HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST M COMPLETED FOR APPLICATION TO BE ACCEPTED
Die; S —IBC-2-0
r''errrrit A u m bar:
Building permit Application
T-Yonnuarq rnTd Develc ffwn[ SeMces
Bu7&ag and Cade RegvWjvn D%#sk , Co rnm erd 8I Res€d entia
2300 WrgeniaAvenoe, Port Pwror FL 3J9&2
—
Pho�ne; (272) -9553 Fax: {77ZI 4152-1578
PERMIT APP LICATION FOR:
PROPOSED IMPROVEMENT WCATI ON: - - — -
Property Tax I D Al: 0 `i - Lot 0 "r
$ite Plan Name: Mork D�
Project N,3me:
DETAILED DESCRIP-n0N OF W 0f?K-
NPv A "— r i oil Meter $&Cond Cledrlcal Meter
=CONSk IIJCTI O N I N R MATI ON
Ad,ditforkal work to bt per(armed under thins pt n t — check all thatapply-,
—Mechariical
EIacuric
— Gas Tank
— PI u mbfrrg
— Gas Pi ping
— Spri n4dcrs
Total Sq. Ft of Construction:
Cost of CbnstrucUDn_
6 NERAESSEE:
Mdr s;
cl'tY" State-
ZIPcode: i s! Z Fax: A4A
Phone No.
_ Shutters _ Windows/Dears ` Pond
Generator _ Roaf Fri#err
$q. Ft_ of First Froor=
UtiGtbas= — Sewer SeptiC BuilcEinig Heij�I1C;
Fill in fee sirnpk Title Holder on next page( if different
/Horn the Owner End a e)
CONMACTORL
ComPanY_____i,.jA-E
A<.Id.ress: VY, 9
City: of J-,v f L
zip Code: s9vit Fax-Z
Phone No
F-M.ailf
5tatc ar Count} Lir,4f
If wa IrLe or COn0ruction is 7500 or more, a (ReCURK)ED Notice of Commencemaw is mq uh-ihd-
If valu-2 of HAVC h $7,$UQ or rrore, a RECC ROED uAie& of Cbmmz�lxtmenr is reiquked-
SUPPLE M MAL CO N TR UCTEON Li E N LAW I NFOR MATRON:
OESIG N ERJENG I NEER_ _ N of Ap l i ca b le
Name:
Addrass:
City; State:
Zip: r hone
FEE SIMPLE TITLE FfOLD ER= _ N of Appl ita b IL5,
Na me:
Add ress: - —
City:
Zip; P]larle-
MORTGA E COMPANY: Not Appikable
Mama:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Appl noble
Name;
Address_
City,
Zip: Phone:
OWNER/ CONTP.ACTOR AF!FIDVFT= .ppi (nation i:� hefetfV rn*Oe ro 01)#ai� a permit #o do the vyi)rk and installation as ineiated-
certify that no wont or installation has commenced prior to the issuance of a permit
St Lucie County makes no representation that is grant:Lng a permit wild authorize the permit holder to huiW the subject structure
C whrth ii iek an v t wl Lh any a pp2a:l bka H nme (kwrwr$ A55pcipTiQn r"IC5, t- 1pv+-� or ond cmrvnant5 #hat may Fe;trict i?r pmhaWt su�-h
Or uetuse, Plaow wnsul t •it'i -yrxar F Iome 0vmers Association and review your deed for any rests ictions whkbr may apply -
In consideration of the gran Ling 4Df this reRuesti?.rd pp.-rrni , ] flo hereby agree that I wills i n all rnspeetsr perform th,- w[Srk
in acciordanvx with &W approwed gAarLS, thu Flor Id-O Ruildi np CAodcS and 5[, LuUC CAounly An+t rdmcnt5,
ThC 1061r>Wing building permit appLiWion5 arc exempt From undergoing a Full conaurrency nzview: roam additium
accessory structures, syimm ing pwlk fences, walls, signs, 4:-.et-n roorn%and accessary uses to anothef mn-re-Lidential use
WARM ING TO 0VVNE R: Youf- fa iiure to Record a Notice of Commencement may rtSul-t in paying twir a for
:;mprov e ments to your property- A Not ic-e of Co m me nce ment m ust be mco riled in the public record's of St_
Lucie County a rid -Po:5t�--d on the f obsite Mare the first J r spe-ction_ I f you intend to obta i n Ana ncing, -co risu It
with Eende r or an attorney before corn menci ng work or r eco rdi ng you r Nvtice of Commence ment,
Signature of
��t�r ,3s Agent fu�v�nrsr�,
Sc VuLdev
STATE OF FLORIDA STATE C F FLOW DA
UNTY Mr t' I COIF NTY QF S c
5vevri to f or a#rinncd} and sub9cribed before me of
hysical Pmsen . or Unlink Npt.� rilatiOn
this day pf 2020 by
N a rni- of pef son maxing s temi�nl.
Pt•j%bn-dl]y KnOW OR Prvduoed ldentift.abon
Tyr 4dentifi�ti�on
Uf Notary Pubiit- 51Wte eff Flocid�. ] �_ � s
- O Q � L
rr ,u� �� [dal] � � � � �
REVI $ FRONT I ZON 03
UNTER REVLEW
DATE
GATE
COMPLETED
CSworn to tior affirmed) and subscribed before nr a of
fhy�Awi Prewn C 4r Online Notariza tion
this day of 4 20241 by
jName of perwn maki ng qAtement.
personaII.v Kn43win 0R Produced (den 7%%
Type of I&ntifacationProdud
�S a ure of Notarir Public -State of Florida I
"_`: -
3 5 ;
r rrlisi;Qrr E410. r �I
a ?t ti
a
RENEW I REVIEW I REVIEW
PLANS VEG,ETATK)rN SEA TO RT#_E �