HomeMy WebLinkAboutBuilding Permit ApplicationNName
address
ER; ENGINEER: , Not AppliCabie
Phone
State
MORTGAGE COMPANY
Name:
I
Address.-
City:
ddress:City:
Zip: Phone.
Not .Applicable
St _:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: _ Name: _
Address Address:
_ City.
sir PhOnE: Zip: Phone:
-;, Zha, .10 wC, o-:nsta!latio:n has cormmenced prior to rhe issuance of a . r. .
$i.:UC:r. Coun?y makes ^.0 repf45tnt8riOn ihdt i5 grunting =hermit wili authorize iha permir hoider to build the subieci structure
Wnicn. :s ' conflict with any applicable ±-!orae Owners Association rules, by!aws or ang. covenants that may rem i tct or orohtbii ; _j-;
struc :re. Please consult with your Nome Owners Associarion and !'ev:ew your deed For any restrictions which .may apply.
•n conside,ac!or of the granting o- this requested Permit, i do hereby agree t^ar ! will, in all respects, per orm the work
accorcance with. the approved i3ians. the Flor:'da Building Coces and St. Lucie County Amendments.
The foliowing building aerrnit appiications are eze!not frorn undergoing a fuii concurrency review: room additions.
accessory s'ructures, swimming poo?s, fences, walls, signs. screen rooms and accessory uses tc another non-res:dentiai ::se
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
irnprover?ents to your property. A Notice of Commencement must be recorded and'posted on the jobsite
before the first inspection. !f you intend t obtain financing, cor,sua wish lender or an. a<<orr-ey before
coi /k .s:ncine work or recorrli�2a_ voter Notice ci Commer.ceMen•t. n
5
II -s, ni,:reo%- s o
Owner: t.tsss_;
; i Signature o'to traccr`f'kense :;o!oef
STATE OF FLORIDA �^
COUNTY OF Q C��
STATE OF FLO A
COUNTY Or
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Thi$ day cf 20 by
CA
Corr ryiSsiOn Nf �� ���IS�IEn
of person 4cknowiedg.ng
d^c cF oer5c� ac c. c,"LA
ulla(Name
f.
t:rG o` :ary' ii lic• L•I i
i S a:e o order ;
:Si r:altJre :�f N .2%-' p:.€�G: ta-2 ::° �!Cr?da
g r
'S'so:na.!v known. OR PrCd::ced !de-nificanor
Persorially Known OR Produced identi5cat!Cri
oe o cenTific^et or Produced_ _
ype of Identification . .Ctlucec!
of Florida
152970
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(��iF�%/:sea;)
Corr ryiSsiOn Nf �� ���IS�IEn
//) M/Vb'N�/
Notary Public S1
ry
Ashley M Anti:
Revl5ed v s'
�i?p
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-
Notary Public State of Florida-
Ashley M Antonelli
?o;w Expires 10/18/2
4
My Commission GG 152970
Expires 10/18/2021
=BONY
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St PE?vISOR ?LANs V-A -1ON'
SEA SUR -LE !titANGROV=
COUNTER
REVIEW
REVIEW REVIEW REVIEvv
REVIEW Rr JiEW
C,^riVlcl.c
of Florida
152970
AF APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Per, -':t Number:
Cr.- Devvioorner,.- Serf -'ices
.jQi;Jing aro cone Recuictior• Div;sion
Z30C Virginia Avenue, For- P%erce =C 34-98.2
Phone: !-'Zj 4E2 -1S53 ',73x: (772? d62-1578
Building Permit Application
commercial Residential
`
PERMT APPLICATION FOR:
3
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• r_�S
IA'nll ICA�_'�lT'�8`'Ir"��L� rrfi �r `fOe�`(d�•%��
1 A. Description.
p*,cn.,r_•. -- �/,
.... -- — Lot No. v�1---
-rCoer'Y Tax ,-) _ —_ Block No. _
S;- flan [yam
j o•^ ea wane. Q1G
—,a Side:
S�;backs
rron'[ 3acK Right Side:
gr�ttrOnzr Workto e ne Orme Un .er i rs �ermrt – C eC a that apply:
$hUt;ers
i GaS Tank Gas Piping —
�t�Ch2^
Generator
�orinkiers _.
SG. `t. ;, airsi =ioor:
nj UtilitieS: Sewer Septic
i s: cns,cU icn:
-, _N1L i I k4f __-_
State
ga► ax
_ft -41
i!
JPill in fee simple Title Holder on ne)ct page ( if different
orr: the Owner listed above)
f Nindows/DOG'S
R.co=
Building Height:
Name _ 5r nl - ? ' I
Company:
y
Address: ,12.2xg�i(
state:
airy: : r
lip Code: 33 _G'9`ax: 77 4Z
Phor,e No. 772 '%-4-14—
cT'9 Or ounh• L,ce i se'. i
f value or construction is 7-500 or more, a RECORDED Notice of Commencement is required,