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HomeMy WebLinkAboutBuilding Permit Application h �,,��9s� ��gg ±±//r��. ��� gp�g;�!�(��g� ,�.,�gg���(� rp�,� t�,g�y .p��p��?pp�v�g!ACCEPTED pa7.�.1M ii'SSt' L 9t4�'SU"`4t+11* U SE 1SPS.i�Bttttll'4S'�U FOR Ir9PPUCA17+9,✓691 O1�,. Dates Pen al i+9asm�iea; - Building Pemft APPRcation Pkanon and leekelfit-cle-adc l iliffanay and Cla9e iRe_w1 n XFavWbn 2MV ViffyanwAvenue,Fns Pierce FL 3459V Phone:(772)46215553 Fix;1772)462-1578, cmY9'derdia$ Residential PERMIT APPLICATION FOR: Trio SOW frorn dropbox, hack affowvt the d of line PROPOSED #!� .;��f:' L00. ;gaga}". Addren cwt v� . �' St LUC ILA M52 e 'IDestraea��o:paxtafSpa&l Laos Coo Property Tax ID§k Lot No. Site Piano Name: Block No- Prto3ect Name. Segnaas front 9-71CIL RightMda. Left Side: OF WORK: -------------- 1 c�..LA��,°95.;'4.�:�Fra a'i�:'•S'w:�"9�e�y���#in+. —1 F t t€stt2iLV£sz.CzOz°18DL'ilOPmE'C tti1 EYE SSKr2'rrnit lFeik� MShutters DDEIHVAC0GasTartk Gas Piping 0 Wind owsj®oors U3Fiechic Plumbing S ari�oklers El Generator 13 Rotof Total 5q.,FtoTCvnsMiffiosr So.FL of First Roar- Cost of construcOwn.$ Utirdless Sewer Oseptic • Building Height. Address• t#BSoulb US 1,Strife 402 Comrpany..�ne-Development Corpoa,aon Pod SL Luh State:FL Address:80DIS,SaLih US 1.Sxfte 402 Zia Code:U952 r-=EM7 4 , 4,Port I*-LWe State- L Phone a7&47 1-3ap Cflxie:349M Fa=772-87"224 . 6�i7a'si:� e r }rain sc. rra Phone ljo.772-87"513 FIR in TWO Hokler ora neut P ff sdtffmm E-Mt ��tr R�-eom .fmm 2he Dwmw fted ems) State or Cowty License CG 599 of V21Ue 0f CQMtrsaCV=b$2500 Or aaaaSIre,ai RECORDED fd afire Of CGa7aaT anCementC is e'equired. f Not APP licableOUGAG.l:COMPMV: NotAppllcble x Name: Name: Andress: Address: City: State: Citj: State: gip; Pl3s�r3e: zip: Phone: FEE SIMPLE TITLE HOLDc R: Not Applicable BONDING COMPANY: �4ot Applicable Name: Name; Address: Address: city. city: Zig, Phone: Zip: Phone- . i certWy that no work or installation.has commenced prior to the kojuance of a parmir~. St Lucie- �rsnakes rsa re�sresenta zs aritsr�gartt [4 aia�4rorize the +ernzi�fa�slders 3�iaild tt�e seibject sEaiare wh'idiisisicar>�ivtaasiappliII,tei�+�miessci �atlraiiicil�,hylawsoran caveateiisairmayrestriarpjohlsttscicl< saru�u�,1?tease cainsvilt�yaasr�ios�e yrs�lssrsc�atiaaa a€id;rear ycsair deers far any ses�sictiorFs ii;^ka inay aAp�r_ lit•con4deiadon of the granting of this rimueged permit,.1 do herebyagree that 8 will,in all respects,perfem time viork in accaidance n the apps); d plans,the Fbdde Building Cades and St..Lade•CountyAmendments The fcsllomfingh�aelding i U app eggans are•erzemPt fossa niidargoit a lUH tcr�an�iarrer r eW-a-m ad�itictas, accesmyy strucluTes,sns5murgng pads,fences,walls,s s,screw rooms and accessonj asses to another non-residesedai use ARMMe TO<0W .-You IWOIn re ft Ram a AWm of Camww&meat umv uesdk urs WW peon ewcefor improwen, ernts to your property.A Watice of Commencement must be�e v7rde�and posted an the js�bsite before the f 1 inspeLtion-W you intend to obtain financing,consult with lender or an.attorney before air r e work or recording your.W ace of Commencement, s _Signature of owner,/.Iessee/Rent Sig-nature of ContractodUcense Holder COUM-OF sari The fo ©ing instru sient was aderrasar�ledged sage The lbrgolnF.instrument,evr s a wiedge�d before nae th,517_U of I-, r, . c ,� , 2E3 ��ii�y tF�Q, t1 o� �t�c�. �� .�bit• ��lgsew Eyte iNYiitrc• 1a8NtrEwLy:aVVy,RaB {Paine oit;serson actor owledging j (Name of peman acknolmledging} I 4fsIgnature-ofNotary°ulal'ss-State of da} (5gmof motary P lin:S d €f rida.� Personally In 09 Produced Iden ion I� sally Known x �DbQ f '_ . uced.idesnNcation Type.of Time of IIdent ficWon Produced FiiirtiSSs+Y E ` 7- dt c'a3in MAGEE SU^uANPuIAGEE MY COP&IISSI( 7647 arq. :""''#: MY COMMISSION#.FF 18764e1lrt ary 019 .a€ EXPIFIES:Februa 23,2019 IRdedTh u NotaM PcSlic Underwers = of x�`` Revised4. &ndcd 7hmNotary Public Underwriters c: waxsua-�: r 1 I 1r ff REVIEW ROAM REWEW BMWInVIEW REWE4fl1-6A-TE I COMPIETE