HomeMy WebLinkAboutBuilding Permit Application 2019-01-09 12:18 PM (EST) To: +1 772962-1578 From: +1 866-219-0729 Page 1/3
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED •
, Date:_i__ _.7-_1---7_ e. ..t NUM / 1769, - 0 17 CO
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. » • Building Per It Application
Plonnfna‘ind,Developinent Services
Building Cr;?f1:..O ii;Re cp,dat i7n. •vision
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Phone.-(772)462••1553 Fax:(772)4U-1578 Commercial__............ Residential X
PERMIT APPLICATION FOR pii€i�ibin
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Address: S EL PORTAL.LN
L.eg&Destriptkm: EL�POR.LN
Property Tae 1044: 3427-550-0294-000-2 _ .Lot No.
Site Ptah Name;. P .,_._-
I<rck No.. _
Project Name:YAYirRSQN
Setbacks Front-- ._ Back: R;h:Sk{e. Left Side:.
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40 GAL ELEC WATER HEATER REPLACEMENT
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y. f'.Mona wor-:to. e ebmie” iincte iffas .eit-cl3ek ^€;. �tapp€i
0HVAC C15 Til IGai Piping _Shutters1:1
liVInc_€os<�s./Poors
0>i r e, 1 i Numbingsp i c e3'5 ri Generator , ROOF -- _..1 f zot trait';
:`-Qt;i Sq. €t:of Construction: S .Ft.of First Floor:
Cost of Construction:$ t 0i# �.._...__— Uts hies jSewer U Septic- - Bi.>iding Heigbt
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ddres ;E.POt-I AL LN :op ;4, FLCRDDALEA.iECHANICAJ
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' city.., PORE SA �•r•LUCIE st3Ye:PL Address: ' ,`2:/ #�E f � ` tPal#i7E 11i
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iei rT: City; TAMPA
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F _r :Pr �re. a.772-233-.8.!86 'ipCode' ,36i0 ax: ttf� ItCts
i E-Mail: . Phone No. 866-$1 -0&
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. Fill in fee s:rpTitle Holder opt next.pase(ifdifferent E„Ma€: F ~" >_5
1FLLCiACSL CCi!
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I from the Owner listed ,above)
State or County License; t,FC14259 i 7
• If value r3f construction is$2500 or more;a.REcOR 4£D Notrce of Com entement•9s;requi>"ed,
.
2019-01-09 12:18 PM (EST) To: +1 772-462-1578 From: +1 866-219-0729 Page 2/3
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.DESiGNEVENG1NEER: NOt APPble t MORTGAGE COMPANY Not.Applicable
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Name.: . • , . Name:
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EE SIMPLE TtILE HOLDER: Not Applicable BONDING COMPANY: Not Applicable 1
, I Name:- Name:
Andress: Address:--------------------- .•
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OlitiNER1 CONTRACTOR.AFFIDVIT:Application is hereby made to obtain a permit to do the work arid 1:nstallation as indicated,
I certify that no.WOfh or instaiiation has commenced prier to the.ss1.,:oop..1.of p.permil,.
St.Lucie.county makes no representation'thrit Is gra nting a permit will aUthOrin thepermit holderto huild thelljez.tt.stecti_ire
v.01-tich isin Conflict With aM,4....13plicalaie libite OWners Assaclation rules bylaws Or a1:10.COV.8Sann tt$at May ri.i...St:riCt Or prohibit stioh
structure.PieeSe c:mit With your Home Owners Association and review your deed for.any reStribtions-whir.t;may apv_
In consideration of the granting of-this-req vested permit,l-dO hereby agree that 1 Wili,in ali ritztipectS, porf.c..tm the-work
in-accordance with the approved plans„.the Fos1a Builditv codes and St.Lucie C.7..itiohr Am and rrients,
' The folio.wirig bading permit appiications are exenlpt.from undergoing a full corir.-1.;rrency review:room additions,
atx,Eissory strutti.lres,swimming pools,fence,s,was,signt:,,screen rep rns.erd accessory uses to another non-residential use.
WARNING.TO OWNER:.Your failure to Ft.ecord a Notice of Cornmertgmert%my reit 1$1 yiN.itr oviog twice for
improver/lents to your property.A Notice of Commencement must be recorded and posted on the jebsta
before the nr„st inspe.d.tion.If you intend to obtain.linarwing„consult with.lender or-ah.attorney bore..
COTTInl entioftork:or rItcorditir a.V0 ii r NotitaxITCommencetnent.: •-,,,s.
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-SIgfitkee of OWner/U. s4es/Cciritrtictor as Agent rofQW:1 ;* 1 $4zPtitute bhc.diiifraCtolgt.lcr.,tist,i-for I
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1 STATE OF FLORIDA 1 STATE OF FLORIDA '
1 COUNTY OF : ..i , :•.-i sf..
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Me io-Q-o;ng inatrurnent was acknowledged before ma i The for,zsoing,instrume.nt ww;acknowiedged before me
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• I REVIEWS FRONT 1 I ZONING SUPERVISOR 1 PLANS VEGETATION SEA:TURT.L.E" NI/NC.:3ROVE .:
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COUNTER I RE-VIEW REVIEW ' REVIEW REVIEW .REVIEW REVIE.W I-
rbATE41 1 .
RECEIVED
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.i DATE
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COMPED
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Rev;8/2/17
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