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HomeMy WebLinkAboutErb Permit ApAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number. - Building Permit Applicato®n Planning and DevelopmentServices Building and Code Regulation Division 2-300 Virginia Avenue, fort Pierce FL 94982 Phone: (772) 462-1553 {pax. (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Address: 9424 Avenel Lane PSL FI 34986 Legal Description: Pines at The Reserve Property Tax ID #: 3322-502-0041-000-8 Lot No. 35 _ Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: replace 50 gallon electric water heater . _. Block No. Mechanical rGasTank —Gas Piping —Shutters —Windows/Doors ,Electric X,Plumbing —Sprinklers Total Sq. Ft of Construction: cost of Construction: 250.00 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: Name James J Erb Address:9424 Avenel Lane City: State: EL Zip Code: 34980 Fax: Prone No. 772-812-0882 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name- Company. - Address: City_ Zip Code: Phone Nc E-Mail State or County License Fax: State: if value of construction :s 25110 or more, a RECORDED Notice of Commencement is required. M_4'.r MORTGAGE COMPANY: NotAppiicable T��SIG 1 I�%k' GINI~ Not Applicable Name: Name: Address: Address: City: - State: City: State. Zip: Phone ZIP: Phone: FEE SIMPLE TfliEH€ LDM- Not Applicable BONDING COMPANY: NotApplicable Name: Marne: -- -. Andress: Address C citv; Zip,- phone: Zip: Phone oils iUER/ COMTRAt rOR AFEIDVIT: Apglicatlon is hereby made to obtain a permitto do tba worts and installation as Indicated. I cerW ihat no =rk or immllation has commenced prior to tine issuance of a permit: St- LudeCoun makes na representation that is granting apermitwill autborize the permit bolderta Wild thesubjecUtwcture which is in re: ic, wilub any applkzhle Henze ©wnarsAssoc[atian rules, bylaws orand cousnantMat Wray res�ctor prahihitsracl� sErrrcture. Please consxtltiTM your Home Owners Assordatinn and reViewyourdeed Tbr-anv-m5Webonsiuhrch may apply in considerWan fthegrard ngofth s requested perm% l do hereby agreetha€1 uAll, in all respact, performthe work in ar cord2ncewith The approved plans, the Florida SuHding Cadesand St Eucie County Amendments_ The following bifilding permit applications are exempt from undergaiinga full concurrency review; room addidons, a orystearctures, SM&nrAingptiols, fences, walls, signs, screen. morns and accessory usesto anothernon-residential use WARNING TO OWNER: Youli'fWdure to Record a Notice of commencement may result in your payingtW1Cefor improvements to your property. A Notice of Commencement must be recorded and posted on the;obsite be€orethefirst insspecton.Ifyou intendto obtain financing, consultwiih lenderuran aitorneybe• ore rnrnmQnring work nr r;gmr&ne- lour Notice of Commencement n Sigl7atur £�wwner/Laweef t€racWrasAgent far Owner S" of ContraEiorJLicense.Holder STATI_ O FLOEUDA STATE OF FLORIDA tour yOF Indian River CaUNTYOF Indian River Thefr} inginstrumentwasacknowledgedbeForeme The forgoing instramentwasaftawladgedl��reme t�,is ��idayof June 7.o_20by tlZis--jZaayof. June _ .a4.2-0by Daniel Fekele Daniel Fekete ^Name ofperson nraldngsiatement. Martmeofperson maldrigstatement- Paimnally Knovin X oRProduced identification Personally Known _X OR Pi-oduced ldenlWcagon Type ofidenffimdon Type ofldentifreadon €'rat3it Produ d 5 a r�i�a a [Signature of 11ia�A . Pamela Dyer -Hope My Commission GGe 56115 N Comrni .� YComn+ Easwnrxaxz25sr�sfs ) does 00 22 comnaselonNo_ a er REV150 FRONT ZONING SUPERVISOR PLANS VEGEI'ARON SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ©ATE RECEIVED DATE COMPLETED rtev. 61Z4 r