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HomeMy WebLinkAboutBuilding Permit Application pp ff APP ��t�>y�C ��yy�*//����yy��*�!! y��yy y��Ap��yy �y�����(( y� i ?i€I tlPi'�L.i}V4G�1Mi'V.iMiV �i7i 1Y/7'�L 1 G.i) R t0€CA' 'IN pate 10. CE1.V L ` S ; R r m { DEC=1 1 ?0.1 �1[ €�(r'rM`�itplic tion Plrsran►ngandDevelopnient5eruls ' : ..'�'°` ST;'L`uc�eoUnty, 'ermittfrig Cod f1egu dL�o l�f7Adsfb& f �` t K^• S' p S; '� h Marg nto 14ven cre,ford Pierce ki4gi�2 } dr Phr�nec.(�2'), !ax-{ r2) a, Commerc€�1Y Res€d nti 1 777 �' t111T TYPE Q x Y z Address x €ns ala Site P€an1ame i3(nck't�n [7. meq,(t � t , ,�l�a \QM�VG lf;`"�4 a ,. '::.' -�.5. .d - a' i !//»w,,> ♦.�A' ;:x 4cz d<�^.a�", a 'ie _ � •C�. Q i' 0 ?'W�• � •'�> '/Z J�:/��zt ,.> a"M -,a •a.(l.� �-I'�C,ry • AA—m �� 1�/�O Yr"r x "`f" a t" a s A ,n, ��l ' :.� x :a x d,,, � _ s,n n� •, > f •'t Pyr i¢ 4x`� 2>,,�g.;.,.>. � ., x._�.::.v ,.�; � ``. � dd� csna( vnrktb pe �� drtder thfsrpetmee€ !I x eeharne €, - 4r►1'', Gas£P�p�n Shuttn'rs . , ` .Wrni�nbusJ[ nc�rs k 5 t E€e�tr�c is€irtnbig; GratcarYsRt+csf Cnst'e+f Cans#ru tf on .. 0y€ .ut)€ es° Sn+isr�r,>� 5 ptae tale€► g 1 ;ht € rie F�Ju1 a' C[ n .I_ DJ. . Addrs5 d ' �c �. k S �lrpany�n = sfl�Ld 33 • Zip' gide fax .City' k fes, Stag ' y 9 L P€iK1�1 :€NCJ Y r., €€in fqe sfmp#ert€ rHzs€z#er°port next page, d�fferetE Nt €1 ,c.1L �� G ooCe c c,r� rnmthe wry rI+�st r�,a1�av k kS t ' ►r Ca unt €Jcense P ti�ratue a#construction�s,$2S or mt3Tt''d RECt3F DEi3 Nonce 4#Commencements requirer) z 1f*sitt a Hifi#iVAar is7,St? tsr rr�orr, #2CdtD ;at�it3cq zafom�mncennt i regiarc 3; C ESIt�NER/EN � IEER'.... i�ot Applic ble; tIGRTGA aF:COMPANY fVOtAppllcalble ; Nrrta: "Name: Address �Ad&e;s City.: State—— � -�Clty � �, � � taLa ` Phohe Z1 zip, Phone " TEESIWIPLE T1TLE HOLDER P t;t Eie ble ., Pp #V©1NCa_G4tiPA(11Y� N6t Applicable Name: iVarrzt?: Address. . Address: Cl Zip; Ptt�ne`' ' Ztp Phone. o iNI RJ CC1t f iCi t RAF C3AlI1T:Applic Iran is Hereby rrs de to obtain a permit to o the work grid instal ati an as,.. icated, certtfyvtt,at na sCtri�or tnstaliaticin lies t otnr€7en ced prior�a the tssuarsce of a perrrEtt Lucie.-County`Ma,ces'no representation that ls.grantin •a'Pernnit,Will authorize thj permit bolc#er.t�build the�blect structure . vahich is eonflici wath'any"appii able 1 lrarne Di hers l s c,atror+rules"bylaws ar- ssc3 covenants ttia m�y,:restrict nr;prohibit such strdcture.pleas€ tnsuit ra,th y adr.Horne.D�.vner Associ t'a',.and a�evievr,yoijr d�'4d,far any'restrtctlons abich may,apply,. - ln c nsidertit7n of the grant—g'of'xhts ri gi,ested p rm,t,"l_do hereby agree that i will,in all iespects perfo i the wb,'rk, in at:cordance wilt,the"approved alans,,`the i=iorida'l3uildin Cisdes nd i't;ucte County Amendmeh s., The tvllowing buildsng p6rm,t applicattons.are exempt from undt4Cgning a full concurrency review main additibhs cc s zarystruc ores,swfmming,pgais,:fe ices,wafts s,gnres,derttial u$e, t t. A_- 5 "" "iYi� 1l3NIG Tt3a 3MYNER: YOUR+ :l3RE ifPJ: t)aitD A AiUdiGE CC1 Ai1ll NC1FMENT IMIAY=iFtESULT [Nl YC111R PAYING �' i'YI!iLE If:t�R�Il�PR1�YEM�SIT��TCI';Y#�UR PttC3PER71'°��l`Nt377CE�tiF��1}Mll?EEEMt' Mt�?5T; $ 1 �1mE`LY Atex 'i�StEC!• i lE: f le )k TEES,FIRST-,.,IN A itt3N.tF CiU I Yd t)H A F1NAlilGttVG,"+Gt3NaULT V�[iTli Yttill t;li.E�iLt [t�R:J iN AT3O1E�'ilr 1'SEFt}lE$f; El4}RDIBtt�Yt3UR 14t#3�L�'6i CdI�MEN+CEMENT" "51grt tc re crf t3b4rner, LesseedC rtitractdr as geatt far 0vundr Stgnatd a of Cc ntracto`rllicenseHolder:' STATE OFF y � ir t=lF RIf�A ` � f r GtJf1�TY.tF- t The forgoing iristr megwas acknowledged before tete The 3atga,ng instr,7sment;was ackhowieclged befffre rhe,,-_` ,d�yof�fs.< �.c,QA`s /�; `•: :ha-�-:,= G,/ .:-. N4me,of per5 rt•rriaking staterberet. tygrn%©F p rson;txraktng staterraent. ; Personally Kn6wn._ L� 6h per quced.ld6nt fl�ation Personal��Kna�ern�Olt Pi oduced"lderataf�catron 1ype.oldentifitor►`" Typeofldentfiea�tson� i'rodueed Prot9uced x � ig lire nf•�itit Ptihc Std s n re a N t: GAN CRNWFORD g rater iibl,c st± �tt it ci GAN CRAWFORD" Cern i tiaon No: Y OMMISSION:#G0265055 £ /�j �+ �.„ MISSION k 66265055 C ,soFwsr°' lN1RES:October 03,20 : rn tn,sstars i V E?'3� � . 5:October 03,2021'. ,ori t, REVIEWS ERCrivT ,ZONING SUPERVISOR PLASS= � VEGETATIO SEA .URT,LE �tIANGROVE COUNTER Etl:tit/tl," FlEV1F1N, RE11IE' RViEV1d;..` REVIEW Rl vIEVV ,x•. DA Ti i RECEIVE) . . PATE- COMPLETED COMPLETED