HomeMy WebLinkAboutBuilding Permit ApplicationappUGABU INFO M S1f BF COMPLI:TBD POR APPLICATION TO BB ACCBPT> D
permit Number;
,; Building Permit Application
anning and pevelopmant Services
311ding and Code Regulatl n Plvislon Residential x
30oVIrgIntoAv62�555tIIaxG(77For2)�}62•�578 CQrnrnarclal
hone; (o
772)
cRMITAPPIiCATV0�tFORt MeohanlOal -- _
:gal Description;
f l Block No,
ropertyTaxlD#; '
site Plan Name; P: NL
roJeet Name; o — Right Side; _ �. Left Side; _
5etbacks Front
—"
Back; —
ElectYlc
Total Sq, Ft of Construe
Cost of Construotion; $
' Nama �aft�er d`Nc
Address;
City; 3lf
ZIP Code;� —
Phone No,
g-Mall;_._____---
Flli in fee simple Title I
from the Owner listed
If
rme un ert Isperma—���°°""' _Shutters
as Tank Gas Plping
mbing dSprinklers Generator
u
5 , Ft, of First Floor;
UtIIItles;sewerSeptic
Fax
�1
er on next page (if different
Vol
00 or more) a RECORD-- p Notice
I
1-
���"jj•Windnwsf Do
lJ Roof Roof pitch
Building Nefght;
Name;
Company, SEA COAST A�0
dress:
31061Nr)USTRIA.31stSTREET
AdState; FL
City; FT PIERCE
3A846 Fax; 772"46B"3063
Zlp Code; ____ _— —
Phone No, 772416-2400
E°MaIL INFO@SEACCASTAIR.COM
State or County Llcense; CMC035A21
Commencement
dNRR/�BRR: NOLApplicanle
e;
ess; State:
Phone;
siMPLHTITLE HOLDER; _ Not Applicable
Tess;
Phone;
MORTGAGECOMPANY: Not Applicable
Name;
Address;
City: state;
zip; Phone:
BONDING COMPANY;
Name:
Address.
zip; Phone;
_Not Applicable
tlfy that no work or installation has commenced prlortpo t��ha issuanca hhof a permit,
�cleCountymakes norapt�IcabieiHomoOwnoist�ssoc(atlonirulelsabsaws2erandpcovenantsthatmayretrletbor rlibltsuch
h Is In can lictwith any app p
;ture, Please consult with your Home owners Association and review your deed for any restrictions which may apply,
)nslderatlan of the granting of this requested permit, I do hereby agree that I will, in ell respects, perform the work
:cordance wlth the approved plans, the Florida Building Codes and St. Lucie County Amendments,
fallowing building permit appllcW9ns are exemptfrom undergoing a full concurrency review, room additions,
ssory structures, swimming pools, fences, wells, sles, screen rooms and accessory uses to another non-residentlal use
,RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
wovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
ore the first Inspection, if you Intend toobtainfinancing) consult with lender or an attorney before
ature of Owner/Lessee/Contractor es7Cgent for owner Mgmture of contractorAlcense Holder
M OF FLORIDA STATE OF FLORIDA
LINTY OF sT Luoie COUNTY OF sTLuc[E
forgoIng Instrument was ac nowledgedefore me
ZG��ay of �t�5 — 20 P S 6Y
S LANGaL •'�
neafpersonacknowledgingJ '
sm
nature of Notary Publla• state of F OV= J
onally Known x OR Produced Identlflcatlon
I of Identification Prod „ unowwa.rnme Ly
mission No.
vised 07/75/207.�k FRON
The forQo,�igg instrume twas ackgowiedged before me
this Y of j fi , 20 s by
CHRIB LANOEL
(Name of person a�cknaw�yla�d�g�ing� J
(S nature of Notary Public- State of Florida J
Personally Known x oR,�Produced Identification
Type of identification Pl of AL
Commission No.
/IEWS
VREV11EWION
SREVI WLE
MREV WVE
COUNTER TER
REVI W
REVIEW
REVIEW
IPLETE
ALS
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