HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TA(.*4,-,CEP"1`ED
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ilding- Per it Application
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Planning and Delv-elopment �ervices
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Buflidngand Oulule R�gulation Division
2300 Virainio Avenue, Fort Pierce FL,3"04982
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Add redSs: 89 Queers RD
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P.roperty Tax. ID #* 1423-602Rh_-0018-000-9 Lot No 9
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Address: 89 Queetis RD
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Z Code,.Fax.
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Phone No
-289mr-751. 0
f,rorne�sr listed -above'
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if value oT CO!r�Sjfruct;�n �� �� � or curb. �RE C3RDED Noflicc_ ��Commencement i;3 reauirrea,
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FEE SIN11PLE Nolillit Appl-lcab-'[e ;l. BONDING COMPANY'lliIii
Name-: Name,.
Address X-M-kon —Milli
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Not Applicable
OWNER/ CONTRACTOR AFFIDVIT:#Rt Applicationis he.rebytmade t,,,o obtain a i3ermit to do the work and installation as Mdicat.,ed.
certify that � work or installation has commenced pl,i
no to the issuance of a permist..
St. Lucie Countill.r makes ;�a re�r�sentatdon "That is granting a permit wil°, aut�cr�ze the permit hosier e build the subject str3uct�.�re
;�;�t�c� i,�� in ccnslsct v�rsth any �a�piic�u!e Home �vrn�rs Assoc��tion rules, �y!amfirs ar and covenants ehat may restrict or prohibit suel�E
structure,, Please consult �viti: yr.-).ur Home Owners Association and rev4eu� ��our deed for any restrictions which rna�r apply.
In consideratioll cat' the gran-Ung of this reques:ted per-mit, I do hereby agree that ? 6v4if, a r� a �:.ts, perform the work
�n accordance with ',-he a�pr�v�� iDlan�z,,'the Flor'dCat Bu'lalina rcd�s and St. Lui-ii-ve Cnuntv Amendments.
Tjew,�a�crsQhy fcilc�i�� b�id��� ��3�,i� �p�ca��s�r��s���r��gg :��room. ,
accessory structures, swimming poolls, Ifentes, walls, signs, Cv.reerr r��rrr� end accessr�ry uses Lher �i n ';an-tl-al use
:% WARNINGTOOWNER"'faflureYour to Record a tc ref Ciom encem-ent ayresult iyourpayingtw*ecfoie-
improvements to your �r�perty. A Notice of Comm.,=.,ncerzr,,ent_ must �e recorddau-0end ��st�c� c�r� �3�� jea}�s€te
npfore t first insr ction if vou intend oatapn financing, con with leader o)a� att6�nev beto re
comme__� i.[In work t` rec ingC3i.i3' �t,.�Ev� a?� �,o-ni;4�3�fi3C21'1'�2�'1`� y _
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Si�tlatUi`£ of Owner/ Lessee/Contractor as iagei�t for Owner� rf���i�l��'� fl� C�t??'Yr�C':��;t! 1Ge?"t5� Ho'der
STATE OF FLORIDA
COUNTY OF
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ument was aq(ftknowledgedbe�-.`ore rne
name of person making stai:ement
Personally Knox-tvin-ligiiiii.-_ OR Prod�€;��cl i����Li�ic�ti+�n
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