HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUS
T BE COMPLETED FOR APPLICATION To BEACCEPTED
Date: 3- 1
Permit Number:
PI'7nn/'79 and DeveJOPInent ServIces BuIlding Permit Applic-ation
BuIlding and Code RL-901c7don Di'vislon
2300 VIrginfaAvenue,
phon Fort flerCe FL 349,92
e. (772) 462-1553 Fax: (772) 462-1578
PERM IT APPLICATION FOR: ToSe Cbmmerciai R6sidential
0. fect frOM dropbox, click here
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VEMENT LOC'
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Address,
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Legal Descriptio
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"_1c-tC, 44 6
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PrOPerty Tax I D #,,
Site Plan Name,, FOS IG a 60— (0
Project Name,
Setbacks Fron
Rack.,
Right side:
lbio; Left Side;
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ES
I-PTION6,F'' Wo".*
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Lot No
Stock No.
Wor
ona 0
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rme un ert $per
HVAC C SC a
Gas Tank ap
p Y:
Electric []Gas PIPIng Shutters
P1 - Urnbing $Prinklers GLInerator WInd0Ws/Doors
Total Sq, Ft Of Construction, 11
Coll Of Construction: L—b S p Of First Floor. Roof
Utilities-11
DR, Sewer I tic Building Height:
SIB p
V
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Name
Address: 7 Name.- 6,%/
City: e n,. COMPany: A,(tP_#A6
ZIP code: State. ''1','''''''', 1111111 !� ".Z.. A� pleo'l-gl'14,7�
Fax; Address: I 'T".) 1-1-7 R/
Phone No. city, bRil'y
E-Mall.- 17 L C t fc�- State
Zip Code.,
Fill in fee Sim le Fax: 77,2 �g7l_
Phone No.
p Title Holder on nex
%r listed above) '4x Page If different E-Mail. CG
from the OWnL
cc
Na Me:
Address:
city:
Zip: Phone:
FEE SIMP E TITLEHOLDER: ,_NotApplIcable
Name:
Address:
city:
zip, Phone:
MORTGAGE -COMPANY: Not Applicable
Name -
Address:
I
City, State:
ZIP.'--. Phone;
BO iNG COMPANY: —Not Applicable
Name:
Address.,
city;
Zip: Phone-:
I cerkifY that no work or Installation has commenced prior to the issuance of a permit,
S� L. cle Coung makj no represe
W It g1tIon that Is granting a Permit will authorize the permit holder to build the subjects uct'6re
0
Ic IsincOn lctwlt an�RP.Pllca e Horne Owners Association rules, bylaws or a Q covenants that may restrict or pro IbItsuch
1.
structure. Please consijit w th your Home owners AssOclationand review your deeTfor any restrictions which may apply,
In consideration of the granting of this requested permit, I do hereby agree that I will, Inafl respects, P f
In accordance with the approved Plans, the Florida Building Codes and St. Lucie County Amendments. er orm the work
The f011owing building Permit aPPlications are exempt from undergoing a full concurrancy review: room additions,
accessory structures, swimming Pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice Of COMMencernent may result in your paying twice for
Improvements to your arty, A Notice Of COMMencement must be recorded and posted on the Jobsite
before 3ropo yo�A
_tb@ first Inge, n. You Intend to obtain financing, con
rt 00�rff
I
end r ot recor i
co Frecc ur Notice of Cnrnrnan�,,mvAgm& endePw-a� attorney before
'ST9n`9tUre__Qf_-Cwn-er/ Lissi�e/Agent r%.
STATE OF FLORMA
COUNTY 0
-r--Q
_21 3
The fO( Ding Instrument was ack owledged before M
2
:LLi�Lu�' 2 J_�by is X
0
person
taignazure or iyotary public. St6te of
Personally Known �-�011 Produced Identification
Type of ldentlflcat�
[on Produced
Com.mission Noj!!E]��. (Seat)
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR
— T _—_ - COUNTr7ERREVI EW REVIEW
INITIALS
STATE OF PLOR J? 142 1
COUNTYOF
cog%
4
The foraging instrument was ackngwledged before M
this Jll�day of e
Q
Ll by ie
Personally Known _L
Type of Identification
Produced Ident1fication
I
Commission No, (Se'al)
PLANS I VEGETATION
REVIEW REVIEW
SEATURTLE I MANGROVE
REVIEW REVIEW