HomeMy WebLinkAboutWALTERS PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a /�'
Permit Number:
•
-""""""""' Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERM ITAPPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address:, ILY(kG
Legal Description: Vis bb a54- L u ci t Ah-�3/ flnt-1- lDN (-D11, "ldl -o 6go ZYIB•/3!?,
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Property Tax IDii: 3qx;, -Soo 7.y-Oo®--$ Lot No.
Site Plan Name: Block No.
Project Name:_WAlhe-, A (varlaH [ 004
Setbacks Front Back: Right Side: Left Side:
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Additional work to a erorme under tispermit-c ec a appy:
9HVAC f Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
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Cost of Construction: $ Utilities: _ Sewer DSeptic Building Height:
Name rS Jv C�4 IV may' Name: r6r0
an6L •SAn
Address: 854 Sf . Loe'S411* ¢er j7L Company: r rker Ef�c�r/'c M d Air-
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City: 5+lu^#-4- State:FJ-- Address: //'211 M-iAdow AvC
Zip Code: 3/4 9 7 Fax: City: Ci4t., State: r'%
Phone No. I-z--QS37- .53 Zip Code:Fax:7?Z-Zf9^SZ4z
E-Mail: Phone No. 77Z- ze f,
Fill in fee simple Title Holder on next page ( if different E-Mail:E/euErac
from the Owner listed above) State or County License: J }0.fQ ('(�1(° Jg/3l5(�
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
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Zlp: Phone:
FEE9M1
Name:
Address:
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Zip:
Not Applicable
MORTG8,GEODMPANY. Not Applicable
Name:
Address:
Oty: Sate:
Zip: Phone:
BONDINGOOMPANY _Not Applicable
Name:
Address
Zp: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
U. Luce Countymakes 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 OwnersAssociation rules, bylaws or and covenants that may restrict or prohibit such
structure. Flease consult with your Home CwnersAssodation and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and a. Lude County Amendments
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
aocessorystructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNINGTO OWN9R- Your failure to Record a Notice of Commencement may result in your paying twice for
grovementsto your property. A Notice of Commencement must be recorded and posted on thejobslte
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Lessee/Agent
STATE OFFLORIDA _ gB- o STATEOFFLORIDA
OOUNTYOF /ULt,e� OOUNTYOF 6lt4ytG v
The fo__rggoinginstru entwasacknowledgedbeforeme
this IES dayof r-cv 2020by
Commission No. y _➢^'P< E June 18,2022
a...• Bonded�ery Public Unden
The forgoing instrum nt was acknowledged before me
thisdayof t(k— 20 Eby
Known V ORProduced Identification
Commission No. _ :,: MY COMM #GG 220588
a EXPIRES: June 18, 2022
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