HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Dateia
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D Building Permit Application
Plarmlry orW Drvebpmmt$ervires
Residential_��
emmmoandoode Repulmlan mmmn Commercial
:3W Nrprnw Avenue. Fort Pierce FL 36983
Plwre: (M) 462-1553 Fax: (!33)/63-35]11
PERMIT APPLICATION FOR: I'ML %r L"VW
PROPOSED IMPROVEMENT LOCATION:
Address. Ston t Y"L iC R1 ri V:a P n f).n nUQLl la�n
IV R9-On<-OOEin-(N n-r1 Lot Nay_
Property Tax 1Da:
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
`7 A 1 w lR Aril Ilo
iaa clatrers,8 III., uen+
New Electrical Meier second Electrical Meter
CONSTRUCTION INFORMATION:
Additionalwork to be performed under this permit-check all that apply:
`
xAteclomical _Ga Tank _Gas Piping _flutters —Windows/Doors _Pond
_Electric _Plumbing _sprinklers _Generator _Roof NVOR
Total SQ. Ft Of Cons[mctlon: sp. FL Of First Flom:
Cost of Construction:$ 4Cji` Utilities: _Sewer _septic Building Height
/LESSEE:
CONTRACTOR:
ODm0CxC Name: "Fne
['�1p..
oa VE) S1se.rpc4w [71LT1 camps C` �.s i �O I
V %NickR 5tat4L Address:
rr11
: 14014U Fax: City: State:-L
FshpleTftle
. Zip Code: Ell Fax: �O-fa]I-9V9
Phone No ma- nl Cflf
skeple TRk Holder uR nagt page(I OR rent E-Mail G 1 1OwnerllstMabove)
SfateorCounry'cense (`1TCIgjIdc97
"value of construction B 35W orm m a RCORDFD Notke of Commencement repaired.
If value of RAW is $T,yed or more, a RECORDED Notice 0 Cpnmenrement is reeulmd.
DESIGNE GINEER: Not Appica a
MORTGAGECOMPANV: _Nat Applicable
Name:
Name:
Address:
Address:
City: StN :_
Zip: Phone
city: state:_
Zip: Phone:
FEE SIMPLE WILE MOWER: _Not Applicable
BONDING COMPANV: _Not Applicable
Name:
Name.
Address:
Address;
City :
CRY
LP: Phona:
3iP: Phone:
OWNER/ CONTRACTOR AFFIDVR: Apdkapm Is real made to obtain a permit to ass the work and innapatim as IMkated
Icentiry, that no Work on installation has commenced prior tothe Issuance 0 a permit.
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SPW le �° cat in'wNM1aYe Vdi<aMeltiemeh'avmw[Nro[IaXont es iciaws man n°namstlegir rild ehPmioi iiEt uch
contlaeraUonofinepantingcRhlarwwnad cemrn.l d°heebyavetha wnL in an respects performthewen
accordance with the approved plans, the Fall milang C°aev and it wakcamtY Amendments,
ThelollaMng bulltlmg permit applications are exempt hom ur dergaing a full concurrency mahm; room musicians,
accessorystructuriss. swimming pmt; forces, walls, signs, screen roams and ersssory was to anothermn-residential use
WARNING TO OWNER: Your fat to Recent a Notice of Commencement may r R In paying ewlce for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Eounty and posted an the jobsite before the first linspitaiii. Ifyou intend to obtain financing, Consult
with ender or an shorn of a commending work or res r your Notice ofC erement.
Skins/{ oaf 6wn /levee/ car as Against for owner
Fpietu trwttw icense fir
ST $ OF FLORIDA S�Ca6�
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yslcal Prtgggrrr��y online Hatarliatlon
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Pressyssymmmmnntt((((��aaaa OnLne Noteriiation
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Name croe or making statement,
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centrally anO1ficar tlidemsrtnion_
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Type M Identification
Pa°dueea
Type of Identification
Produced
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VEGETATION
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