Plan Name, Y l I Project Name: setbacksLot No. � Front Block No, CBight side: Left Side; ESri me i�r `—�— -------� WILJOnal wor to e _ e j�'"� orme un ert ffiVgC Gas Tank s perm t ,c ec ❑Gas piping app Y. UElectric � Plum �,. shutters �'"j Totals , bang OSprfnklers Wfndows,�p©Ors Q Ft of Construction; � Generator Cost of Construction. C1 Roof ' $ 5 . fit, of First Floor. O/NER/Lf�S' Lltifities:'Sewer 5e Ptic Building Height:,` Name 'Jj co Address: .Name: Cit: �'A ZIP Code; Company: blip- , Fax: --L Address SG' AJ z.,) Phone No, `?� �. i�,�,�,�/,��- CP `7 ` 3 City: %. ,� i Lcc'C_/rr I 't lob E-mail. ' ZIP Code: �%'i��� Fill in fee sim le `� State: F'4, 1' Title Holder on next Phone No--.�,.� Fax, 77c2 from the Owner fisted Page If different /= ?-i3 above) !-Mail. If value of cdnstructfon is $2500 or more, a 12E state or, County Licen; �C I C0RDiD Notice of CorrlrAencBment is rewired. f }} � Not App Name: Address, City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Not Appllcable Name: Address: City: ZIP;Phone: MORTGAGE COMPANY ��- Name: Not Applicable Address. City,,. State; Zip: �--r_______ Phone: BONDING CoopANy; Name: _ Address: City: Zip: ---. Phone: —Not Applicable 1 certify that no work or installation has commenced prior to the issuance of a permft, w Lucie Counttyy makes no representation that is granting a permit will authorize the ermit molder to Build the subject struct'�tre which fs In cont7lctwith any applicable Home Owners Assoclatlon rules, bylaws or antlpcovenants that structure. Please consult with your Home Owners Association and review your deed for any restrictions which ri a i In consideration of the granting of thfs requested permit, l do hereby agree that l will, In all respects,may restrict or prohibit such In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments, y pP y, perform the work The solo following building permit g plicationsPools, fen ora exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another non-residential use WARNING TO OWNER! Vnur failure to Record a Notice of Co►�mencea�.ent may result in your Paying tv�r PR ed on theP y ice for r ol• recur i ur N©.tics of Coit�mencen,P��.attorney before 'Stgnatiire of:C3wner/ Lessee/Agent STATE OF FLORIDA ;16 COUNTY OF t or? The forgoing InstruTent was acknowledged before r► this !3 day of d._) -e,_- 20 L1by 4NamepersDn acknDwler��}ns 1 �u�yu�iurr, - _ V1 NO.Cary Public- State of Fiorida ) Personally Known � pg Produced ldentificauon Type of Identification Produced -- Commissioin Ufa: (Seal) Devised 07/15/2o14 REVIEWS FRONT ZONING I SUPERVISOR COUNTER REVIEW REVIEW A -rl- INITIALS STATE OF F1,OR COUNTY OF _ c-? The forgoing instrument was acknowledged before m this day of 20 P by La Personally Known (}R Produced Identification ••" Type of Identification Produced Commission No, ���� �� (Seal) PLAINS I VEGETATION SEATURTLE I MANGROVE REVIEW I REVIEW REVIEW REVIEW