HomeMy WebLinkAboutBuilding permit appAll APPUCADLE INFO NICEST IE COMRLEnD FOR APPLICATION TO BE ACCEPTED
Mil Nurnbcr:
dui Iding Permit Appiication
Rj�mrv" alrrd Dewdopment servica�
id&;Pg and wee fteyr m Commercial Reside nbad
.2300 W*ffla Annue, Pj0W FL 3349E2
Phone: (77.2) 462-1553 Fax: (772] 46--�574�
PERWIET APPLICATION FOR;
RR SED IM PROVEM ENT LOCATION:
Addr:
Propert}r Tax ]D #: — C i `- � C) * —. Lsa4 No_
Site Plarl Name:
Prcgect Name-,
FD EETAI LED DESCR I SON OF WORK,
New flectrical meter 5�d Electrical moiler
rc-6,NSTRUC71ON INFORMATION:
A0 itiorwl work to bt perfcwmed under his permit- chi all that apply:
—mechanical _ Gas Tank � G$s MPIN
ZElectrie _ Plumbing _.$prinkders
Total Sq_ Ft of Construction:
Cbst of ConstrucHun: $
43.0 Dy ?
Utilities
OWNER/ L EE:
Address: � l�,r �, �� c h�•� �
City: ?ate J V [ C Sate:
ZIp Cam: 3 s--Ly Fax:— A A
Phone No-
E-Mal: cl
FBI in feesimpiia Title H alder on next page ( if diifereert
from the owner listed ab"o
_ — BI ock FI0_ -)
Shutters tters _ I611indows/Doors _ pond
Generator _ RoGt pitch
5q_ Ft of First Floor_
: —Sewer Wldfng H[6ght-.
CONTRACTOR;
m partly: #u rKE
Address:,
Caw-
, _
Zip Code: { * F=
Phone No
Stag or C<3wy Lkensu
If V#eu-e W 4onat ruction is ZSW or nm re, a RELORUEB ei 10e 1A �mmrnr.t!mmFt is requ ircd,
tf vjklue of HAVC a $7,500 or mb;irer a RECORDED Notice of CammencerrPent Ls requ irrd.
16
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SUPPLEM ENTAL CO TRH O N U EMI LAW € N FORMATI0 N:
EER: _ Not .Applica hl e.
Na rrwe-,
Addr;
city, State:
Zip: Phone
FEE SIMPLICTITLE HOLDER: Alert Appli0ble
Name;
Address-
City-
Zip: Phone-_
MORTGAGE COMPANY- _ Not Applica bie
Name-
Address,
City:
Zip: --hone:-
BONDI N G COMPANY. _Not Applicable
Nana:
Address;
City-
Zip- Phone-
OVMW CCRVTRACTi OR J-1FFiDVIT. Application i!� "j)y made to obtain a perrfiit to do the work ared inMaILAion ap. indicated_
I cer3ify that no work W ins#allation has commenoed prior to the I r+Ot *? ;;ii "rmi�t,
St Lude rrr�v makes no rewesentation tiirat is grantin a permit will outhoriFe the perm it haLder to build the suhject !2rwv#urz!
whi0 is irr cxmflkl with any, applrcaUP. HOT* Ownr" Asyciation rules, byFaws or and couenmkU t2k*lt F"ayt restrict Vr prohibit such
strlxture_ Please consult with y%Qu r Horne Owners Assodadon and Fewiew your deed tqr iirryr i-c-AFictions which may appdyr.
I n consideratipn W the pxan ti�ng of this requested permit, I du hcrcbw agree that I will, irr all respects, perfwm the work
i n ;imixdance with the appro%red plans, Me Florida Building Codes and St Lucie County, AMer4MeM ,
Th-e roll -owing bu ilding perrn it i!mmpt from undergoing a full ooncufnencr review- morn additions,
accesswV strMclue �?rrimmiFq poDis, fences, walK signs, w.E en rQom s and accessory uses to another use
WARNING TO 0V MEI±t-'your fai;ure to Record a Notice of Commencement may rmult in paging twin t-or
im prmamar to your property- A Notica rrf Corn mencement must be recorded i n the pub I is reoords of St_
Lucie 1:5mmW a nd posted on the jubsi#e before the first i risper=tion_ If Y.Qu i mend to amain f na rice g, zmnsru It
with Ie rider or an attomey befom corrnrnencinpwork or recording you r M tic -a of Carnmence Tent,
5i
as
STATE OF FLORIDA
COUNTY OF C -•-C
Suro�n tea (or affirmed} and sub rabid Wore me of
Ph l PrOe or Oniiae Notarin too"
this . kdaya of , 2020 by
N;)r*ne pi person making statement
r5orw7ly Known OR Prcduge<l
Type of 9d"tification
(�nf urt of Alotaf} Public- State of Florida
Carrimis Nix ' � ��f � (1&P.a1)
� r+Y, v !�
REVI.EWS
F RONT
ZON I 1%11
COONTER
flEVIEW
-
DATE
RECEIVED
Fyjk F�
Rol -der
STATE OF FLORID
SW'xjWto (Kwaffirmed) and subscribed before me of
PhVsicat Pres.�n or Online Notankation
this of �} 2020 txyr
Name of person middrt@ stabernerrt_
Personally, K!nly.yn OR Prod uced id(-nbfic�utrpn
Type of Identificatilon
of hotm Pubk- Skate of Florida I
a •�
4.-
FLANS VEGETATION -5EA TLJP,'f LL
REVLEW REVIEW REVIEW ft'u I