Loading...
HomeMy WebLinkAboutBuilding Permit Application APPU0#WtNF0.MUST'BE CdW-L D:FOR`APPtICATION TG SE ACCEPTED: Date:. . Permit`Number:J ML BufldingPe�cli It fica�om� Planning and.Development Services '2.�til�dlrlg�mrl;GUtle�fit;��ttfet�trrlD7vls�n . 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)4624553 Fax:(772)462-1578' Commercial.. Residential "Cr PERMIT APPLICATION EUR: T-4. ec foam d op�ao �dick iw;atft�end®f tints -12 zk . • .. _..T Address: """. _ . Le Oescriptioo; t;: tl�? y► ( 1 ��:lV iT .r F t l�C .L.i 71 i✓ P%peEF rtyTaz ID "'Site�*lan�tame: ;lock No .,,, _ Project Name:. -R.ru�> � ALy i tj T !9:L-kA_ iok S Stiiks '-Fant =Back: Rigi�t Sfsles. d ef3Side y F -77- Additional wor_to Do orrormedunder this peffnit–cheCK all appy: HVAC `+Gas Tank. f las<PipiaS ^:Shotters MlindowVDoors U.-E1edric J 0 t robing -3p inklers tern tris O'Roof R rt p�tcl 'Total Sq.-Ft Of Construction: C'7 .. Utities:li � sewerSeptic. Building Height: Cost of Constriction:$ J �. t7V�l1R�1 SES. r J{, ! CQ ! `lNarie L`i 1l'VrName• address. L, .- Cstater Address • Zip Coder fax: City St ate. Phone No. ''7'`?3-�� ''j .Zip Code.� Farr E•Mail: Phone No. c oQto` Fi19 `si ple Title iE oWer`on mATage:J i f dWma. '-Wit. from e.0 er Usted.above Stafe�r f� �iiensew't , .. 1 :►calueoaf sr►atnactto�ts;$2s or not4,.��1: S ROED'N Nc�3 iif l nme�tcarxiestt`is reqult*d. •� "- _ � � � _ ,g r ,- -. ., .. 4 � � ,.. 6 �- yA �l I�FPE,ECNENTALCQNSTRUC`itQNt, NFlAI>1��4N ©RMA 'lQi : DESIGNER/ENGINEER:. r_Not Applicable MORTGAGE ComPANY _Not applicable. Name: Name: Address: Address* fCrcy; 'Statie• ► Std` Phone zip. Phone: FEIStNIPir1'Oi;X HOt R: _.:-Not.Appllcap1e ;,BOMW"COMPABY: I t'App zlP. Name: Name•. Address: Addressr City; City; Phatte:•. zip: pfio�e. tJWNER/-COWMC't'C1RAFFt lrtF.Apprwatfon-is:herctsymi'dotaobtainaC.penTat.ta-dia•ttework„andiirstai3aawasFnd'kztecL I certify that no work orinstall'ation has commenced prior to the Issuance ofa permit. $t.tiucie County makes.no rets,. entatiern ehar is g anY+ �pe�rtKltt wilt authors e:the perms t hdld- tt bundth. blect s cturo. flfl tti�ss randcover t which is in con rct w�Nt an appllcabie Nome Mners Association rules;byfaw5 gran covenants atrriayrestrict ar pro it such structure.:Please consult wi th your Home Owners Assodatlon and review your deed for any restrictions which may.apply. inconsideration of the granting of this requested permit,I do hereby agree,that 1.will,in all respects,perform the work. In accordance:with the approved plans,the:Florida:Building:CWes and St.Lucie'County Amendments. ate following:bo lding perrnit;appluatiQns are:exexr t ram aindergou a fu11 ciiric rrersty!-3eviee r:roomaildGtior�s; ... �r�r stia stores, twnui8106dis #e a,walis,sighs,sciew MotnsWW,-a oryvuses•lo-anothernonqesWentiai vse iNARNiNG'ie OWi+fi:R:Your failure to Aecord`a Notice of 4:oitrrnQncerruenLmay resuitinyourpaying twice for: tn3 peer ae is to r>prx rfiy A 4+�tice of;Cmnarr ncemen t rsiu t e�reooidetl,and dusted.on#e-,Jobs>fte Abe ore theff st 1 ;If�r . 6tend to ob ua,finarr �iag,cons�sh•w th:ender:or:an attorney:ie#ore commenci w r or Ae rdi ur Notice of.Commencement. S;gnaturof:Dinrtserllesseet'Gonkractoras. focOiiiner Sr`' re afCout+tactoc(Lfcense Bolder,. 1t`A'CE I`FLORI A 'STATE OFRM A. COUNTY OF LUQ sL Com. COgMY O 0 °-4—D The forgoing lnstrqmentzwas.acknowledged before me Thefor o instru nent was.acknowledge before me: this day o ��' 20 by this ay of l V 20 by i , fVame of;person m statement. . Natfie of;person°rria” gstatement ° 1 rsorually°l4notwn OR3�toduted idea ti laa fiersonatiy`Known ,OR'Proaucedlden�tillcation _ Type.ofldentficatiioh'. "'Pip dFYdentTficatlon Produmd Produce . - y (S nature of Notary. ubRc State of Florida y Olgfiiiureof.Notary P bllc-S of Florida). a[r►tnissitirt No: �r Poe�� (Seai�liERI L.COOK MY COMMISSION CoiiitrliSsiott:No: Seal'}� �1q 41 OS * o FF WA53 �►�Y Pue� SAM L:COOK w z EXPIRES:June 22,2020. * *Ail'Co+AMISSION`n>F 964661116 64661 , . of FtP Bond `,R p r i RE1lfi<WS: fRol`E1' 7ANl tG- SUPERVISOR, PLANS VEGE`AT-loth I COUNTER REVIEW REVIEW REVIEW .` REVIEW REVIEW REVIEW DATE ' RECEIVED lf+1PL :ED: