HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABLE wo musr&E cowLETF-D FoR AppElcAnom To BE AcmpnD
.Date: Permit Number:
• =RECIVE!D
M NNW twilluing rerMIT Appilcation JUN 2 6 2019
Ptunning and DevebpM&It Services
Sullftg and Code fteguWon DoMm �T. Lucie
County,
ty,
�T. Lucie County,Permitting
2300 Vlrginla Avenue,Fart Meme F-L 3*4W2
Phone:(772)462-1553 Fax:(772)462,ls7s Commercial Residentiai
FhM I APFUCA I ION FQK: To Select from dropbox, dick arrow at the and of line
PROP051:1)IMPRMWEN I LOCAI 1011
Legal Description:
Lot No
Property Tax ID IP L (:X2
Site Plan Name- Block No.
ProjectName:
Setbacks Front_ Back;_Right Side._Left Side:
DE I AlLhU 1X5 M- F I ION 01,WQKK:
Vic
CONSTRUCTIOKINFORMATION'.
Acl=g"l W 5a rnect unoe,,,cnispermit—checKailtmapp lIr
KV
AC GasTank Des Piping Lishuttem DWIndows/Doors
FiElectric Plumb-Ing Flprinklers Cenerator Roof RQof phch
Total Sq.Ft of Construc-ton. Sq,Ft,of First Floor:
Cost of Construction:5 I.Alfifies:0 Sewer[]Septic Widing Height
OWNERAESSEE: CONTRACTOR:
NameCN� Name.�c . ,
Address C T—r. nn Company. - 'C":sXoM -A ,r �tstcma trv,,;
State. i Address: 14;f 15 0S E ' 'fe Lk
Zip Code: Fax- i City. rO iL-r St- L ucig—� --- ,state;
i>hone No. Zip coda: Fax TI-T,2- 3e5.19,1�a f
E-Mail: Phone No.
1 i1 int fee sElxlltle"ode Bolt on next page{ diF�ier�►t E-Mal;: s t &i r !;,is 4:; aol,c6"
from the Owner fisted abow)
4 value of Ww"Vc6cm is$2MO or IMM a RECORDIED Nwd=of Conarmneeawnt is requited.
Sl_iPPLElb+f N IAL C ON5 l Huc Iium Ltt~N LAw mkuRmA cion:
I3l:5iGil1l; GlMI~k ___Not Applicable MORMGE CQMpAW.- Nat Applicable
Name: dame:
Address: Address:
City. state. City: State:
Zip: _ Phone: Zip:-- Phone:
FEE SIMPLE TME HOLDER: Not Applicable BQNDIN,G COMPANY: Not Applicable
Name: Pl:tme;
Address: Address:
clty- :
P'IP'. Phone., Zip:—Phone:
I certNytbat no work or iwallaffen ills commenced prior to the isssaorx of a permit,
S�,,l urc±e Cnunt+t mal s:to mpresen tiara that granting a Sermtt vain authorize the permit holder to build the stltlje[t stxrs,cture
�tthictt rs in corrlltct svittl appli able dome mariners Association rules,51Raws or anti covenants that rira r2strlct or prohibit such
st mct ure,Please consuitt +your Horne O m�rsAssnc 69n and review- -our deed forany restrictions v Ich may apply
in eonsidemaon of the granting of this requested perrrn't,t do hereby agree that i will,in an respeft perFa m the ti1ork
In accordance with ttse approved plans,the Florida Building Codes and St_t zrde County Arutendments,
The follwft building perms arrill oWris are em.r4itfmm underROV a fish wnmmncy reuie :room additions,
amssory sb ud ores.smiimrning pools,fences,walls,signs,screen morns and accessory uses to another non-residential use
WARXNINGTO OVMEW,Ferny Callum to Record a Notice of Commen mrmnt rrw result in your paVifts itafte for
imptovementsto your property:A Notice of Commencement must be recorded,and posted on the jotsitte
befote'the first inspec9cm.Itym intend to obtain lznand iZ consult with lender+ar•an attorney before
commencing work or recc,", ng ur Notice of commencement.
�.Y;.-•; � �../r''..r� '�--4.,I ori 5
S%gtl tm of 0mer/Lessee}Conttacter as Agent oor oamer Signature of.Contraevor/Umnse Holder {
STATE OF flt}RIIJA _ STATE OF FLORIDA 1
Ci�tllltf;<Y Q€ rte`'+ CCIRM€YOF �tL A_ e^
i'lie big instrumer t+ids acimm-ledged before rw "Me fa t:g instc=ent;was acknowledgedbefore t e
this dayof
__%c3 ile- 20.��C this; day of ��R ,24�Fly l
,
(name of person ackncrAerlgrng) (Name of person acknowledging)
.!�r G j„G.},;M t'irt;�r/''= :f��„�/�r+-_J''t�...--^ =•f'r f�"bf�4r •%r,,,�/L./A���'' �-'yr.,f*!..�
(Signature of Notary Pu'bjlc-Stateo� I I Stater N r
Fm?'Ida (Signature bi•NotarMr Pub i� of Arid
Personally ouLun_ f OR produced tdenti soat'ion !ersonalt+r Known 1' OR Produced IderiMcation— —
Type oz tdent+fiirafion Produced, Type of ldenbiftatiort Produced
0*1
'Commission no_ ` tlPCrRittt�SItllQlt US4Bson tuobf ' rim
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Remised(rill 312014 � *� I►
RMEWS FRONT ZONING �SUPERVISOR PLANS `VEGEM-nON 'WA TURTLE MANGROVE
. co111A1'm ;` REVIEW REVIEW REVIEW I Rt_1dIEUti REVIEW REVIEW
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INITIALS
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