HomeMy WebLinkAboutBuilding Permit ApplicationALLAPPLICAB}E i FO MUST BE COMPLETED FOP, APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Pli lag and Development Servlces Building Permit Application
Bullaing and Code Regulation Divlslon
2300 Vlrglnla Avenue, Fort plerce FL 34952
Phone, (772) 462-1553 Fax: (772) 462-1578 Cbmmerdai
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PERMIT APPLICATION FOR:
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PRt�'AOSirs7=1'NI�ROVEME°NT LOCATIe.E'�. t .
Address: YELL_
Legal Description: �.
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Property Tax ID #: -
Site Plan Name: Lot No.
Project Name; Block No,
Setbacks Front_._--. Back: Right Side; Left Side:
bTDETILE
1.SCRIPTI0N cl� Cl
OF 1l�RK': a
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CQN5T tUC7�[pNA FQR'1ViATIQN:
t ona wor ❑ ee
orme un ert sperm'
HVACaPp Y
Cas Tank OE Gas Piping P g Shutters 11 Windows/Doors
Electric 4Q PlurnbingSprinklers
Generator11R❑af
Total Sq, Ft of Construction.
Cast of Construction: $ Sq. Ft. of First Floor:
Utilities Sewer Septic Bullding Height:
,
41NNWL1=S5;EE;
Name CONTRACTOR:'
Address: ) ? ' Mame;
City: J'q' 1 State: company: �.�+
Zip Cade; c7 Address: .5G
Fax; b tf/c�1t
Phone No. - ( city: %C7 �. i Lur_tr�'
,� State: Fl-
E-Mall:Ip Coder Fax: 77c2
Fill in fee siMP . Title Folder on next page t If different phone No.
from theOwherIlsted above) E-Mail.
State or County Llc se:� J 7 '•
If value ofconstructian is $2500 or more, a RECORDED Notice of Commence
mien# Is required. • �i
Name:
Address: - — -
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name,
Address:
City: State:
Zip:. _ Phone;
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: phone:
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie County snakes no representation that Is granting a permit will authorize the permit holder to build the subjectstructure
structtur� Ploease conisultwitapplicable
yoiuriHome Owners Owners Association
your deed or any restrlctlo swhich restrict
appl ... such
In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments,
Thefollowing building permit applications are exempt from undergoing a full concurrency review; room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential 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 jobsite
before first Inspection. # you intend to obtain financing, cvnsu�tM� attorney before
Lessee/Agent
LW.
�Vtnature:of'Owner/
VIEWS FRONT ZONING SUPERVISOR PLANSVEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEWREVIREVIEW REVIEW REVIEW
STATE OF FL®Rl A'`
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COUNTY OF.ut"�_
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The forgoing Instrument w s acknowledged
this _.L.-1 of 1 ZO .-.by
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person
ry Public- State of Fl
Personally Known ✓�OR Produced identification
Type of identification produced
Commission No. (Seat)
STATE OF FLOR
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COUNTY OF
VIEWS FRONT ZONING SUPERVISOR PLANSVEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEWREVIREVIEW REVIEW REVIEW
The forgoing instrument was acknowledged before m
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this klay of 20 by
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Personally Known L, ---"'OR Produced identlflcation
Tyke of identification Produced
Commission No. -d--wL J (Seal)
Revised 07/ 15/2014
VIEWS FRONT ZONING SUPERVISOR PLANSVEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEWREVIREVIEW REVIEW REVIEW
TEM P LEI"ETIALS
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