HomeMy WebLinkAboutBuilding Permit Application AppUCAaRE INFO MusT sE CoMPari(ED FOR APFUCAVOW TO aE ACCEPTED
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PlanaW eke Owebment-searices
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sunding ard r-cde aeowinvon mwaiw ST* Lucie county, Permitting
2M Virginia Avanue,Fait'Fierw FL 34=
Pbonm(772)4621553 Far.(M)462-1575 commerdl-al Residran dal
PER T ;TT APPUCAMON FOR: Se3aot from dropbox, rACk OrTOW-St 111te end of Une
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Site Plan Mayne: SlorkNo.
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Sefoads -rant Back, -wight Sad&,:--Left Swa:
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Addi,'-tonalt,,rar4,-,tobsoe�-formecI under till1s Joermit deck all tom_
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CIHVAC UJ Gas Tank L_jGas Piping Shutters El windOWs/Doors
ClPIUM'Wng LjSpwinklmrs Generator OROUF
Toptal 541 R of cofismrx,on: Sa.CCL ea SISI Floor.
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Cost 0?consb=601 $ UvRrow:Ljsewar L-J'sepai,, Builth ng Height:_
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LIEN LAW INIFORFMAT DN
l i t c-ER. Not Appaiicable mOPIT E COMP,:.; Not Applicable
Nam.e: Name:
Address. Address:
State: Ci . State:
City:
Zip. Phone: Zlp; Phone: �
FEE-Sa p.E TffLE HGLU W. _Not Applicable soHDING ItOMPANY.9 Not Applicable
Marne: Nai'rte-
Address. Address-
_ Phone: Zip: Phan®-
A cert tW no work orirtstailation.has commenced priorto ihelssuance of a Pervni'r. i
L site odk2s Baca e2p: serataaa� �b a a�atlr+ ee eitlder k� � se sealyect scare
r € a�ientai aasyappI�Hrr6E mess s��a4n �r+t�7aw5 pratrea�lartai�es5ag r�►a3! �stri •ayr prarla3Far scra-h
s�acks� .ale aas�� �rsaar l'l�ae e�. car�a�aa�a�ra�u y��sta' r�f�rarty res�e;� � ��lrr�=a�a�ag��l�}
9nr•caar-ode �o a r f the t g as air wed p�..rank E site herebyagree that&u411,in all respects,perform the vmrk
ere a caa rr tthe eoprowd-plas,the»"maids g aildiarg Codes and St Lmueda-Cbun yArrreradments
TEdF?2fQl5r9E1/8�i buladingpa sit.a.jp sare4=empt•rF8$Dm3EdAdk'-0946 3-U2 9flcdreRWgLFDa'�..' -rmzei tip
`' a esscusg7s a+c ar ,s�^ria ,fcr3 a w°zlls,s` Toomsanftwsssconj assesto air non- ads-,Oai use
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irrr i p roven,encs T,o Vo ug,propertV:A-Natic0-of Co mm encem nt mest be iw rd .and j;pslid an thgjobslite 1
before the-fl.rst Ins pea don-if you intend to obtain nauadM consult 11vith lender or aA.fattomey before
?' CoMmem work air reco dill e-vour. ce gal Caffimencement
elf -9r1 f tt. Ucefiseliower
0. STATE
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COUMW-GFsg s UNW stLucla
The Maaggng ir.6s4"amerat was aduraMedged befomine The•fgOwg insdr meat was acknowledged be{dr+e me
this j,-L ,its-u S-r 2.3 by iSday r s'•r .20 .2_br
.i;A�t3lteo�EU,ie J4'yc;rec• iVt&}F3t'suLyztltllyr�t3
(Nme of pemon acknowledging) (Name of person acnocvied ing I
(Signstaire,of NkozyiPtakarffa-SfttEosEPeavda) jS'wna�sseNoWy i?ulalic-stateof Rasricta.)
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Peesaaraall TAicy n--?L—on Frodumd Menfficaflon fide rally Kc,aalwo :c OR Prorolra •Idem amtjon
Type.of idend0fic..' - •i'sa duced. _ .TvPe of IdentMea ion Piredaa ced
+ DORgTh �BASKIN
�r(6 Pik. `ic, COMMIS�.il�5 GG 030145 �rrar i Dn Wo. <tPf..�ts�%. �.�, DOROTLYKIN
e.• , COMMIS080145
EXPIRES:Octoer 2,2020 ;�c and ro Notary PuMtc Underwriters , %,,f„�.`�Sonded Thor Nodenv5leis.
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