HomeMy WebLinkAboutBuilding Permit Application .
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4.11��,i'i�L.i-yDs Ii�3Ft3 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
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tDae: \i' 2 \V I Permit Number:
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11; 01111111111111111111111111111111111111111111116 RECEIVED
,ili ]:>['+!T,. — JAN,23 an
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Building Permit Application Permitting Department :1
n: - St.Lucie Count
li: ;-Jrr.rdri7 andDevelopment Services Y
;31.tifdinc and Code Regulation Division
2300 V'Tinici Avenue,Fort Pierce FL 34982
P'i :.ne:(772)452-1553 Fax: (772)462-1578 Commercial Residential y
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'.: ai'i'csrf2: beperformed med under this permit-check all that apply:
___iVIeci-..a.?ica —GasTank —GasPiping —Shutters Windows/Doors
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=le.; —Plumbing —Sprinklers _Generator _Roof Pitch I
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•`,:;til Sri. Ft o Construction: \-)b 0 Sq. Ft. of First Floor: l7OJ I
Cos-:(..)i.'Construction:$ a4CP-1 Utilities: _Sewer _Septic Building Height: 1
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:t} __act' h Name: t ,-.. he- -4 a-2 , t '.a- \r
� Si 0 Piq\W1 c\ U 1\\jQ Company: 9k- Scan Q l '( l
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I ''1: c e)-ert,� • State:�a,.. Address: 3 UA S�`i �'A�►N‘‘t"-C�fr' f
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aii: Phone No '3-)a-S.D...5 - I b L l
Fill ,t f�e s rn tie Titre Holder en next page(if different E-Mail .--- --'N SCA\ .1- Q l'Fka, C-o
1 a•r,:•i:_,Cuner lis'ed above) State or County License CP-C. VA \ \\3O 1
I!'',i.?:0i: 0,,.:-..:,6,3MZ0.2,911 c911 s -2360-or-more,a RECORDED Notice of Commencement is required.
.;,5iLir CIf :V;':c is 57,523 or,more,a";5CORDED Notice of Commencement is required.
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:':;P:Pi \'`:, ?UC-i€ON LIEN L°.\JV INFOR'MATIOi 1p `
Fay 1,LrE,,E.1J.:4N �1iNiEER.: Not Applicable MORTGAGE COMPANY: Not Applicable
i.' Name: Name:
ii' ,-lcirE?.SS: Address:
State: City: State:
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Phone Zip: Phone:
1,ELE i ibl:': %E._`I y lye HOLDER:: Not Applicable BONDING COMPANY: _Not Applicable
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:'._.._.__ City:
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O b:::1+IFIER/ c ' !T F AC 9`0R: .FFliJVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 ce:tify.:h=t no work or installation has commenced prior to the issuance of a permit.
:;t. Lui:ie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
uni.::h is ir.ccniLct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such 1
:racture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
l,car siclera'tion of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work 1
-.a :con'::nce .rrith the approved plans,the Florida Building Codes and St.Lucie County Amendments.
:•I.e following building permit applications are exempt from undergoing a full concurrency review:room additions,
r:c ssor•y structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
,ii.'Ki:.i',NI[C 0 TO i y`VNEt :Your failure to Record a Notice of Commencement may result in your paying twice for
iiia;;r overnen:s to your property.A Notice of Commencement must be recorded and posted on the jobsite
l:a:uio:re tH:e L st inspection. If you intend to obtain financing,consult with lender or an attorney before
. _'_rcle,-, Nor(or recordin• our Notice of Commencement..._
!-n;a.l.0 e of C' %nd;^TET s •• ,T----::_-,-:---..:_____-:‘: -= or Own;r Signa .re. •. actor se Hol.�er ~\
STATE E 0 '2L:.)rdi ` STATE OF '. RIDA ! � �
ir.:; 1.1 ,,i.7 C= Si--Let.G[r _ COUNTY OF �C Gl"�`
The fo(;oing instrument was acknowledged before me The for oing instrument wa.acknowledged before me 1
:his _cZC'
ay of .) `7
20 by this 0 day of op_ _ 20 k? by
:leo of person making statement. Name of person making statement. I
?ersonaliv Known OR Produced Identifilation Personally Known OR Produced Identificaton'-
Ty,:e of ider.tificati n Type of Identification
: ; :)ra;duc ,d 1 0L_ Produced FL_ ) L._
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i r'>hi•lotll"?n•=N n+ars0,,!-,1;.-.. elic
�_a,.r tI,,d.J- ) - -, - -- (Signature of
„I11��. ELLEN VAUGHN "rP�% ELLEN VAUGHN I
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:':�r:n',IS;.' )00:W---..State�P�YUBof Florida Nota�$�aJplic i Commission A3'=�f;, B`�=State of Florida-Nc a Xn�Public
• J'I. • Commission # GG 270079 1. • - Commission #001-270079
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'it to`.' My Commission Expires 1 -A,. F�,,A,` My Commission Expires
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`1it,• _ FRONT
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
' I :20l;1AP_ETED i
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