HomeMy WebLinkAboutBuilding Permit ApplicationU RPLEM EN TAL r-O NSTRUC11ON UEN LAW IN FORMATION:
d NE1 N lf�f l;e= TV t APp livable MORTGAGE C GMPAKY: Not Applicable _
Nam, Name:
Addre.%s= Address;
0ty, - — Stat! = ' City+_ $ abe:
Zip: Phase i Zip: Phame;
FEE SIMPLE T1 HOLDER;. _ Not Applicabl-e
Narw:
Address:
City_
Zip: Ph -one:
BONDING COMPANY-.
Not Appl ica bJe
Name:
Added;
City: - —
T1P= Phone:
OWN ER, f CONTRACTOR AFFMIAT; Avplkalioan Is fwrcbv made tD ubtain a permit to do the wm* and irstaflaban ss indi[�atM.
i cPrtifY that nv wock or instanation has mmmenced prior to the issuance of a p,ermJt
St. Lucie Cou n*'y malc#.-� rlu ru'prt-sentation thai is granting a permit wik autf wte Oe pefmit holder to build the suhpea structure
which is in nxillict with ank applicable Rome Dwnelrs Ass iatio i rules, bviaws or and covenants that may rester Of prohubif such
structure_ Please consul# , your "gmc Owners Association and review your deed for any TestTkbuns wherh may appnf-
Irt consideration of the grrarvh ng <3[ this requested permit, I do hem agnft Mat I wily in aaf respects, perform the worm
in accordarw-e with the appaoVed plans' the F ioeida, Uuildinp, Codes and St Linde Courttyr Aniendmi,-nM
The followirtg banding permil applications a r�L rxcmp4 from undergoing a full oancurrency refer; room additions,
aic:cessorystruclu es, swimming pools, fences, walls,sfgrrs, screen morns and a=sM saes to another non-residcntia; use
"44AIRKWG TO OWNER: YOUR FAILURE TID RECORD A NOTICE 01� ODMEPWCEly[B T MALT RESULT W YOUR PAYING
TTFICE FM N4PEU'E NEWS TO YOLIR PROPERTY. A IM GTKI OF CEIRIMFlrCE 11 PUJ'ST BE ]RECORDED AND
POSM [3N THE 306 !SfTE gEFVRJE THE FIRST IISPECTK"L IF YOU " END TO OBTAIN FCYAIItCNG, EU ULT
WW94 IR LEIDET IN J'#lMl ATTORNEY BEFORE RECOMFiG 1'OJJR pTTICE OF S ]MM0%CEME71kT-" -
Signature 0 Qjfnerl Levoec/Contractor as Agent for Owner
STATE OF FLOOD
Uri OF rn+ L-k3C-t
The ne imtiument was adanowledged before me
this days of , bo
ff2nw or person making statement
PPr5*nRIIV E{rrown OR Produced IdKnt-sfic$tinn x
Type of IdentiFrc don
i5igrwture of Notary P
STAI F Crr- FLOR113A
Cwnmission No. L i lxmw aCp
rss 3a
REVIEWS
RECENED
DATE
fMlFTJE 1ED
L
STATE IX FEM DA
Holder
l he fir i)ing Ir6tcumcnt was adcrtowledged efore me
this day of O "`y) K � by
E} -W—,
NA ne of person making &tMemenl,
Person@4 Known OR Ph 3 duced Identification
T IIdcntifKatiotn
Produced FL OL F rAS20-00&-7&224-0
2f o� a-L�E-
(Signature of NaTaU Publft of
NOTARY PUBLIC
irommbsion N<3. SThT� q:
Cr:y r. GGS15963
COUNT ER I REVFEW I REVIEW RFVI PLAIY5 IR TA INN
SEA TLl RILE MANGRCWE
KLVILW REVFEW
All APFuCASLE INFO MUST RE COMPLETED FOR AFF CATION TO BE ACaFTED
Late: 2020 Permit Al u m brr -
COUNTY
F l 0 R 1 D A
Building Permit Application
Plan.7ing and Deveioprne&- services
600nunndrCodc 14cvuiotron f3fi rcn
7Arx) Orgiffia A P"Pe Fwf Prcrc r F,L 349
phi (T72) 46?-155-1 Fax. 1 2! 4rh2-1579 c nm�rrdal
PERMIT TYPE:
Plurnbing ( Water heater replacement)
j PROPCS ED I MPROVEM-ENT LOCATION -
Address: 72M Coquina AVEFort Pierce, EL 34951
Property Tax IDU: _1301-611- 0-3
Site Kan Flame -
Project Marine:
Resid enti a 6 �...'....
EEDt FEED_ 11
SEock LW. 1()4
DETAI LED DESCIT PMN OF WDRK=
P ephaoc 50 gallon alectria water Heater with new ocated In a — - -
CONSTRUCTION INFORMATION.
Additfonai work to be perrormed ender tN.% p�rmft - cherk al I that apply:
Mechanical G•ar�. Tank- Gas Piping _ Shutters _ windDWS/Doors
EkKT it PJumbing Sprinklers _ Generkar _ RcaF Pitch
Tr taL $q_ F1 of Conk QEDn,
Cost of Construction- $ 12-1-5.00
OIJ NF LESSEE=
Name David W i=C)ws
Address: 72030WuliriaAVE
Cky, Fork Prer SEatr-
lip Cxi-de- 951 Fax:
phone No. 772-216-9011 -- -
E-Mail-
$q_ Ft_ of First Floor:
Liti Irties: _ we.r Septic RrAding Hafeht_
F 11 fn fee slmpL-Title Holder an next page; it dWererrt
front the Owner fisted above)
CC*ff
Ak�xan[Ewr Pew
Cam parry- Dom Bella PlumbiV LL -
Addr ess;. 6104 nw bu €fir =h d pl _
City: POINT ST LU IE F
Zip Code: 34986
phone No T72-222-:55T0
1~hAal DOMBELLAPLeG AIL. M
:5-ute or Coorfty Limns- Cf=C#142W52
if valfue*f oonAnidfon is $ SW or more, a RECORDED Ncr&e of Commewx-ment r5 re"ie*d-
If value of J VAAC is 57_WO or more a RECORDED A k-e of Commemummot i& requLred_