HomeMy WebLinkAboutBuilding Permit Applicaiton 2019-05-09 2:42 PM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 1/3
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ALL APPLIC BLENFO.MUST BE COMPLETED FORAPPLICAAT•ION TO BE ACCEPTED
Date: ; -9,--7. 9 Permft NoOber:__LIQ_____ q?Th
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Building Permit Application I'
MAY Q " ''''g
%Jn?.:,o or,level f.wnef) Sini es
6'31i/ding and CF;[F-!.Reir.iJ_ofion DiL`ision.
Permitting i I Dep Br[n .:'t:
230.9•Vgi la Av .£3.e;For;Pierre FL:3082 St.LUb[_a,,..'t
Phone: 1:/2).462-1553 Fax:072)452-1578 Cummer .aI Residential x
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PERMIT APPLICATION FOR: plumbing
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\Cil rest 1705 SANTANA:AVE
LE,gai Description; LAKEWOOD PARK-UNIT 4 44SLK 30
Property Tax ID " 1,.ti64 00,5=S-1;00 .1 __ __ _ Lot No.
Site Plan Name.: __- __ ____ __. _ _ Block No ___-_
Proj ct Name::-GARCiA
Setbacks •F£' ;-t Be ; Right Sidt. Let site:.
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40 GAL ELEC WATER HEATER.REPLACEMENT
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Atiiti torta.wot k to he t' £irme£ under this€er it-cfiac.K l apply:
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£,, JH-#V'AC' I G..s tank j 3.s_Fii.�in# Shutters �, Wird ow /Doors 1
LiIrfectrt4 0 Mon-thing _ rsp>Itzide€s r-GenOrator L.„.,4 Root i r Rcripi;^.o
Total 5tt.Ft of Coss trtctioa: .St.-.Ft..Of First Floor:.
Cost of C.onstru do i.a 1252, _ ,,, L�t9 i le; N�Sewer.L 1Septic Q iI irig ly 1 _
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ae OMMMAR C\ARCtA. _ _ €��ame. p21i f:RE B:1 EV
Address:/I05 bANTANA AVE C�ompahy: 1 LORit.1 DELTA MECHANICAL jl 1
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City: F2!7 FIERCE state:FL :Addresr,: .8462 LAUREL.EL FAIR OR SUITE 11.1
Zip Code 34951 Fax: .. .� City: TAMPA». _State-FL II
phone No.7724334,4591 .. ,- lip Code:.35�10 ia:~5$2i9 072 i
E- .ciliaPhone No. 8583.21 38
i Fill in fee simple Title Holder On:next (if different F•-Mall Ft_rPLR AI-E'SODELITAMEuH,�iNIGAl_COM 1i -
frozen the Owner listed above) State or County License: ,—..----
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—..-.._-_....w.._._..Lf va€ue of construction Is$2500or more,a RECORDED Notice o€�COmme£�reme:it is required. - 5 z
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2019-05-09 2:42 PM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 2/3
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DESIGNER/ENGINEER: Not Applitabie MORTGAGE COMPANY: Not Applicabie. ,
Name: Name:
Address: Address:
_
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City::_ State: City:. State: ! 1
Phone_ _ Zip: _Phone: !I
FEE SIMPLE TITLE HOLDER: Not Applicable 1 401\PING COMPANY _NptApOlicabie
Name: i Name: 1
Addres,,
- 4 4—-,—*.............. . Address:
city': City; II
---- " ___..... — ......_
Zip: __ Phone:__. Zip: . Phone:.
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OWNER/CONTRACTOR AFF1DVIT:Applicationhe
ishereby zna.de to obtain e permit to-do the work and InStaliation as indicaltecI.
I.certify that no work orinstallatlon has commenced prior to the issuance of a permit. 1
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St Lucie COunty makes ho represent-41On that is granting a pert-nit:will epthOrige.the perrrit.hblder.-to buIfd•th.eSunett structure
I •. Wis hlchin corifiiilt with any appitcab!e.Home.0w.sers As.sociation rules,bylaws or zno.covenants that may restrict or proh i oft stich
1 : structure:please.consult with your Horne-Owners Association and review your oeed for any.restrictions which may apply. ,
in tonSideration Of the,granting of.thi requested perrnit,I do hereby agree that I will,.in all respects,perforin the work ,
.• inaccor.dance_with_theapproverLpians:_the_aoricksz,MineLcad.es_Aiivistjals3p_criDativ_ArclEtwfiner,;3,•
The following bui!ding permit-applications are exempt from undergoirtga full concurrericy review:-Mb ril addition ,
accesscn,structures;swimming pools,-fentes,we .,signs,screen.roornS-and accessory.uses to:another non-resientia I use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in yper-paying tWicefor
improvements to .our-property,A.Notice of Commencement must be recorded and posted on itne.jobite
before the','.-f inspeaionif you intend to obtain financingconsuit withiender or an-attorney before
c2m. .-mA. it_ fork/ ortecor k g your Noti5se of Commencement ef 3 1
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of ton tractorfLiceo,se Holder
STATE OF FLORIDA.2_ , STATE-OF FLORIDA.
COUNTTOFr7 e ft0'ii.;"&"?):-,...-qh COUNTY OF r.I
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. The fOrgOing instekitnent was atknoWIeOged before me The forgoing:instruinen t was acknowledged.before me
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this ''''l clay of 1114:ke k, .,20/9 i?y this clay of .A.7tt:':?•;:.1. ,20../'-'.! hy .
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Name of person Making statement Name of Pe•-c-on ro akin-statement
N••• :;,7, . -..,. • • ,r., - - - - tgl' •*
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Personally:Known C.K. OR Produced Idendficatir,,,,, ,/ Personaliy Known_p‹.---. 9R Produced IdenuiticatioN.....-1454'
Tyne of identification kik:".- .,.,, t, Type of Identification ils7
Prodaced .:,;,1.„ :,,.; : Produced ,,..,.': a•,7 1,
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• (Signature of Notary Public,-State.of FiOrida) 71 .1x$t; (Sig n att.:re of No6'ry Pub;c State Of FIC.rida-.).
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',71 72,'•ic.;/,,, - (1
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Commission No;',---. ---. c--.-- / 0,04:-, felill; L 2-t,.$7.t' COnarniesion NO,'t,17Y k..,/4-4--i L/(50 (Seal)
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, 1 REVIEWS FRONT ZONING 1 SUPERVISOR PLANS 1 VEGETATION SEA TURTLE.. MANGROVE
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COUNTER REVIEW 1 REVIEW
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REVIEW i REVIEW
I REVIEW
. REVIEW
' r DATE I _
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1 I RECEIVED i —4_,_____:,„„_ I. 1 il
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i 1 DATE
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COM P:I.El--E P I i
Rev:-8/2117
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