HomeMy WebLinkAboutbuilding permitAll APPLKIABLE N F MWT BE COMPLETED FOR APPLI TPDh1 TO DE ACCEPTED
bato 3 Pera4t Plumber_
r L L «, U Build i ng Permit Appi icatio n
0annrny and Devefopmerrrservkas
BuM�ng and Code FregvforkLm Drvr jhm Commercial Res i dent i a 1
2300 4ergrrria Aw ftue, Pon FMEr:e F-I 34992
Phone: M�-) 452-1553 Fax: JT7 2) 2-1578
PER MFT APPLICATION FOR_
PROPOSED IM PROVE M EDIT LOCATI0 N: F - _
Address-,, T R ICE._
Property Tax ID #: � — � J � � � Lot Np_
Site daft Name:
P"ect Narrke:
I OETAILE D 0 ESCR I PTION OF WORK;
kew Electrical Meter Sewed Electrical Meter
CONSTRUCTION INFOPLMATICN,
Aciditio-nal %vork to be performed ur #his pefmit— check all that appty:
B[Dck N o_ L
— 7, aaNcad _ Gas Tank L as pipinwWindows/Dom g _ S�tbers , _ Pond
le Eh&c� c _ PI urnbing Sprrre4cicrs _ Generator ` Roof PitL+
Total Sq_ k of Construrrtfon: _ 5q, Et_ of Eir5t Fraor;
Cost of Construction_ $ _.. � Utili#e:s= _ Sewer _ Seor. 8uiWi ng H ht
OWN ERf LESSEE:
.14-1-
City: IL VZ 5ta# _-
Zip Code: f 1 ,— Fax;_. f .
Phone No. 024 J� - —
E-Mail_
Fill in fee simple Title Holder on next page( if diffenw4
from the Owrier listed abuse)
CONTRACTOR:
Address: -S--ACf
ter- 4:A-
Zip Code: _ . ? fax:
PTOnF.L Na
S=e or County License
Pf era hue of tbn!%tn4-7k ion is 25M or mon=_, a REMEM-Ell -unto *t Commcnormcnt is Tequimd_
If value of 11AVC is $7,5W br m4r4r, a RECORDED Notice of caanmencement is rrqu ired,
. -LrL.
SUPPLEMENTAL. CONSTRUCT] 0N LIEN LAW INFORMAT10N,
D ESFGNEIk f 01 6_ _IN EER,
,� °got App}ica bl e
MORTGAGE COMPA11Y= _ Not APP I ica ble
Name,�
NarnLx=
Addr ss:�
r'iddre-5 Jr; ,..
City;
St23te-
--- State:
zip' �hcne
f_ip: Phone:
FEE SIMPLE TITLE H Oi-D ER.
_ Nit App I ica ble WNDING COMPANY-- Not Apoica hie
Name-
Name,
Address-
Address:
City:
_ r — _
Z f P. Phone,
; zip:
OWNER/ CONTRACTOR AFFIbV�-r ,gyp! ication is hereby maw to obtain a permit to do the work and ins allaian n indleatitd,
certify that no work 4r instaLlatian has eomm enoed prior to the issuance a a permit.
St.. Lucie County m air,-S no rcpresentation that is gantirg a permit will m ttrorile the permit holder to hLr Id the subject strucb_rrt�
which I%do conflict with any applicahle House Owners Association rules, bylaws or arm cci deft mts that mayrestrict or pwhibi[ such
srruclunz. Please consult wrtPL VWr Home Owners A2DF40;Ption and review your deed !or any restrEc ans which rn;dy :apply.
M c-0asidera'r M qF Vlac dranff?g of thk m4ucs[cd pear k f d-a her&by vEr{ir- that I wiR, in a respe,;j k, p+_, -orm the work
in accofdashoe with the approved plan, Me Florida Euilding Goad a tad 5L Lucie Cauntyr ArmcLntIrncnts.
r hcL lollowing building pk-rmir applir-abons are eXemp# -OM undergoing a full concurrenCy review: room addl'11rn�,
accessory .0MCIU9Q�, swimm in¢ pock fentM wal1r, signsk, screen r0o-m-S and accessory uses to a nothcr non-residential use
WARN kNG TO l VMr--R_ You r fa ilu re t4 Record a Notice of Commencement may Fes ult in "ying twig for
irr proaernents to you r property- A Nc # ice of Corn me nr rrrent must be neon riled in the public monrd5 -of 5t.
Lur,ie Courrty a nd pristed on tt�e Jobsim befbire the first i nspettiorl. If you intend to obtain Dina ncing, consult
_ with lender or �i n attomeY before rommenci" work a r rer_ordinu vour Natir)4 of ��rn�nr�rraart!
as Agent for
Holder
STATE IMF 1=L0RI D,A STATE F FLORIDA
COUNTY OF _ C ti — _ �PIUNTY O� 4 ,.
++# to (vr af8rmedi and wba4ribed before me o� Sworn to Or 01!umed] and subsrri!bW krefM Me of
Phvsieal PrfesOnline Notarizario,m physical Presence- or Online Nataricatiort
this day Vrf era , 2020 by thff �layr of 20tq
NArne cf person making sw-ement f�lam o� � msors ma3cirrg slat n t,
pers000lly Knovm � OR Produced Identification .� Perwnaliyr Known 4""" OR Proctuc d ldientifirafian
Typ �f Identifiraqeq Type of Wentifioa i,!pm
r.
(Sign"re of tdo#ary Public State of
Cornrrris.%ion Nos .6-ILA 1 Y1
REVIEWS IRO
FNT i ZONING
COUNTER RlEI EW
LATE
:n
[57_777",
Notary Public, State of Florida g
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