HomeMy WebLinkAboutBuilding Permit Applicationa;! APPLICABLE INFo (v}UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Perrit N;;n^ber:
cr r^g or.? Deveioprner: Sefvices
3ui;dMg and Code Recu?otior• Division
230C Virginic Avenue, F'or-r Pierce FL 3498-7
Phone: 772) 452-1553 Eax: (772) 452-1578
PERM! T A,PPLICATION FOR:
Lk-_-reSs
_aga: Des
'r^,Oer'y Tax ID
Belding Permit Application
Residential commercial _ —
Lot N o. �
Block No.
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pr,,iect Narnc' Le -Ft Side
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Right Side:.________--- -
e e orme Lin e-r t
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Shut.,ers
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G��erator
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Building Height::
! �tfiities:
Sewer —
't=Cnst-uction: 5 -----
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till in fee simple Title Holder on next Page ( if different
f. n the owner listed above)
Narne!:S},�
Corjpanv: ,r,lr : rise
Address: t t0i; o^^anaw
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?ip Code: 3Z93-7 .-a X. _ZI- %i_ u� 5
Phone No. / �� S' 7i
c13te or ountti !_iCenSe:✓� %1 I
f value or construction is 250o or more, a RECORDED Notice of Commencement is required.
DESIGNER; ENGINEER: NOT App!icabie
Name,
address:
City: State:
Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicabie
Name:
Address. _.--
r:
Zip: T Phone:
MORTGAGE COMPANY
Name:
Address.
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zia Phn_i e:
` Not App!icable
St-.-.
_Not Applicable
Cnr•i t`c'' n vc•r K or :r!siallation �c^S Commenced prior to the issuar"Ce or a vernl,t.
$i.:UCic CoUnry' f'iZIC2S no representadc that i5 �reniing = rerm;; will authorise :he permit ^Jider to boil * -he subject it'uC fe
which is in confiic, with any applicable Home Owners Association rules, by.8ws or anf covenants that nay ch. ma a DIv. a coon.
structure. Please consult with your Home owners Association and revi--W your deed `Or any r£stric*,!cn<_ which may eoply.
n conside,atior of the granting of this requested Permit, i do hereby agree t?at ! wil!, in all resp'Ci5, cerTorrn she war c
accordance with the approved pia,,^:S. Me clorida Building Codes and St. Lucie County _men:s.
The feliowing building Permit appiicacions are exempt from undergoing a ?uii concurrency review: room additions,
2CC25S0•ry S:rUCtU'es, S�v;-!r ling pools, fences, walls; signs. screen rooms and accessory _ses to =another non-resicient+ai use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resin in your paying twice for
improver^ents i0 your prooe tY Notice Of Commencement must be recorded and posted Cn tile;obsite
before the first inspection. if you intend,to obtain financing, censu+t With ler.der or an a�torneY before
[o .:EnLin WOrK Or reccrdir; r Notice of cemmencIrne.-Iz.
_L y1 Y�ln n . .An .nA
jignat�r� i�rOwreri' lessee, Aden`
! STATE OF FLOii
COUNTY OF 1 inW-
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STATE OF FLO A 11
COUNTY OF \ICE 1\ !^I
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(Name of person e[know!edging
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2iure �` No' y P - i �tata !Critic'
rersor•ail Known_ v c rrocuc_u
�A-sonal!y Know.^. CR Produced !dent)ficat,on y
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Notary Public State of Florida
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