HomeMy WebLinkAboutBuilding Permit Application AU.APPUCASLE INFO MUST BE COMPLETED FOR'APPUCATION TO BE AccEPTED
Date:wk k, atilvls Permit Number: 40\a,-C}
J RECEIVED
Building Permit Application DEC 17 2018
Planning and Develop►neat5ervkces ST. Lucie Count Permit€(flu
Building and Code Reguladon Division y,_
23W VirginiaAvenue,Fort Pleme FL 34982 �
Phone:(M)462-im Fax(772)462157s Commercial Residential -
PERMIT APPLICATION FOR: To Select from dropbox,dick arrow at the end of line S�
PROPOSEfS IMPROVEMENT LOCAT101
Address: Lc S 14 Qt
Legal Description: d '
rvrp
Property ID& 136Ch "'C3 0 Lot No. ;
Site Plan Name:.5474e
It� _ t 1rC, Block No.
:Project Name: `
Setbacks Front Bade Right Side: Left Side:
• -DETAILED DESCRIPTION OF WORK. _ - . .
VN,544 I I `7 A-eccl*r r cf4 d n C i3 S
e
CONSTRUC-17 I -;RNIAn N
mono to un er ks permit, a app
EIHVAC 36asTank [DGas Piping. _Shutters ❑Windows/Doors
ElEfectric U Plumbing Osprinklers. 13 Generator Roof
Total Sq.Ft of Construction: q .Ft.of First Floor_
Cost of Construction:$ i Utilities]Sewer Septic Building HftW
OWNER/LESSEE ::
-CO . ..:
Name LNa;;;.- &
Address• company: ! r K -
City: State:,- Addressss.
Zip Code: '25
-�--f-- Fax: Ct1C: 1 'f 1 trite-P✓` State:
_
Phone No. ' 2ip Code-c3'fIF� ; Faac_ ? a � f
___.
E-Mail: Phone No. '3 6 F.
Fill in fee simple Halder on next page(if diffWW E-Mail: 0
from the owner listed above) State or Coun 'cense-
it value of construction is$2500 or snore,a RECORDW Notice of is requbv&
DESIGN NEER: Not Applicab a MORTGAGE COMPANY: Not Applicable
Name: IP�iiif "
Address: Address:
City' State: City' State:
Zip: Phone: Zip: Phone:
FEESIMPLE TME HOLDER:• ;_;,Not Appbcable BONDING COMPANY: Not Applicable
Name: Nanuw
Address: Andress: .
City: akw
Zip: Phone: Zip:____ RKWC
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sttuctu�Pim consult wtttrjpour Horne Owners Assadation and rmrieatyouc �� �whidi�°rapi�yl _
in aomWwatlon of the ofthismwmsted perms,i da hert*4vw that l wM,in ata respects,perform the work
to aaondww with the appnwed per,the r-lwkb BU&ft Codes and St Lucie Cour�tyAmendments.
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WAtII,Nt1M TO OWNER:Your fatiure ip Remd a Notko of Gonmum-r m r-1 a may raett to yotar cayirwgWw for
Int rovements to your property.A Notice of Commencement must be recorded and posted on the jobsite
b the work
N you intend to obtain finan�dng,consult with lender or an attorney before
%^"DUN
rk or recordin Myr Nance of ComMen cement.
Swwwe of Owner Stere of C Nolder-
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