HomeMy WebLinkAboutBuilding Permit ApplicationAP APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Perm -t Ncmoer.
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Building Permit Application
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2300 Virginic Avenue, Port Pierce PL 34987 � e c l � e n Ll2 (
?hope. ('72) ^-52-1553 rax: (772) -52-1578 cornmerba�
PcRM7APPLICATION FOR. %OOZ k)Inkr Gari
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64 Pierce
oescnpt on
L4keulood
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5- Block 50
Lot No.
,pe , Tax ID : 1301- 605 0263- 00- 5 Block No 50
Ste ?!an Nam-:' _
Pro ect Name.
5>;backs 'reSack: Right Side: ! ='^. Side
nt _
O itiona WO -t
epe Orme under this
oermn— uIell
11-1-
.�1h�indC WS�DOO's
N'echanicai
_ Gas Tank
_ C -as P�pdeg
-Shutters
--
Ge^erato�
Pco
Sect- ie—
SC
-�--a �q o"tonstruriors
_ _
234$
Utliities. _
SePtk
Sewer _ N
Building Height.
Cc n<-rur len.
5
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s
%inis
r,c'`ess 2 khnlu Giarc(tn Vk+OrY
Puce prat F/
Zic Code. 34951 max. NIA
No 772- qw 4980
-Mali
Fill in fee simple Title Holder on nezt page ( if different
from the owner listed above)
Nam2 �,-A UJI-AJ it Ck t�wrw
i n.
Company. '+ r-.�rs� >- Cxcvcr�
Address 110 o.
C.y T a �a 3eo Stato
Tip Code.
Phone No. '%^ 33i -4f-170
3. NGaii. :,:c' -t S.S !n coop: a,a;„>•; _9;., ._
Stgr,= or COunR LIC-lSe �?✓! ------
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable l ! MORTGAGE COMPANY_ _ Not Applicable
Name: Name: _
Address _ 1 Address:
C'. ry State. Ciiv.
?,p Phone: l Zip: phone:
FEE SIMPLE TITLE HOLDER: _ Noi Apolic_=bie ", BONDING COMPANY: _Not Applicable
Name: Name. —
I ; AaLlress. Address:
lin. ohO�E: Zip. Phos-
-ry t,2t n Herz Or+ns a la p h 5o .n enc Pr or co the s J- n;;e 01 a acl711t.
Sr _JC,e CoUnTI maKey pro rear s n'cpOn ha* s s` an Ing a- rem w II �uihar v pe Dldal v Dwld ,he DD
snlU A ;n confliC With ally 30olicable Nome Cu,"s Assoclal On ul s. by js or a"C Ov tS the may .e`t l Or0^'7L J.h
structure. Please _onSult wth vour Fome 0"ners ASSOC'aTior� arc eV _w y0P deed r'or wh,ch T -v aop s.
,n consluerai!or oP the granting os this req:.esiec Permit, I do hereby''=p,-ee tr2r will I' aV reso-c—s neGOrn the work
r accordance_ ,,.th -he aoo-oved Macs .e Ploraa 3uilding COCeS and St. Ll -,.;le Coun-V =.rrlenam en s.
the following building oerr^ T appilca-i _s z. a exe,-iot Prem e,celacling a ',il rocc�rre cy e ew'. Oo d[ili ons.
accessory S:r'u Cures, SW,,,-rlmg pools, fences, walls. sifen5. screen roo "ns 2no accesso: ses ._ use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the;obs?e
before the fist inspecticn. !f you friend -c obtain financing, Cense.'t with lerder or ar azorr.ey before
COmr^enGln WOfK or rye Co[`r'd�^iR yo—'Notice of Com Te--^ceme t
slgnaiure Df C. re,, t.es ge 5�5 na.,,• e 0 Cc,..
STATE OF FL DA y�.J STATE OF FL
COUNTY OF `�11 .1 CODNTv eF
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R= '•Ew5 =RONT COMNG SLPERVISCR 'PLANS ! vEGE -ION S_:: -UR -LE VANGROvE
COUNTER REVIEW : REVIEW REVIEW REVIEW REVIEW RcviEW
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