HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'l f t zo Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: I✓xe
Legal Description:
Property Tax ID #
Site Plan Name:
villas Gtyi l� 3-
(- 00 3 -000 'I _
Pro)ect Name. R;ght Side: Left Side:
coi.mcks Front Back:
�t(�e for
V OF WORK:
a lCe . 1u t1 IaV� l Sac Levlooy�
-j Gas Tank
❑ Plumbing
Total Sq. Ft of Construction: Tl
Cost of Construction: $ �LJ UV
City:
rip Code: --
Phone
_ n-ec aappy:
r
Piping
Sprinklers
Shutters
Generator
S Ft. of First Floor: _
Utilities: 11 Septic
E-Mail: a if different
Fill in fee simple Title Holder on next Page I
from the owner listed above) —_
If value of construction is $25oo or more, 2
Name: Iva
Company:
Lot No.
Block No.
QW inflows/ Doors
13 Roof
Building Height:
City: M YI Yd c ri Fax: -7 i;" 4
Zip Code: 3
Phone No.
1'Ti AA { rL 0
E-Mail: '181SIZ iQ
State or County License:
L---___-'--_—
Commencement is required.
Name: - —
Address
State: -
Z-ip: Phone
iiESMAPLEM3E y Not Applicable
Name:
Address
City:
Zip: Phone
Address:
Orly: State:
Zip: -Phone:
zip: Phone:
IPE "Aim"_000,
_
,.
such
in consideration of the granting of this requested Penmt� I do hereby agree that I wk in all respects, perform the work
in accordance with the approved Ptans, the Florida nodding Codes and St- Lucre Cowan amendments
The follovaeug building pelnuilt aAPlirabwss are exaWt from wt iergving a full wrteurrimcy revi room additions,
accessory struc ves, swirrmung pootis, fences, wads. s g L%saeenrooms and accessory uses to another non-residential use
l TO OWNER: Your taRuretoRecord a _ce €� array result Fa'{r€gtarrfcefor
improvements to your praaperty. A Notice of Comrnenceme€tt muss- be recorded and posted on the jabsite
before the if you intend to obtain financing, consult with lender or an attorney before
f3`c Co rrtencement
cxemm/e/tenctJn work rrr rer�rdt�t�r��rtce� tit
4
Segnaty ags+t f� ero
re der
STATE OF FLORIDA
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SATE -
CGUNTY OF
� LiM �J 7
COUNTY OF
The forgoing instrumentwasadmowtedgedbe+`creme
-rbeforgoing instrument wasadmoxdedgedbefore me
this j'$�rat of 20� by
this of Se 2020 by
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Name of ement
Personally Known OR Produced tdertti5ratian
Name of persopwaiangstatldment
Personality Known V
oR Produced identification
Type of identification
Type of identification
Produced
Produced
{5sgnature rsf'atar taOW�t§�91i! ' E CONWELL
{Signatrue of aq
CONWELL
Notary Public - State of Florida
Notary Public - State of Florida
Commis
COlnunission Nv 964701
-
Commission No-
�f Commission�C701
omm, Expl s ug 1, 2024
Comm, Expo es Au 21, 2024
Bonded through National Mary Assn.
,
Bonded through National Notary Assn.
REVIEWS iRtiNs' - SUPERVISOR
RLANS VEGUATIM SEATURTLE i`sfiAWiRUVE
COUIER REVIE1iJ REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLE€€D
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