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HomeMy WebLinkAboutmelvilleALL ApptlGAi3LE INFO iVil;ST BE COMPLETED FOR APP Date: LICATION TO BE ACCEPTED Permit Number: PlanningandDevelapmenBuilding permit q Sullding and ices pplication 23oo v1.rglnla Avenuegulatlon an DJvlslon Pharie: (772) 462-1I Fort53 Paxre FL 3498,E (772) 462-1579 Commercial PERMITAPPLICATION— ---�-- R6sidential� FOR: To Select fro PRD'SEp `fNPRO m dropbox, Click here UENIENT L #CATl,ON, Address: � Legal Description: ^y le Property Tax ID #: Site Plan Name:`' Project Name: Lot No. Setbacks Front ----'- Block No, ,�-�-_ --�--�.� Sack: � Right Side: )ETAtLE[1lQ SCAiPTION -----. Left Side: F ^ t ana won a e Ab'0 ' e orme UHVAC un ert s perm -c ec e Gas Tank �'�`j app Y: Electric []Gas Piping Plurnhir�g ._ Shutters � Windows TotalSprinklers /Doors q. Ft of Constructlon: Generator Cost OfConstructlon.. $ Roof �' j . �:7 S�. Ft, of First Floor Utilities: _INN°ER/LtSSName EE sewer septl� Bulid;ng Flei�ht: City: Zip Code: r State: , Phone No, Pax: E-Mail: 4� Fill in fee simple Title Folder on next page ( from the Owner fisted above] if different If value of constructlon is $25�D or mare, a Name: !� raA Com an Address y: I �lr�{. �� 4- fi/t� .5G Al z� 0 11 city: 7bAr Lure SE leer y a ZIP Coder State: Phone No. /7,- Fax:? �! c �3 �G State or County License: C Notice of Commencement is required. �.rawitii:i3f i;rYti7ll�ItnGK: Not Applicable m Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: - Z1p• Phone: MORTGAGE COMPANY: - - - Name, Not Applicable Address; City: state: Zip:.r- Phone: BONDING COMPANY: ,_,_,Not Applicable Dame: Address: City: ZIP: _. Phone: I certify that no work or installation has commenced prior to the issuance of a permit. - St. Lucie Count�yy makes no representation that Is granting a permit will authorize the permit holder to build the subject structure which is In conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply, In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, Perform t prohibit such In accordance with the approved plans, the Florida Building Codes and St. Lucie CountyAmendments. Y. p he work The following building permit applications are exempt from undergoing a full cancurrency review: room additions, accessory Structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use WAlilViillG TO OWNER: Your failure to Record a Notice of Cort►�ziencement may result iri your paying for or improvements to your property. A Notice of Commencement must be recorded and posted an the twice fore before first ins action. If ou intend to obtain financin consu co enci r or recur i y ur Notice of CorrrrnencPm�����attorney before oignasure,or.owner/ Lessee/Agent r%. vo iY+ STATE OF FL®RI COUNTY OF The for Qing Instru exit was acknowledged before tl�l$ �ay of zoby ; ;Name f person acknawledu3nv i ` ����tii►i p►�i pignazure ar Notary Public- State of F orida } Personally Known �pB Produced Identification _ Type of identification Produced Commission No.� �. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE 1N171AL5 STATE OF FLORJP F` COUNTY OF - t` ch The forgoing instrument was acknowledged before m ` this `-day of Its 2� C� by c f Aq Personally Known �lOR Produced Identification .,• Type of Identification Produced Commission No, qq (Sea 1) PERVIS S EATURTANGRO REVIEW©R REVIEW PLANS VREVIEWO EGETATINS E VI WLE I MEVIEWVE