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HomeMy WebLinkAboutBuilding Permit Applicationr , 1 ALLA?ftLA$L lljfi9 MUkf Bf E_GJM;LLL1,E1Tg_JD FOR ARP LCATf19JV 89A�MP Date: Permit Number:^091� RuNding Permit A y r &&S nggpdC,9#eKe9yl,S?pipp t►!i i9n Phone: (772) 462=1553 Fax:. (772) 462-1578 . - COCTImeI'CI21. R2SICiC'Cltlal PERMIT APPLICATION FOR: �ilLdnir9 PROPOSE4 JJ PROVEMENT. LOCATION:, Address: �� 97 d IFLOR Legal Description:.L9kek�AIY �fi195 - Property Tax I' #; �1 Q�-i111�1�a�QBil �9>9 Lot No: Site Plan Name: APARLShl LAKE FAI, RYS Block No. Project Name: Setbacks Front:52' Back: L2_2' Right Side: 24' Left Side:: 10' D,ETAILED.DESCRIPTION _OF WORK: SVINO- LLE FAMJlLY II DLO CLE tWbr*=, Lt boo no , 2 IBE0300T , J 2 BATHS JOARAGE iNO S LLAS WI LL-L BILE �B�UIO�LIT OFF RZEEM OF HOME .CONST, UCTI"ON INFORMATION -Additional work to bnrtormed under tis permit.—c ec :a 'apply: �HVAC Gas Tank El.Gas Piping Shutters �� Windows/Doors © Electric ✓ Plumbing Sprinklers E Generator W] Roof .Total Sq._Ft of Construction: �:,�m� : S . Ft. of;FirstFloor: 21. Cost of Construction: $ :.m99 Utilities:DSewer Septic Building Height; OWNER/LESSEE.'r... :. :CO.NTRACTOR: Name E_ U,IIrAIt�S�9,RP... Name;'IMA1f'RikIMLYLE ME Company: �1�Y IKE11W/Er1�RpfiENiG . Address: 999S0y►1 H LW- IH1>a Y- I -WITE� City: IP�QRT STL ILLUOI,E .. State:IFL .. Address: , ' ' �SS�Uitlhl �S IFil,1'A'IY.A _, 11E402 Zip Code•: ,52': Fax- f,77Z)OM-7 City: IROR,T.ST.111ME St6te:IFiL.. Phgne.No.l(77�') 7� 11 Zip Code; 34952 .. Fax: ((772)'V72-r7M E-Mail: Phone No. ((7,72))8786611Z- o.I in fve sIr,r ple .Title JJ0Wr an ineA [Page (J If 0i,ffeneni .t ' E-Mail : . frmmIli eOwearl lsfttl ab9yoa State or County License - if wkte of s,99.stwWmn its§25War,mang,a R=RDEiD in OkeofCommemementIsir"uim d. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DES.16>yER/ENG;INEER: Not Applicable Name:-SRAQ12NABRADEN . MORTGAGE _ Not Applicable - Name:' Address: 417M.CON111T;AVE.. City: :STiUART State: fl- Zip::34ass Phone: (T72):287,'U58 Address: City: State: Zip: Phone: IFEESIMPLLETi1TL'E-fHO DER: _ Not Applicable Name: Address: 18D;19D;ING' 'iQMP,ANY: =Not Applicable Name: Address: City: Zip: Phone:' —Zip: City: Phone: I certify that no work or installation has commenced prior to the issuance of ai permit. 'St. Lucie -County' makes.no representation -that is granting a.permit will 'authorize the'permit holder to build the subject:structure which is in conflict'with any applicable Home Owners Association rules, bylaws or and covenants that may -restrict or prohibit such structure. Please consult with your Home. Owners Association and.review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, perform the work iin Accordance with'the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARN I:N16 O OU,11lN,E111: NY*u.r lfaUune to ftwrtl a INoUce of Commerlimmenf imay ireWIt iin }your 1piayir,1g Rice fo r improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first'inspectioh. If you intend to obtain financing,' consult with lender or an attorney before commencing work or recording vour Notice of Commencement. - Lam— _ Signature of Owner// Lessep//gent Signature of.Contractor/License Holder STATE OF FLORIDA 5TATiE QF FLORIDA COU NT1Y 0,F COUN ilY O;F The forgoing instrurrien was acknowledged before me The forgoing instrument was acknowledged before.me . this of I day of D Lt GY 20 a:9by this � day of .J If C Y 20 -,-AdaIqy �%% tr fLGZJ C_ yc—c— MA77?" &—W LYL F /,Q Y�yAJ6 (Name of person acknowledging) (Name of person. acknowledging) P�Lc� (Signature of No Public- State of Florida) (Signature of Notary u liic- State of Florida-) Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification'Produced Type of Identification Produced Commission No. DOROTI(5941� BASKIN Commission No "'YPV � DOROTHYANf SMON.. MY COMMISSION # GG 030145 MY COMMISSION # GG 030145 =a S: October 2'. 2020 i ' ram; EXPIRES: October2 2620 •.... e: Bonded ThN Notary Public Underwriters _ '•oF pc F ,�.• Bonded Thnu Notary Public Underwriters Nils-eA l0%/1:5,/. . REVIEWS FRONT .ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE' COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE -0,1,VIiPr4ETfE . 1N,ITIAt