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HomeMy WebLinkAboutBuilding PermitSUPPLEMENTAL r�u Elv �+��A�lal� $�igg�nayta�o#}C¢ri�rrygh�ayEt©r%iiCenSQ Holder it �u'I�3L Elf F�€iRif�A l Ca�1tY �� � ER/El1iCi�ltEEii� �'VtitAfa�tit llffE3tiiiT+GAt,€ i}M1f- a gun c�F t,.cele� The Ding instrumentwas acknowledged before me l� !Name- _A[€st�pplicabie Mame; this l0 D-day of Su nL . 20l Z�o by �tic!'tr�i F &y(� �iic6.e(F !& Address: Address: Personalty Kriavdn DR Produced hierd�rmtion Fer�nally icnt»xn tf t3R Pmduced tderitification �� State: _ City State: Produced�� Zip- Phone Zip; Phone: FEE 5lE1RPl.E iTflE i�i0#.i3�i; � glut Applicable BONDINGCOMPANY. Applicable —Not Marne: Name: Address_ Address: Crty: �-rtY'- �p= PlioT}e• Zip: Phone: OWNER/ C110R £I': Application ;s hereby mate to obtain a pe€mitto dotbe work and insstaRation as indicated. I certify VW no work or installation has commenced prior to theissuance of a permit St. Lucie Cn y makes no representation that is granting a per will authorize tie hokie€to build #hesu6' structure which is in € ntiilct with any appficable Home Owners Association rules b avis or en renanis that may res ict or pmlvhit scrub suucture.Please Consult w you ea m, �trtersAssodabonandremewyourdeed for -myrestrictiorswhich mayapptg. In consideration of theg€a ding of this requested permit, I do hereby agree that i will, in an respects, perform the work in accordance with theappr d plans,'the Florida Building Codes and St Lucie County Amendments. The following building permit applications are exempt from undergoing a full rnncufremy review: room additions, accessory struchflv4 s unoming pools, fences, wak signs, screen roams and acces9DryUses to anodmw non-residential use WARNING TO O Ycun€taiiure to Record a Notice of C my resu#e, goner Paying take for Impprrovements to your property_ A notice of Commencement must be recorded and posted on the jobsite befsre the first inspection- if you 'Intend obtain financing, consult with tender car an attorney before c mmenci work or reclardin tar Notice of Commencement. RECEIVED e DATE £ COMPI rTEn pal di C a Rev. 8/2A7 S+�yria�ptu�r(egtingLryala�n2§TfgP;gxcno/ipntratter sAgElfi far nes $�igg�nayta�o#}C¢ri�rrygh�ayEt©r%iiCenSQ Holder it �u'I�3L Elf F�€iRif�A l Ca�1tY �� .i9a�EG OF FLORID r � gun c�F t,.cele� The Ding instrumentwas acknowledged before me l� The l���ir� instrument was acksrowledged before me ibis day of SIJtNQi 20 Zo by this l0 D-day of Su nL . 20l Z�o by �tic!'tr�i F &y(� �iic6.e(F !& Name of person Name � persoffiita�rsg stat ent Personalty Kriavdn DR Produced hierd�rmtion Fer�nally icnt»xn tf t3R Pmduced tderitification Typo of Identification l'vrpe of Identification Produced�� oduced Prmy �� ($igndtUre of Notary rK-Stateof Flinlda } [S� a ry "•-State of Florida } commission TINE v^"'• NRISTINE J. CONWELL Co l} _ • �--NeferpPobifC—Slyte of Florida Commission # GG 017839 S+�yria�ptu�r(egtingLryala�n2§TfgP;gxcno/ipntratter sAgElfi far nes $�igg�nayta�o#}C¢ri�rrygh�ayEt©r%iiCenSQ Holder it �u'I�3L Elf F�€iRif�A l Ca�1tY �� .i9a�EG OF FLORID r � gun c�F t,.cele� The Ding instrumentwas acknowledged before me l� The l���ir� instrument was acksrowledged before me ibis day of SIJtNQi 20 Zo by this l0 D-day of Su nL . 20l Z�o by �tic!'tr�i F &y(� �iic6.e(F !& Name of person Name � persoffiita�rsg stat ent Personalty Kriavdn DR Produced hierd�rmtion Fer�nally icnt»xn tf t3R Pmduced tderitification Typo of Identification l'vrpe of Identification Produced�� oduced Prmy �� ($igndtUre of Notary rK-Stateof Flinlda } [S� a ry "•-State of Florida } commission TINE v^"'• NRISTINE J. CONWELL Co l} J. Notary Public -S _ • �--NeferpPobifC—Slyte of Florida Commission # GG 017839 - r •e Commission # a017839 MyComm.Exire Go ,onUedm.Expireonedthroo9h aiionalNotar Assn.REV1£LVS�fSiati ' FIAiItS VE S4flA?VciROVE (- REVIEW REVIEW REVIEW Rt�tlElAf DATE RECEIVED DATE COMPI rTEn ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (t I I 0 ( ZU 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �If PROPOSED IMPROVEMENT LOCATION; II Address: to I Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: (,DETAILED DESCRIPTION OF WORK: UJ(L,(F c M Ja 'fA 5+0 new RuAD t 4- s eeg ToN Al& paecd. , unlit with Io KW kea+,- IRMATION: auuuucu unuef uuNpermn—CneCxall mat apply: HVAC Gas Tank ❑Gas Piping I I Shutters Electric Q Plumbing ❑Sprinl Total Sq. Ft of Construction: Cost of Construction: $ -IQ OO.00 ars I] Generator S� FFt�.) of First Floor: Utilities: L _(Sewer Septic Lot No. Block No. L_1 Windows/Doors 11 Roof Building Height: OWNERAESSEE: - CONTRACTOR: Name C.hrtS Rhook& Name: Address (� (L 0a 11Lirt D Id/A Company: >> City: �(� { llftl. State: R- Zip Code: ggg5 I Fax: Phone No -5l;-1.4,7 Zq Z I Address:5I0 6 �({���f� 1 Of City: frobb Zip Code:'3 5d i Phone No: -".'L- 4 state: Fax: -71 �--1 &0 -373"7 14-1 E -Mail: Fill in fee simple Title Holder on next page I if different from the Owner listed above) If values of rnncfnsii....:n henn ... ........ _nm�n..�.. .._�.__ _ _-fal-+i E -Mail: n t�Ln--Or7. 0.0 (VI State or County Licenfe: 1 �I818 f $ (y _ _. ... .............�.... ....a.ac m wwnmuGemertC is requirea.