HomeMy WebLinkAboutpermitappberryALL APPLICAS E INFO
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Date: /-� 5T BE COMPLE-rED FOR APPLICATION TO BE ACCEPTED
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PlanningandDevelo Building permit A Bulldin P►r�entServfres ppliC.ation
9 and Cade Regulation Divislan
2300 V1rgln10AVenue, FortPlerte
Phone: (772) FL 349$2
462-1553 Fax: {7727 462.1578 Cam
PERMIT APPLICATION F l� erciai R� Sidential OR Tn Sefect fro
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Site Plan Name:
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Total Sq. Ft Of Constructs �SPrinklers
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Cost of Construction, G` Roof
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OWNERISEE utilities: Sewer Q
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from the Owner listed Page { if different — �7'Z �! " "
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If value of construction is $2500 or more, a WORDEDState or County License:
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Notice of Commencement is required.
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Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name:
Address:
City:
Zip: Phone•
MORTGAGE COMPANY:
Name:
Address:
City, . State:
Zip: Phone:
— Not Applicable
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 Couny makes no represe tatlon that is granting a permit will authorize the permit holder to build the subject structure
which Is In conflict with any applicalle Home Owners Association rules, bylaws or and covenants that may, restrict or prohibit such
structure, Please consult with your Home Owners Association and review your deed for any restrictions which may apply,
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 St. Lucie County Amendments.
The following 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 ° f€rst Ins action. If you intend to obtain financing, consco encl rt or recordr lot�cofriu �_a#torney before
°a:gnature of:Owner/ Lessee/AgentSTATE OF
C UNN OF O�` �A
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The for of ]nstru ent w. s acknowledged before r�
thisay of 20 4by
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person
taignasure or Notary Public State of Florida—)
Personally Known 11�011 Produced Identification
Type of Identification Produced
Commission No.)!S�77 (Sea])
Revised 07/15/2014
STATE OF FLOR
COUNTY OF a
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The forgoj'ng instru ant was acknowledged before m
this 2 ' ay of 24 by o Lo
Personally Known L/_ OR Produced identification
Type of Identification Produced
Commis€on No, 06E9uJYI (Seal)
REVIEWS FRONT ZONING � SUPERVISOR P
COUNTER REVIEW REVIEW R]:
COMPLETE E
INITIALS
LAMS
VIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW