HomeMy WebLinkAboutEdward Brown PermitAli APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit Application
•onq � ^G ;!.4G� 7EvaiOP•"nEf:.i2F aces
ou�,drng cr•-a Cote Recuiarion Bivlsen
<30C ✓irgjn,o A✓clue, Fort Pierce FL 3498i
PhOce: `,'"I!62-SS3 max (7721452-1378 COnll'nercial Residential
PERMIT APPLICATION FOR
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dcress g��lhPYll,�__AYY_ .i'� _96 4-DD4 Vier - I —f
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Descripron: �/ '1
ro_1.l!--�U/�S -G� �(Yli 1 LotN
No
-pe r'Y Tax iD � '
BlockkNo.
S8e plan Nan _
o,^;ecc Name.
Ri r, Side eft Side -
Setbacks =rent _ 3acx: �'
- check a
Gas Tark Gas Piping Shutters
iectrc _ °i„ g — Sorinkiers _ 6�^eraie
•;:;2' SG :-L O' GCS t uGlJ n'.
�os ens, or_`�Cn. SL.n� I,ltiiities: _ Sewer _ Septic
4C 71 ecs.
_._ Noce. rzx.
rdl in fee simple Title Holder on next page ( if different
from the Owner listed above)
. windows/Doors
?co"
Building Heigh-,
Name'.
Company
Address- )105 o
CV �-'L— }J,b' 3ev�
Sate
-
lip Code. 3z93� :=ax:
SLI- -77- 4'ZS
Phone No. 772 3�7" 4/g7G
c_ mail"-
Si3*,c Or :,our.ty Llc=nse. �':i�,Jl
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
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DESIGN ER!ENGIN EER: _ Not Applicabie
MORTGAGE COMPANY _ Not Applicable
Name' .':
Name'.
Address _
I Addr25S:_
City. State:
City. S.at=:
''_gyp: Phone.
Zip. Phone:
FEE SIMPLE TITLE HOLDER: _ Not .Applicable
BONDING COMPANY: _No- Apolicable
Name'. _
'': Name. _
j A,dCrc55.
Address'.
_
lip. phone:
: Zip. Pho.—
that no ,or, or ns.a!larioe .nas co:fn,: encec pnor to the issuance o' a Perm¢.
SC. 'J' CIF COUnTS' maKes n0
pe 11 :..older' io bJtld 7he Sllb)
,mcr Is - confliG with any applicable Home Owne-s Assocavon rules
by''-v,5 or art covenants th2 may es-, cz or oro?ibl, v„rc
n Consioera or Of ine granting o' zms requested Dermot, Co hereby agree Char I w'i(I, in. all re=pcG5. Per ern the lorK
acmroarce wac the aoa-cved clans e cbonda 3uilding Ceces =n^ St.:_-ie CacnCv =.m e'dmencs.
-he follow: ng building perm:i appilcationS are exempt irrom undergoing a :ui" concur rency rev2w: room ?ciditions.
accessory rr-'C'J, eS Avi--!ring 000;5, fe-Ce5, walls, signssc-een rOO—S and aCCeSSOti _SeL tO a•1oth_r 10r.-re5iden-.lai use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice ro.-
�mprover,,enTs to your property. A Notice of Commencement must be reco-ded and posted en the ,obs?e
before the fi-St inspecricn. if yeu intend to obtain financing, consult with lerder or air atto-^ey before
romrlEAncine worK or cecordinr= vc.Jr Notice of CCmme.n.cemen-A A -
5:gnazire Or Owner, Lessee/Agea-
STATE OF Fi,!}�{Lj(a _n
COUNTY OF i i`C'V
�e prgc og n� s crc o ecGi-�//��e'cre -+_
—Ulaav ci C �V{"
Signa',ure -01ce:'
STATE OF Fif.t( ,CV()`^,
COUNTY OF 7 D rl 7
Thr K r a >p be
y
-, rlcr-da �
R Frocuced ie2nti5catcn
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=RONT 'CM NG SUPERVISCR PLANS : VtoE A'-IJ\' SEC', TURTI_F VANGROVE
COUNTER REVIEW' REVIEW REVIEW REVIEfA' REVIEW REVi=W
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