HomeMy WebLinkAboutBuilding permit applicationA= APPしiCABしE INFO MUST BE COMPし訂ED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
BuiIding Permit Application
P/onning 。nd Deve/opmen亡Service5
Building 。nd Code Regu/Otion Division
諾、:常盤荒嵩等:蒜Z_1与,8 C。mmer。ial Residentiai
Address:臆臆臆臆臆 3\|<⊃ 単、`c鵬Zji_∴臆{
PropertyTaxID#: 2-3てGっ営-G=C二も-〇日Q-C>
SitePIan Name∴ C巾ahふc9ぐ+L互旦⊆」エーー
し。tN。. \\早
Biock No.
Project Name:
○Å\、、nC) ∴ (\
Additionai workto be performed underthis permit-Check a= that applv:
Mechanicai Gas Tank Gas Piping Shutters Windows/Doors
函 iectric PIumbing _ SprinkIers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ブ午Oそ)
Sq. Ft. of First FIoor:
Ut冊ies: _Sewer _Septic Bu=ding Height:
Pitch
QWNER/LESS旺: ー 享 CONTRACTOR:
Name しe_OJn、{ P,(ふっ」 Name:二王ノミ重二{ヽ ふ\もへ」」真冬、
Address.?\?」へ\\、_<r,′.ゼ7ト,r涌-完了でし Company:TZaeÅc_、c-袖や征in\=\rヤ
c時 幸二,T永。∴命 ￣.￣ -stat重し Addr。SS‥2み|可iut,へd二五L;+r
citv:++0\⊂′f=毛 State:五 l zipC。d。‥勃らし言￣F。X:
PhoneNo.「「1つSa,\2-4i与信2 ZipCode:3Lfqし\S Fax:
E-Ma出 PhoneNo-7|2-Q膏-/23呈
F冊nfeesimpleTitIeHoIderonnextpage(ifd冊erent E-Ma=/菅机上m京の:二〇・か′・、にC三でとう」人で食多く4、「やし ￣￣￣I StateorCountyLicense くニPc_/qS7f3Cくそ
fromtheOwnerlistedabove)
lfvaiue ofconit「uCtion is?2500 or more, a RECORDED Notice of Commencement is required'
Ifvalue of HVAC is ;7,500 0r mOre, a RECORDED Notice of Commencement is required.
霧 、畿 醗緩ま縫抽欝饗饗簿 綬饗醗 饗態 懸蓬畿懸雑 ◆ 撥霊 鰭 鵜,臆
∴:一∴∴印刷十∵忙N∴;∴ 懸懸綴 蟻 ‡翳垂蓬類題態 懸懸 瀦獄鎌態・.ィ・餅灘薫製鶏、」漆瀦令、裏鍛懸懸 DESIGN駅/ENGIN 璽型闇百百百i 旺R: NotAppIicabIe MORTGAGECOMPANY: NotApp cabIe
Name
Address.
Citv: State: City: State: Zip: Phone:
Zip‥ Phone
FEESIMPしETITLEHOしDER: NotApplicabIe BONDINGCOMPANY: NotApp=cable
漢 〃〃- Name・
Address.
Cit・
Z ip: Phone: Zip: Phone:
OWNER/ CONTRACTOR A田DVIT: App"cation is hereby made to obtain a permit to do the work and insta輔on as indicated・
l certify that no work or insta=ation has commenced prior to the issuance of a permit.
薫豊講艶擬鵠騨糀繚認諾鵠鴇議鰐隷鵠鵠欝龍h
In consideration ofthe granting ofthis requested permit, I do he「eby agree that l w町n aii respects, Perform the work
in accordance with the approved pIans, the Fiorida Bu柑ng Codes and St" Lucie Countv Amendments.
The fo=owing building permit appiications are exempt from undergoing a fuli concurrency review‥ rOOm additions′
accessory structures, SWimming pooIs′ fences′ Wa-Is′ Signs′ SCreen rOOmS and accessory uses to another non-reSidential use
“wARNINC TO OWNER二YOUR FAILUR亡TO RECORD A NOTICE OF COMM剛CEM剛T MÅY RESULT看N YOUR PÅY看NG
TWICE FOR IMPROYEM剛TS TO YOUR PROPERTY。 A NOTtCたOF COMM剛CEM剛T MUST BE RECORDED AND
posTED ON TH管」OB SiTE BEFORE THE FiRST INSPE⊂T10N○ ○F YOU INT剛D TO OB丁AIN FINANCINCタCONSULT"W獲THYOURLENDERORANATTORNEYB即ORERE⊂ORDINGYOU RNOTiCEOFCOMMENCEMENT,’’
/クん ÷/㍉
Sig㌢eofOwne「/Lessee/ContractorasAgentforOwner Siプ壷ofContractor/LicenseHo-der
灘牌豊OR-D韮し、亜完, 難球豊ORID今立-し時一定
覇i溌詳謎菅eme 聴盤酷a蒜警㌘reme
Nameofpersonmakingstatementi Nameofpersonmakingstatement. 浅手 く、lつ 繋彊RProduced-dentl寵
繁藤uCed-deニ騒 ノ 紹.董霊室
SigntureofNotar沖ublit+State耕FIorida) #蓋
ComlSSiOnNo鎚幽ら(Seal)箋縫
REVIEWS FRONT ZONING 謹書寵妾R PLANS VEGETATION SEATURTLE N籠騎
COUN丁ER REVIEW 音綴霊園 REVIEW REVIEW REVIEW REVIEW
DATE RECElVED
DATE COMPLETED
Rev.Z/7/19