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HomeMy WebLinkAboutBuilding Permit Application b -10X} BuildingApp ication: �arrnlrtgarndQevdogti��►t3ervlrea -- utldingandCodeRegu�tton=blvlslorQi't�ltli' I � RSIC� 111a:1 ' 1360-1g me Awerrue; ierce-,It 3 !982 hone;(77'ZyAR XM; Fax (772}.6241575 ERN11T APPLIC -TO 0 _P k; dress:, _ ipertyrTax L�tNo. Plan Narrii= 4 Lq— No. y - i: t 4 ' ���ct hJame i ] - " = E�'�►tLE1� �?�ES ��� I�t�F�1N��� :� � '. r�'", .� .' Yn ,z �r Eleetrical.Meter - ; e orad Electfl eal Meter '00- - W,M �5 dc#oval:work to be performed un er thisperrnit check aBl that apply., i+lJechanicail ,Gas Tank .._.Gas Piping _Shutter=s �Wintlt Doors Pond Etecfri.c- S ri rtklers Generator` ioo Pi"u"mb�mg _ A . _ Pitch bon:al nstruc Sq.Ft.of Eirttflaar. of Cor st�xictro tJtilitles' ®Seaver Septic �Sulldzn ;Wei t to u . 7kCI�17R�Ctw ' ameh:. Ybli w . dressp w f Company° , L , dress State- µ 7 , Mail ._ ..: - I n fee`simpls Title k�aliler pm;roe�t page. jUdIfferrent E Mill �m;the 8wner`Ilsted above) StatO or CountyLrcense, Clue of constructtan is 2500 sir more;a RECORDED Notice of Cognmeatceme tsnequirgd. v. thleigf HAVC is 57,SflQ armore,a tiEt�OftDFD INntice rnmemcemerrt_Es reg air etl: S t rGJ{7,Iwf:E'{/filiYi1'�GCtI:: . �1!9Ur:H�J 11Gtl L11 C' ..MORT+GAGELPOMPANY:, P1if�t��4pp[lCal?le. lam@;3 111am'e', Ity :State: City: States 1�' Phirie ... Zi'p Phone E 1( pfiE'1AT�E HC,ILDER _NQtAppJleable 8flj11DING, I tiPANY;; _l�Soti pplicable' lame Nam'ei - Aadr�: NNE /C{pNTRA�l'OR AFFIDVfT Applicatloii is hereby made to o6ltain a permit to do the w rit and installation as indica{'teed. ,r>ufy�ttatno vvc�rk-or€nstall�tion�.h�s c+�rr�men cid prtor to tbe'ls��uen�ce�f'a�pdrmit. Lucie"Cggr!%rna.0,no lreprgsen-Wtidn that is granting a.permit-;v�iill authddze the errttit hnlder'tb bu(Id`the subjett.structure. ich>ts,,n coag fct wlth arlr� ppl+cafsle,tNomr?Qwraers Assoaateon nules�byiaws or an covenants that Irnay_restrict,or prohihltsuch : 11 icture;_Ptease cort5ult uti�k ycur Hom e,Owners r�ssocia tion=and review your deed:for 5riv restrictions which may'apply:. an3lderati qn of fhe gratriting of tihss,new4sted Oftolt,if sap pre,'ey agree tFiat i will,m ail respects;perform the;ii�ork Ic grdance witF�the approved plana;the Florida i3iaiidi�g;Ca�eliss r� ,St 'Lucie 0c unty Amersdmerits.. follnringuilding,iairinit appilcaiarts are: mpx:fromundergap a full cartunrenc'+:review:; ,oen additions; essory.structures,.swimmi pools,fiances,tiva11sj4ns,;screen,rooms and accessory uses:to another r<ort-resident al'use MING TO OWNER Yaiur failure to Recori a Notice of Commencemenj maY:res in paying twice for omp:rovem�nts to Vaur property A:f�r�ticae"of Cornm�icernrit rnustt b� recard ,d 1n tftigpublic rercordsf`Sfi ,IAttcie Count ted on'Ahe jobsite.before'the fi rst inspectl�n If you intend`to obtain financing; eori uit; v ►ittn:len'ct _or n atto k e ore;cornnaencirt uvork or records, Qur.Nonce:o .Corimmer cement.. .. ..._ ... ma a of Owner l e ntractor as B / - .-Agent fog Owner Signature of Contractor/&cense Halder f TE OF Ft: RIR StATh OF Fit01RIDA UNTY,QE COUNTY 0 .1 vo ,to(oraff`irmed}:and sutiscnbedflbefare:me of Stun:t©dor re �arrd subscribed 6efor :tj� ;gf J 'Physical`Prese Qr, Qnrmn"'A tl40prizoti9p _ Phystcal Pre ence_sr vu fDnIine_:Notanzi0 m lEs day;of z12 by. this dayof:` 202a'by, v �l srne,of persort.rta n y� 4 rneni, Bds6teilriw6 ►rsot�atlly Known OR-P_roduced'Id=antif M16n P6rson0y IfiS6Wfi 09 Pi6-d6i6d identification �eof;Idertificadott " 3ype of Identification' oiuced. Produced- &a ignat%Ire=cof nl Publie-;State :Fl6riis S1 a rY . i 5ignattn're of Nota Rubs :6 fflodab ►mmisston Ido vp;�.. DREorfk1 sfon No:_ -�UY B: REY Cih (Seal}: *; MY COMMISSION#GG 300817 FOF F�°P Bond 1 hru Notary public nde 'te IE1/IEWilS ISOFt PI=ANO VEGETAl1QIV SAITURTLE MRiVGAt©VE` ,.. .s... CDUNR;. RIE - EREVEUisVIEN ATE ... - ._ .;,t. .- ,.,__.. )MPM,E0,,,. .