HomeMy WebLinkAboutBuilding Permit Application To: Permit Division St Lucie County Building Page 2 of 6 2019-10-21 16:08:50(GMT) 17722063146 From: Holly Kulinski
All APPLICABLE INFO MAST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED
Date: ,� �
Permit N
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..... RECE01"VED
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Buii.din rPermit Application
OCT 21 2019
Planning anet.Developmeftt.services. Permitting Department
B011ding.,ardCode,Regulatlon.Division St. Lucie County FL
2300 Virginia Avenuf,F04 Pierce FL 34.982. 7 r
Phone,{772)462=1553 Fax:(77Z)-462-1579 Commercial
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Address 1204 NW Winters Creek Rd
3.
Property Tax.1D#:4423-701-0.007-000-2 Lot No.
Site-Plan Raffie ? Block No.
Project Name:
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Additional work to f e performed under this permit–check all that apply:
Mechanical is Gas.3ank —Gas Piping —Shutters _Windows/Doors
—Electric. _.Plumbing �Sprinklers _Generator _Roof Pitch
Total Sq.Ft of"Cons rfruction. Sq.Ft,of-First.Floor::
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
�3�11lN1';��L��SEIr. _ , Y `CtJNTftAC'�C3R�.
Name F yfJ Name_ �� i ft _
Address: I y inkc�,C-etL'-Q Company: �. C't � ofy T.Q
City:. State; Address: _ a
Zip Coile: 4 }C7� Fax: city: `cgC ce statez C..
Phone No. Zip Code: 344 Fax:-M:Wo 314!�s
ENlail: Phone:NQ.""1 �'D `°f"1 , �+
Fill in feesimple' itle Holder on next page(if different E-Mail.
from'the.Owner Usted: above) State.or ounty License , (�
if vatue of,construction'is.$25D0 or more,a AFCORDED Notice of Commencement Is required..
if Yaiue of. VAC is,$7",509;ar more,a RECORQED Notice at Commencement 15 required.
To: Permit Division St Lucie County Building Page 3 of 6 2019-10-21 16:08:50(GMT) 17722063146 From: Holly Kulinski
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AAL.CrJNSTRU:CTION:L1Efif LAS+!# Q NfAT1Q i- :
DESIGNER/ENGIN Not Applicable MORTGAGE-COMPANY! Not Applicable
tdarri.e: Name,,
Address:
Address:
City. State:T City: State:
Zi PF�Qrie Zip:: Phone:
.p: __
FEE SIMPLE TITi E.HOLDER: Not Applicable BONDING COMPANY: Not App.licabie
i Name: Name:.
Rddiess Address:
city. City:
Zip: Phage_ _ Zip• Phone-.,
OWNER)CONTRACTOR AFFIDV1'li•_Application i5 hereby'madeto obtain a permit-to dothe work and installation as indicated..
I certify that no wgrk or ihstallation has commenced priorto.the issuance of a:permit.
St..Lucie C.owymakes no representation that i5 granting a perm t:wili authorize.the permit holder to build:the subject structure.
which i,si i eanfiict with any applicable Home Owners Association•rules,byiaws:or antl covenants that may restrict or prohibit such
structure.Rleasi?consuitwith your Home Owners Assoeiation.and°review.your deed fpr a%ty�esttictions:which.m8y:appty..
In. ideration of the granting of this requested permit,J do hereby agree that I:.will,in all respects,.perform the work
in aecordancew`ith tiie approved pians,the Florida Building Codes and:Si,Lucie-County.Amendments._.
The foilawtng building permit.applieations.are eXiYmpf 4rom:iindergoing a:fttil cor?currency ra..eWr.room additions,
accessory structures;.swimming p:oolsjences;waft,signs,screewrooms and accessory uses to another non-residential use
"WARNING To OWNER:YOUR FAILURE TO i2ECORD A NOTICE OF C®IFIM€ENENT KAY RESULT IN YI DUR PAYING .
TWXE FOR IMPROVEMENTS TO YOUR :PROPERTY. A N O'UCE OF COMMENCEMENT MUST BE RECI$RDED AND
H?OSMED-ON THE.JOB SATE BEFORE THE QST iNiSPECTIONI. iF YOU INTEND TO OBTAiN FiNIANCING, CONSULT
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WITH_..�YOUR! L�ENDER OR AN ATTORNEY BEFORE RECORDING Y_O_U_I—N—O..T_._ICE OFGOMME1CMENT;"
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Signature.o --W+ner Ee/CCerfractor W,Aneiti fur tkuner Signature.ar contrar_tcyrj�r'cQ[tse Volcker -
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STATE FF1. 101,COUNTY .
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REVIEWS FRONT _ ZONING SUPERVISOR.. PLANS VEGETATION ISEA TURTLE MANGROVE
[GCIUNTER REVIEW REVIEW REV18W REVIEiA7 I REVIEW REVIEW
QA'rE i.
RECEIVED
:DATE
COMPLETED
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