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HomeMy WebLinkAboutBuilding Permit Application til AI�PLI ABLE I IFt1 MUST BE COMPLETED i1PPl,li.A 4 l�1 Tt�BE;ACCEPTEa C) toPermW'Aumb r R (1 /1. peP�r,t ��l+ ir�g; r-alt# ppli lid P6nnin and Dea eloprnentserWc-es Suildin and Code Regulation Division 2306 Virginia Avenue,fort Pierce FL 34982 Phone:(772)4t M553 Fax.l;7 2 46 151& mmercl l Residential. 1. w ti �. lAddres� a✓�s . = ` yr . ler e — ;.3y Property Tax l() 3 Yo 9=� �o /.- Do sem/ --poo-.,y . L6i � . JAI _ Site Plan!dame: Block,No ,Projec Narne .�1 Lit 7 i , .. .,,///.1111.. ,. .;.: :.. •. _ d ., : r ;'" 11 30# Gn -!L?c�l {i• oo�. - / /�.[0.7 ����: l� i Adtiat canal. rorkr .lae pe!f ri d u tl r;this- er, � check'"ll'lura Mechanical ,,GasJ0nk, Gas PipiShutters,, Windo dors ct Eleric-. Pturrtbing.. .5prinkler-s` _Generator . Etoc+i N,,. Pitch hiatal Sq Ft of ianstrurt�or� 3 Sq Ft.:af"First icor. .. i Costa#'.Constru ion:$ / /„a.S �:Utjlkies.. _Si eweraep is 6uiidirt fi Name .. lvame:: VIIgo e. Address. f �( Y� Company �c S pity. _ {r'e<<e state. �- `Adtl ess .3 Y! S IG k r S ,gyp JP�Z, aac City: Sv F^f- Zi �de c state FL Phone No. `. fiT' /o G y. /fib.SDLP "ZIqfade•' E l il. Ph6niL..Nd 7 a f I'Fill in:fee simple`l"rtlesHblder ori next pale f if dlf&ent" r Gail .fram the Owner listed abaV State dr Czaunty l� nse-P<� U � /o I ilalue of cnnstructltari is5flta,ar mere,a RECflRDEO,Noiice'ofammeneemen#:is required; l value of HVAC is$7 5th flr more, ECiRDEt3 Nsaice raft�oinme zicerrtent�s reggrei. - I j Nam TIESIGNE RANGINEER. - => Not Applicable: iVlt)1tTGa�CE iCQMPANY No 'Applt able Name. Name; Address: ,Jddress: : . ...,� l City:_ State.:. .. City: dip: Phone'.. . Phdne• 1 FEE SIMPLE TITLE OWER Not pplicable IB'dN®IN COMEsi1NY Nat Applicaibl,e Nary e. Narita � ddrtas; AI0dress ; City-. Phar, _... Zip .. :. . 0�h66'e; 3 dUN Rf,CONTRA f R�# FIt3A ;T Application it"l�sereby made to obtain a.perfrat tq rho th€±.work a'nd instai#4itton as'indt�ati l certii that nororEe car,°crista##attrarr hasomerced prig tp thissuance of a prrnrt i :. I St Lucie Countyy`mak ;s no ripr'gsientatic'n that is: rarttin a permit aril)authorii6i6e ermit hod r ccs buittl the subject structure Whith•is in conflict with any applicable Home Owners Asscscaatiorr'rules,bylaws or;and covenants that may restrict or prohibit such structure.Please consult with:" r Horne C inners Association land revievw your66edforanp restr ctions;�,�rhich may appl�r In consideration of the rantitl trf this requesteri: er t°#do he'b a .: that I;tivi)1 in a#1 res Bets, erfo-rrn t'he' cork g g, p Y #� F in accordance wig the,approved plans the Florida Building 0pdes and St'Lucie Co"Wtty 1�rriendrrxtterits 1 he folicaiirng building permit applitatiohs, arI e exempt from undergoing a lull c�ncurrency review;room addtt3nns, accessr ry structures,sti�sirnmirig:;ppols,fences, �i 1)s,signs,sCre t'r4otrs end accessory uses to an- ter notr-resideritial use; 1, 61W,t�1�NING 'iO OWI NER:-Yt�Bl�ijFAILURE'TO;�EC#tRD l�.i�i�E .t�Ci�1 IcNCIEMEIHIf•MAY-,ArSULT1,-ffN Y.00#'t.'PATING TWIICIE"FOR IMPROVEMIr� -rs 7d Yi�tllt PROP t' 'A N07ii� t�F 6)kMEN�l*JMUST lE3E.�Ct1RDE�3 A!� E'C95TED t TT till.J >�` 11 '1EtEFt3RE-`HE FIST #III�I�CT1L)�tii IE 1Ct3EU'iN 3 CIVtd 7 it i'J ll3�1t1151'EIWIi#41�NG, iC 035i��lJf t YKiTH'YOUR LE# UER�R.AN ISTTt)Rl~lE�'BE1Fi3#tL �GtlR�fNG-Y:OUR'i1ft3TKE DO.Ct)MMENtEMENT,;7 • �r Sign8ture,oft`Winer,LesseefCrintractiar'asAgent fov13 Tier' S#gflattareo&,Ctic�tractc�rJ#icenseHolder 3 STATS t�F Fl3Rl©!9 r- ,"" l STAB �1=t^l: 3RilA; COUNTY OF COUNTY QE f%�Q7 The for'oing instru eni vvas•acknoww edged before•rtte The:f oihi;in'strument teas a.ckriov:ledged befor6 me-" this. day eel �Glq� L - Z{J/q_tsy this day.t f--C � 2u� by Name' Person rnalrin stateiv ent. : Narne of person making statement_ personally rixiwrx � OR�rciducer�#c€entifl�tton. _ Personaliy kndvm � �OR:produced Identification. ?y'pe o #dehtiflrat or`" Type t f iden2d cotir r . Produced Produced .. .. - `• !1!1!1 Signat a of Notarw blac S Oignat re of,Nrita ubirc-State csf I r : .: G N CRAW mission �w' 5 § r r° �oF�° EXPIRES. Co mlission'No, Z�S�$5 EGgN CRAW D MISSI °: October 03 2022 yo MY COMMISSION#G'2 055 � o� EXPIRES:October-0 '22 REVIEWS FRONT ' ZONING SUPERVISOR PLANS` �.VEiaETATti3N :FR TURTLE MANGRC3UE COUNTER i? Vi 11. REVIEW REVIEW,. REVIE'+i11. 1lItW RE'VIEW I ATRECEIVEIJ ,. , DATE. COMPLETED etr.