HomeMy WebLinkAboutWALSH RESIDENCE APPLICATION PERMITALL APPLICA LE NFO MUST BE COMPLETED F;1R APPLICATION TO BE ACCEPTED
Date: I 1 -;, 11 1 C)
Permit Number:
Planning an Development Services Building Permit Application
Building and ode Regulation Division
2300 Virglni Avenue, Fort Pierce FL 34982
Phone: (77 462-1553 Fax: (772)462-1578 Commercial
PERMIT PLICATION FOR: TResidential
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Address: 10539
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Legal Desc`rip on: S tip; 51,------------
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Property Tax #: l Ob- 5m --of
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Site Plan Na Lc
Project Name CL l �►� {(¢ S; de „ BI(
Setbacks F nt
UR -Back: tight Side:
_. Left Side:
(, ..kms
Ojj�� -unneo under this —Penmt_c ecca
_HVAC GGas Piping _Shutt
as Tank D app Shutters
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Electric Plumbin [:]Sprinklers
Q Wind(
g USpi;mklers Generator n
Total Sq, Ft of onstruction: �1 Roof
Cost of Constr ction: $ $50. (A `- S Ft. of First Floor:
Utilities:nSewerUSeptic Building
rvame f c1
Address:
City: t
0`wcL
ZIP Code:
Stag
") S 1 Fax:
Phone No,
94) 3
E -Mail:
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Fill in fee simp
a Title Holder on next page ( if di
from the Ownt
r listed above)
If value of const
uctlon Is $25110 or more, a RECORDEr�
Name: --FW
�o r
Company: lbw+
Address: jo8I1
City: Po7�- S}-- wcit n
Zip Code: �-5f Fax: 7
Phone No,
Went E -Mail: vh or .owcy van
State 4r County License: C FCO 56 1
Notice of commencement is revulred_
No. 50
Elm
le
.is
Name:
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WOUGAGE
Address:
i
Name:
City:
Addreffs
Zip
i Phone: —�— State; ��
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FEE SIMPLE
Name:
E7LE l{pLpER, Not Appiftable
Zip: z: Phon
BONDING
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COMPANY:
Address:
Name:
City:
Address!
Zip:
Phone:
city:
21p; phone
I certifyth3t n
korinstallmlon has cornmencWprior
St. Lucie LrnUn
to the l$R
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anceof a permet,
— Not
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In eonslderakia of the granting of this r �O rmnaw r r aorproRR
your t for any rcstrietfans xdsl lnay apply,
In aeeordanm the approved pi eWested permk [do here�Yafreothat f
ans, tine Florida 8tdidingCodes and St, Lucia County�Indmeente Perform the vrork
The following'yst uc Itlksgpe{�tapp4�4ool$,rms areeaemr�stt �m undergainp afidl concurrency revlew: room additions,
Wacceswrysvuc res, swlmnting pools, ($n.ce3waNt, CI„g!£ screen roams atldaccpssory uses to another nwsaesidensial use
bmeAp j n �o xauRgr Pe tx�A Notice of �Co{tttntanceUerlt must be reoottleai and Posted on the Job.
eP the fl insY result In Vewr Payitfg twke it
com encln Faction, IF you Intend to obtrin financf consult wltp,lender gran ettamev hnfnro
din Y 6f Notlra of v ., �.
The or sing l trument was aCatoiriedgadefgro me
,i -day x r 201 by
.Name o(pckrsow a ging j ,
Tlla rarVWR9iftWumentWuacknowiedged befora me
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ftnstture of M1 tory PubNL%State of Florida i {Slgnat Kure Pfcda Pi
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