HomeMy WebLinkAboutBuilding Permit Application All APPUCABLE INFO MWr BE COMPLETED FOR APPUCATDON TO BE ACCEPT
COUNTY
'Building Permit Application
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Rhone, (772)462-1.553� Fax:(M-)462-1579
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION.. --
Property Tax M U_ - Lc t Na-
5rte Piarn Name: , I yf.&r k _ _ - 84ock No. �
Project ltiC�mP: + IVtr e�{C
DETA I L-ED D BC R I PTI ON 0P WORK; Y
N-ew FIeCCr iW I r ctur Second Dectrica 1 Meter
I. CQNSTR U CTION i NFOPIMATI ON:
Additional w to be performed under this perm it-ehedc all that apply:
^MKhanlc21 _Sys Tank _Gas Piping Shutters _WrrJdQwr5,/O00r5 _ Pond
:Ele Fic _PI u mbi ng _5prirWers Cjeoer)tor Roof Bitch
Total Sq. Ft of Com tructlon_ _ Sq. Ft, of Fimt FFoor=
CoA of istruttion: 11 6r[i _Sew" _SATtic Building Hecght
O N8RfLESSEE: CONTPACTOR:
mess; k. Company:— - G Jv,.c
City_ 'VIV G ql State:'Fq-- Address: t 2
$fp Code' Fax: Iul!A r '; - + r Rate: -
Phone No. -I �;k� _� zip 0ode= Fax-
FBI in fee Simoe TRIP Holder on n (0 diffeFer1# E-Mall "0 C L- Cf.
FrOFn the CMwneF listed above) State or CDunty Li tp.nse_ 31 t� "ail
of value of-tow;triAttign 4 25W or mu m,a RECORDED Notice of Commencement is requ ired_
If value akf HIAVC is$7,SW or rrp2ir�r a RCS DED Nptice of GummenceFnent is requ ired,
SUPPLEMENTAL CONSTR UCT10 N HEN LAW INFORMATION,
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DESIGNUC R f EN SIN E ER: _Not Applicable MORTGAGE COMPANY: _ Not App I iea bfc!
Name: Name:
Addresz.=� Address;
Cit-v _:51a#e; -City: State:
Zip: k=hone Zip; Phow
SEE SIMPLE T ITI.E FOLD Eke. _ N of Appl i ca h Ia BONDI N G COMPANY: Not Appl icabje
Name: Ndmt:
Address- Addr-.s{:
City:
Zip: Phorle=_ _ Zf p: PI*r&:
OWN ER/ CONTRACTOR r4FFf DVIT:Application is"nee v enadl�W obtain a permmit to do the work and i mtud1-o#ion as irrdkated.
I vertify that no work or insta,Wpon has comme•noed prior to the issuance Of 4 permit,
St. Lurie Countty makes no rC�fia�ntation that is granting a permit will;MhorwZc the permit holder to build the.subject stivourc
which is Fn aanff ict with any applicable dome pwrirr,Ass xiviroo «rubes, bylaws or and covenants tat mn ly nest ict or prohibit sr:tcEt
stfuCt:urc. Please consult wlih your Ham-e Owners Association and review your deed for orryr re-Arictions whldr may applyl_
In corFsiderati,on*f the ymting of this requested permit, 100 h-k�rtbv agree Oat I will,in alf respectx,pe fcwm#M work
in ar-cmdanoe with dre approved plans,the Florida Building Codes and St Lucie County Amprtdm"ts,
Tht�foalu"buiding permitapplicat6ons are C`Ktxnpt From underonga full concur"cy rcrViuw: room additions,
accessory sbnictur 5"mee ir1j�p4cd-h fenoes, walls,signs scfeeM r COO r'n3 and accessory uses to anothed non-tksi&-ntial use
WARN1 NG TO OVMER.Y*ur fa Ou re to Record a Notim*f mmencement may rwes0t il paying,twig to'r
improvements ti�'your property.A Notice of Onmrine ice rnant must be rimorded in the public Teaords of St_
Lurie Cour"and posted on the jvb5Re before the first irrspectior,_ I f you internd#Q obta f n f-1 r are j% comult
_ with header or an 2ttomey before corn wm work or recording ow Notice of Commencement.
Si burner L+~sa�r £ eFattor as,aen#Fir Ir oir {Liras Holder
STATE OF FLORIDA STAR OF FLORIDA
COUNTY OF + c � COUNTY OF_.
Sir#u[or affirmed)and subscrit*d Worr me of Swwor o{nr itl9rmed f and subscribed before me as
p.h sec�I Pre,s+e or Onwne Notariza#I1)rti ; Physical PreSP.FK3FL CoOrWkie Notarization
this r f ti-} � by this - ay of_ +r 2�.0 tq
U3 me-of pi2LY5on making statement_ Name of person maki rg sager-ent. —
Personally mown Oft produced Ide t} Prr "Fv Known 6 OR PfoduwcecL Fdi2nti fiction
Type of Identification f�s,;�,� Type of ld+endfica i"
Prod ' Prod
pgn re of N' air Public-state of fharida _ a ` =on
e. of Notary Putke-SRabe of Flarrda
Commission Mo. i<� ISe,all � � Na, .2;4 M j
REVIEWS FRONT ZONING f k � R PLARS VEGETATION SEA TURTLE
CO LINTI R REVIEW iivl REV I EW RE1AEW REVIEW E1,q>7
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