HomeMy WebLinkAboutWEISER PERMIT APPLICATIONALLAPPLIC. LE INFO UST BE COMPLETED F?iR APPLICATION TO BE ACCEPTED
Date: 251 1
c - --- - Permit Number:
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Planning an Develo Buildii„19 Permit A
pment Services p p i I C8 t 1011
Building and ode Regulation Division
2300 Virgin' Avenue, Fort Pierce FL 34982
Phone: (77 462-1553 Fax: (772) 462-1578 Commercial
PERMIT A ' PLICATION FORResidential
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Address: )d� �b
Legal Descrip Ion; d {q
Property TaJR
#: Lj S_ 1)) Site Plan Naryy i 1h70 }
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Project NamWe
S i -e_
Setbacks
r nth_ Back: --_Right Side:
R R Left Side:
hIHVAC gul!lllt—cneck a IrMW
Gas Tank nj� as`Pip(ngShuttersClElectric EJ plumbing Windc
Total Sq,Ft of onstruction: prinklers Generator n
_ I� Roof
Cost of Constr ction: $ SFt of First Floor, �—
`P� So.� �JI
Utilities:ISewer Septic Building
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Address: aOTItlye
Name:City: �'trt Company:
Zip Code: Dly Stal e: GAgddress:
Phone No, b — City:E-Mail: Zip Code:
Fill in fee situp Holder on next a I y Phone No.
from the Own r listed above) Page (If di
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If value of const uctlon Is $2SOO or more, a RECORncr,,.
9 sa
Fax:
State Or County License:
Commencement is reoWred
No.
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Name:
—'.,ti.,pptrcarae
MDRTG"ECOMPAIJY: a
Address:
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City,
Zip.
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Address:
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city :
FEE SIMPLE
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�TL� HOLEaER: Not Appiteable
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Name:
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Address;
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Name: _Not
City:
Address.
Zip:
phone:
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tcertiiythatn korinstallatlonhas
St. L e [o n toanmenc W Pr1Pr to the RR ance of s perrm.
Itfuctur in roan with nonny�r¢preesseq�tattan the is gretttinga erntlt wlG.tudraltsthb, trcmit hold ee��tohulW the Ject
structure. Plea maaultwithpplicepst but,blt�Eaawfgfa covenants�Tttpt;may ctor xtr
ineonslderell of thegrmtingotrtHhfos �puestp a a ewyoureeps{oranyrcstr�ittttffongvyh �PIV.
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in acrordanas pw1dh Edo Eaerebyagrosthat Iwgl Gn ag respects, psvform the work
the appr t aP1 Ecvts, the Florida Btdiding o N and St, a the tOuntypmsndments,
ThefoltowJngb ICipsgpermgtapalleatltmsereeHempt(4munder8rd:*0011wnWrrencyreylnv:rnomaddition,,
accessory strut rat, swimming pools, SIAM,$, screen raamsandartessory ussstoAnother non-residenliaE use
WARNING T OWNER:,Your failure �
imp ovemen to our o Accord alot{ceo{rArrunen n„y result In our
P Y tad' Remy. A NotfCe ofntmence lent must be, remft�ed and postt'�d anEthe lo6t
Co the fl inspection, If you nt o to obt .In tinancf t musCOnsuh wit lender or an Ousted
on t elnrn
Com encln din J,NtYtJceof[m.r,s�__.,
STA OF ' RIOA 4 y
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The forggiryginttrum nt wasacYnpwledge before me
this Ydsyo{ 10A, by
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REUfEWS :FR:OON:T ZONINCr 5UµER1AS�RPEVIEW
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