HomeMy WebLinkAboutBuilding permit applicationAll AIDIP'LlICARLF INFO MUST H' Ct. NIPLf:'l ED FOR A P i-'UC,Anc)N TO BE A0,.1:,: P7;1D
Date:
Perr'3it Nurnber:
CP
L7 ,9
Buildli rrg i)ernrMit
Ploar,;;g and Ve S,?1 j,iceK
ftii'd i',g and Cade Regulativrr j;Xvrza iri �f i;J t7 f�i E!f �k�l �' Rr. ,...
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PEl� AIT APPLICAT1014 1=OR-..__..
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Addr
Prap,aY"I T;x ID #I:.1 J�.-.__ __.�.._ ��JO __•_.. _ �—_ _.. ...__
Lot:
Site I:11:;n. Nave: _._. Wnrk Mr.
Proj&c Name:
DE.r "%ia':[) DESCRIPTIi14 OF lr",i1m RK:
im
New E ectrical Meter _ A `.�ecorirl Electrical '',leter
Add ti.:)nal 3�,iork to be perfc,r reed under this pern-ri --check all that apply;:
_,_...F,';eclfsrnicai Ga:; Tank _ Gas Piling __...Shutters V!rindouws/fbv-s F' �r1rl
__...:lectric _ PLin-bing _._. SRrinklr,irs _ Generaior _.__.. Roof
Total Eq. Ft of C:onstructiorp: '::r;i, i t. of Pi�si i'loor:
Cost :):'Construction: $ _ ���� Udlides: SeWFr• � Septic Build nE
Nara lcl 111-e M�.I
cit}'
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Fill it fee simple "Title Hoicl€ i on riext lwtge (if dutl'fr!�rent
frorin the Owner liistecl ,al o,re)
C1'1C)INTRAC_.• D,Rk
r':aMpanor:
Address: I
Zip Cade: _ Fax:
Phone a
If waINIC of Corlsti•e i tion its Mill :Ir more, zi RI r::ORDED [11(ilice of Cc rnmencemenL ii required,,.
If ►raIlia( l ff 1`1AVC is ST,500 a rno re, a PIED' RC�ED NcticQ- :-f C+ammen,cEvient is rr.�gi.iired.
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SUPPLEMENTAL LIEN l.i'''1W INFORMATlt' IN:
__.__....,,`__._......._._..._._._..�...__-._..._..—....__�.-_.1-- IM._.._._ IiACaIR.TG�,A(�f: �i�iI�rII�,AfW�--
C E".i-Il'MERIEN GIINEEFi: _ _.1A(:.t A.p)li de F°,Vr:
N a m in: l�l�►€�e:
AC;i,:it i:!'S"q,
01:Y': State: City:
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F�hO : e:
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FEE: SIMPLE 17TLE HOLI'31; 11: NotApplical::]e BONDING (C)iVlia'AW
Narne ; Name -
Address:
•r�
Zip:....__ _.._ ,._ Phr7rit:.',,. _ _�.. .. _..._._... Zip,
_._.... Not Applic:ahk.:
CI�'Gi'i'�II;;R/ C:t�l+dTIFIAI�:�"(91� �II.F'i'@�'WPIT: �&pplication its h'::rel7yr 17tadr::' #�:� obtain � F,_�rmit 1:o dc,1:[ie vaarls aric n:srtr;dlation as i n;il':atec:l.
I certifti, than: Igo work, or fnstall�ation has con,irrienced priDi' to th,;., issuance of a plenn it.
St, Lucff:! Co ir'ty makes no repre,l.ent;al:ion tl-mt i.s granting a pert -nit will authorIze tl ie permit holder to boil J tie subjert struc-ture
whic[', f:s: in conflict with any app Icable Houle Owners Ar,:s:oclation rules, bylaNrs o^ .:i id ccvienanta that: rnz� - n,.-stria oar' prohibit. s is ch
struc-:ura. Please c:)nsultwitf yc,.,r H arne C{n+r:ers Asscu:ii Cron and re�i'�:rw your [i,E:e,:f for any restrictions i.v ) c:h rrayapply.
In consideration of the grantfi;:; raf this rzequ!eiced perm!I., do hrarebyr that I wAl, fn all respects, perforni themork.
in a,:co-Aanciy wit[, the approue(J plans, the Florida Fluildi 9C:{ades and 5t. LucieCounty menriirients.
Thy: kil :awing; building permfl: ;:i� plications are exempt frc ri undergoirn,; a full cc-rc.lrrenc:yrev Zvi, room 3r:ir,litiot-s,
ac.ressc:r'y stroctur, e:,;, swfmmn rg- i:voofs,, ftrices, wells, :&ign';, scrEeen ro:.jris and acc a2- ,.ory uses to another nor resleie'ntiai use
WARN TO eA"MM You failure to Record a Notice of Carnmeincennvnt m-ay result in rlai',�tinil,. twice fori riprovements to your prapi.,tr'ty, A Notice o"CoMmenc:ement n'mist bE! recorded in'i:iic public records of St.
l.�.E�cie C��runty;and per�;t;eri �a€� 1:he j�i;;psi#e bk:f�ar•� tP�l:� firs# inspectiE:�r�, If'1r'r�Ul ir'ite:ntl to e�l:rtii in firaanE:ing, I.rinsuit
�,+ii;h I�::nderEi an a#t3tirl°yl»crr� ,,,amrrE'r� rrk far recordirl; ya�ii_fF�1;c;_, of (_orlyl:'_9er>ctiament.__._. m_--
ti ria;:rare oaf [)yar,e:r,l Lesseel1 c,ritrac*ar ass aa.1, far �i r,er _'i- nature & I:.c,ntr,a>`to�'ie F9calcie'r
51101-- OF FLiJI3:i'� DA . Sil",i!�TE OF 1:l, 0 DA
C ClIJ IIiiT'i+ G)F � COUNTY 011 L ' i Z-
Su;(,ri l to (or affirmed) and ::ut:,cribed bra€;)r,e me of
V _ lrhysical Prs::s(' c or Cinline I+ ot.arizatior
t:Fris , I5= day of 2020 by
Na.r ie of p+ rson rn1slking sta':emn nt.
Pe,::,c..allyr Known _ Y/_-- °-')R i'rrAu'ced Identifcatfr•Erj
Typri ;af Ide-litification.
rid
;Notary Public State of Florida
Cyr - Commission # GG 96676'sl
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-NITiaormmrs-siarr-Expires
March 08, 2024
RE1111;WS FRONT ZONING
I:.0UNTER REVIEW
RECEIVED
CC) IAI LETEp
eii _.:. ,' r7r�U--
Vjvrn to ic:r , Iirrrrr:'ri) and siubscribed l afcane ire of
Physical Pves ire or Orlil-K '4otarixarion
tl&t da,} c f_., 2(:;20 ay
1'411.1le of pe•::.c • Mal statement.
Personally Kresrin � ()RProducia4:i Identification
Type of Ideo ifi,:ation _ _._...—
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t.om
- RICNY GQ1iifEf $;'R"
Notary Public -State oFI. irj
--Commissiara-A-GG 966763 �I}
My Commission Expires
SLJPERII0SOII I PLANS 1,rE13E'T,A-nC➢`<l SE;P, TUF;'-LE I PAANET:C;r'JE
RE%'IF',N REVIEW Fi.I-VIE'dlf 131F11'i1lE+A€