Loading...
HomeMy WebLinkAboutBuidling permit applicationAil APPしICABしE INFO MUST BE COMPし打ED FOR APPLICATiON TO BE ACCEPTED S範凸凹@肥 @⑨哩的市野 日　出　◎　恥!]圧)ゐ・選書エ P/c,nning ond Deve/opmen亡5ervices Permit Numbe「: BuiIding Permit AppIication Bui/ding 。nd Code Aegu/。tion Divi5ion 2300 Vinginio Avenu?, Forf Pierce FL 34982 Phone‥ (772) 462-1与53 Fax: (772〉 462-1与78 CommerciaI Residential _∠葛 Site PIan Name: Project Name: New Electrical Meter Second Eiectrical Meter Additional wo「kto be performed underthis permit-CheckaII that apply: MechanicaI Gas丁ank Gas Piping shutters windows/Doors /とE-ectric Piumbing　_Spr刷。.S G。nerat。r R。。f Totai Sq. Ft ofConstruction: Cost of Construction: $ Sq. Ft. ofFirst FIoor: Ut冊es:　Sewer　_Septic Bui-dingHeight: ￣CONTRAC 十〇R: Name　担ぐ八n「臥　し〈乱し十千八らし人づてし Name: Company: Address:2 　へし∪-(し\\巾山人も (ト始山∴α二七人⊥疋乗車=」もi八子 つくテセ〆高八〇つ、込もナ「 Add「ess:G](言(つ2.洋一虹^高_i±i\)Lr,載r City:七十年圭一rC=　　　　state:虫、 ZipCode:,3Cfq承&　Fax‥ Citv:-†十・のtc-jてL王　　　　State‥圭i PhoneNo.3cJ壬-5う「-子安<亨、 zipCode:′?L(C/LISFax: PhoheNo「つ2L-Ci\C主(33ろ E-Ma。十〕地軸早計言う∈⊃ぐ「、付出㌔/ヰ E-Mail: F冊nfeesimpIeTitieHoIderonnextpage(ifdifferent fromtheOwne川stedabove) 　　　　　　　　l StateorCountyLicense〔二i}二IL\S「9L13 IfvaIueofconstruct-On-S2500ormore’aRECORDEDNoticeofCommencement IfvaiueofHAVCisi7,5000rmOre,aRECORDEDNoticeofCommencementisre ISrequired. quired, 漂饗麗題額醗 ′臆　　　　/、　一-　　　、　　　　　　　　　　　　　- 讃態灘、ノ・湊、!-・《、、意1浅　、、※真ゝ a ∴子∵ 高　子÷∴.∴思∴　三一　　　㌧∵　∴∴　買∴声享笠鳥灘轟∴∴∴∴∴　∵ 　∴.∵ 美濃　幣 謬怒発表驚、擬態諒恕護　離擬態擬態鬱擬態少額懸蝿緩溺鏡婆’顕′澱・■　′{ 竃驚IGN茎読N論E話　±￣’、諮稀講Ie’彫 MORTGAGECOMPANY: NotAp坤cabIe Name● Address. City‥　　　　　　　　　　　　　　State: City:　　　　　　　　　　　　　　State‥ Zip:　　　　　Phone Zip:　　　　　Phone: FEESiMPLETITLEHOしDER:　　NotApplicabIe BOND!NGCOMPANY:　　　　NotApplicable Name・ Address. Cjt・ Zip:　　　　　Phone: Zip:　　　　　Phone: OWNER/CONTRACTORAFl=1DViT:Appiicationisherebvmadetoobtainape「mjttodothewo「kandinsta=ationasindicated. icertifythatnoworkorinsta=ationhascommencedp「iortotheissuanceofapermit. 謹嵩謹轟轟鞘謹謹畿盤謀議譜詣鰐嵩 諜謂露盤曹操晶 inconsiderationofthegrantingofthisrequestedpe「mit,Idoherebyagreeth atiwi町naiIrespects,Performthework inaccordancewit htheapproved pIans,theFIoridaBuiidingCodesandSt.LucieCountyAmendments. Thefo=owingbuildingpermitappiicationsareexemptfromundergoingafu=c OnCurrenCyreView;rOOmadditions, accessorystructures,SWimmingpoois,fences,W a=s,Signs,SCreenrOOmSandaccessoryusestoanothernon-reSidentiaiuse WARNINGTOOWNER:YourfaiIuretoRecordaNoticeofCommencementmayresu tinpayingtwicefor improvementstovourproperty"ANoticeofCommencementmustberecordedinthepub=crecordsofSt" LucieCountYandpostedonthejobsitebeforethefirstinspec withlende「oranatto「nevbeforecommencingworkorrecor 結蔦謂豊盤霊霊岩盤′COnSu-t 葛ヂ/) [ク　　　　へ Signat　eofOwner/Lessee/ContractorasAgentforOwner Signa少fContractor/LicenseHoIder 測器昔0幣Iしノ性二ノ きモ肘措0鞘L出(-≒ 監擬叢三豊華罵eOf 　　　　OniineNotarization 雑器董萱「塁罵eOf 　　　　OnIineNotarization ≒高藤(^血七両 　　l て市浦、れしJ川(去れ了 N話IeOfpersonm青函ngstatemen千二 Nameofpersonmakingstatement. PersonailyKnown　ORProducedldentification亡2=_葵 盤書葺三a轟ivひs!」這乳 person訓yKnown　　ORPr。duc。did。ntificati。む 盤豊艶C覗附す!_lどこの㌦ 千振孟.≦ユー勿ン 臆__ヂ飯高七イ安堵雛 罵・●.“●国圏圏 。稲諒串　ofNota「47public-Stato　i S軸N繭調整墜三 REViEWS FRON丁 ZONING SUPERVISOR PLANS VEGETA丁ION SEATURTLE MANGROVE COUNTER REVIEW REViEW REVIEW REVIEW REViEW REVIEW DATE RECEIVED DATE COMPLE丁ED ev.与/6/ZO