HomeMy WebLinkAboutBuilding Permit ApplicationAll A PPLIf ABLE INFO AQU5€ K YIPL�TED FOR AP11>LICATION TO BE ACCEPTED
Date: , P : R�iC Nurr:ber:
ON wo
PW,n��.0MdDeVekV"nr
r&rrj onct a.Reg*do n oj+Ysnw
23010 YugNw Avenue, Fort Xeree Fd -Z$98.�
Phor'W M2) 462-1553 Fax: (7721462-I57B
PERMIT TYPE-
Bu i Iding Permit A p p I i-ca#ion
Commercial Rcni denfial
PROPOSE DIM PROVE WNT LOCATION:
Address;
PFY)Perty TaX If) Ft; . gq 3 —0 L C0 00 - LM No-
Site Dian ftamt: 810ek No,
Frojtct Narnc:
DEMLED DFSCR!PTION' OF WORK..
C4Wf -n 4 4C _ ti E Cv-
+ _ 1L r I - y +
Y JV i ,�r � a ( r C �v'i � K. 7 i�� �� 1 T �+� � �� L .t � i-7G_. r �d i�� 9Y�k
CONSTRUCTION I NFOR T[ON;
Additional vp,orkto he performed under this permit— check all [hat apoy:
_Mechan L+ f _ Gars Xarrk _ Gas Pa�NrJP, _ 5hutters
+-/Electric _ PEumbi r% , Sprinklers
Total Sq. Ft 43f Con5trucUon_
Cost of tstruaiori; $ Soo-
OWNER/LESSEE:
T Genwratar _ Root
Sq- Ft- of Firs# Ftaor:
Utilities: _ 54-,wcr _ 5eptic
dip i 4� F-ax; SA-.
Phone Na" "j'7
E-hfla�;
F9 in tee simple Title Ffofdff CM next page if difi~crent
from the Omer li5wd abcw)
OONTRAOTOR:
Name:
Bu iEding
Zip Code: _`�_ Fax
Phone No -
E•!ti'IailC
State ar Co-unty Llcensoe i
I I %GAEu& Of C nstMUd68n is $2-5w or gym, a WCQRP�4f C+}*N1icwenm Kt is r£Spl kvd.
If value of HVAC is S7r5W or mare, 2 RECORDED WI oe of Com1ewemmt �r reQmimd.
Pitch
5 U F PLE M ENTAL CONSTRUCTION LI EN LAW IWORMATION
afSIGNE-R/ENGI N EER Not Appli{able MORTGAGE COMPANY: —
of Appl ita h le
Name: Name;
Address: Add rew
State:
Cfk'f: State: City_
Zip- Phone Zip: Phone:
FEE VMPLE TME HOLDER: Not ApplicmW& BONDING COWANY.
Not App]itable
Name= Name:
Ad d ress: Addr ess=
City: _ - _ ;
Zip; Phone Zip-
OWNERY CON fRACT#I<AF ROOT: Application is twrebyr ni.a(le in ohrrt .�i mrmit to do the work and iE stallation as indicated
certify tfW no rk 4x ihstallatr+on has cornmen,ced praoT to the issuance of a permit.
St. Lucie fiaurrtw reiAeei nib repr.&rnlateort I hal is Rr n inC :u permit will authorize tine perf-nit hotder to build t t sub*% strucwrc�
which is in conibrt with any appdi=bk- FLomfi 4u4ers Assonation rules, bylaws or and anwenanta that mayr re.- k roer m prohioi j su-M
:lrUrl urr, please {Or WIT oath your Jiorn:e Owners Amx[iation attd re vilYw your did rvr UnY re5t6{t.ions whiLt may apply -
In uv:nsixieration of 1ine grarrting of this requested pmrm it•;, I do 6enHbyr agree shar I will, in all re- wct5, perforrn
ire accordance with the approwed plans,, the; IIW�0.) 1_;Ie13'10ieW Cocks and M. Lute CountvAmendments_
The fc 1;awin g buifdke g prermit ap,pkatian f are fxcrnpt #rvm urt€Iergo& g a fu2f cxmcunrenW review_ r4aom a'ddit
aocessorr structu res,, swirnmir a nneyK, ience•s, walls, signs, scree, rooms and acck�ssor� ur'�L to afiother non-r
" WALMSC T4 OWNER' YIDLFR FAILURE TO RECORD r!l NOTICE OF COMMENCEM UfT MAY IRMt
TWW-F FOR NPROYEl1 Offs TO YOUi L PIWFIERTY. A M3T W-E OF COMMENCElti EN 3 MUST
POSTED ON THE JOB SITE RF>`OW THE RRSC WSRECTKYL IF YOU INTEND TO OBTAJtIfi IF
WIM TOUR F ENVE R OR AN ATTDFIIt Y E; 9EUMMORn Y-0112 MITlCE OF ODMMENCEMI
or
sigr,at �rrerf as,nz fir t�w�r'x 5' l=FLORMA
cen.�e Holder
I ATE OF FLOOR€
Coupf y OF C COUNTY OF 'a I" i -'�,
The fa ng irtStY�u vp;�} akahvwfcdged hef�ce me
thi5�dayr of 1 U4 by
Mpmr�4f!persm nud ngSt2t-ernP.fet
Plef -.w n a 0 y K-ngwn _V OR Produc[id IdP.at&r.-d6n
rype & usenti✓katibn
oI NoLarjy PErhgio- State of florlda
RED R:WS FRONT ZONING
11NTEFR I REVIEW
[)A f 1
RECFJVf o
DATE
COMPLETED
W"*
wu7nji�a erw
_T Mt YOk)R PAYING
lilt RJEUMMED AND
MA]I ENT, CON T
IYT."
i
— _ I
the ng Jns#r n[ rin ack�hrn+rcJ d before me
this day oI 1 ?,Q bar
U*mit pf pLvAZon -taking statement
ftee$6n2ily KnWwn _ OR Produced I
Jerrtification
Type Iapri titnCa [icon
Rrnd,� ' r
—
Pu ' . to of;•k
�3 ♦ Com�r iission No_ r {�
T
jw�—
:?hotaryr
PLJAHS
VEGETATION y SEATUR
REWI W
REVI Lv/ ; REOEW