HomeMy WebLinkAboutBuilding Permit Application A4 APPL08LE"INFO!IUIUST'BE CdMPLM6 FOR APPLICATJON TO BE ACCEPTED
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Permit Number:
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Building PdrmitAPPIlitaition FEB 2 7 2ow
06nrng'and"Development services
Building ond.cade Regulritign bivislon PER
2,700 Virginia Avenue- Fort.plerce FL 3�49N2 Mil7ING
St.Lucie County, FL
Phone;{77'2)462-1553 Fax::(772)462-1578; Commercial
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APPLICATION,X017:.
Renovation
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Site-Pian Name: S I ir( Lot No,
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Total Sq.`Ft of Constrdction:
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'Name' D�WG f, t' el iJ f��
Native Jusl,n thiary
Address: ,S B�V corn an Island Kitchen
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City;slfJ4�14,�N1 t� l Stafe;Fl Address 2340S1W Giarieston Dr:
Zip Code.. Fax: i��Gt Crty:.Poft St l uci F i
Phone No. 12, 23�1-"13 4
34x52 State;
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E tvieil; Yl GI.. . Phone.No. (772)6784249
Fi11!vies simple Title Holder on,ttext a e if,different E-Mail: ithie kb
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^from the Owner listed above) CC12S9508
State or-County Ucensp
If value of topstruciigtt 1s;$25o0 or more,a.REGURDED Notice of:Commencement ls.required
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,rJ PAY �`' + 1 �`Rt#G'T k"Ll l.AW IN bFtMAT� l
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DESIGNER/ENGINEER: ' Not Applicable MORTGAGE COMPANY:
Not Applicable
Name: Name:
Address: _ Address:�
City: States City: State:
Zip: phone: Zip: Phone:
-FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING OMPANY:. _ ,Not Applicable
Name: Name:
Address' 'Address:
City. City;
Zip - Phone: Zip: Phone-
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation-that is granting a Aermit will authorize the permit holder to build the subject structure
which is in.confiict with any applicable Home Owners Associiation.rules,bylaws or and covenants that may restrict or prohibitsuch
structure.Please consult with your Home Owners Association and review your deed for:any restrictions which rnay.apply.
In consideration of.the granting of this requested permit,I do hereby_agree that l will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Codes.and St.Lucie County Amendments,
The following building permit applications are exempt from underfloing.a full concurrency review:morn additions,
accessory structures,swimming pools,'fences,walls,signs,screen rooms and accessory uses,to.another non-residential use
WARNiNG TO'O.WNER:Your failure to Record a.Notice of Commencement may�result in your paying:"ice for
improvements to your property.A Notice,of Commencement m6s't be recorded-and'pdsted ori.the jobsite
before the first inspection.If you intend to obtain.financing, suit with lend gr'or an attorney before
commehC' or or'recordin once of Commence ent. 1
�Tn A A�J
e
ignature of Owned Agent!Les ce SignattAdontractor icerise lder
STATE OF FLORIDA TE OF FLORIDA
COUNTY Of st. UNTY,
The f ' oIng instru"ment.was acknowledged before me The for oing•InstrurrYa-en was acknowledged before me.
thls„��` day of _LL jq� 20 to by this, day of , 4-�vv. ,,.20 by
_. i U�1 3. U -: 'F•I .Y f� JUsOn Thiery
(Name of person.acknowledgi ) (Name of person acknowledging.)
(5 gnature of Nota to of Florida) (Signature of Not ublic-State_o orida)
Person OR Produced I entif"scation Persona notion x i OR Produced identification
T identificakicrh'Produced_ .
Typ entrii^^fi�catiojn Produced L L yP
FF t011V r tipRYAUB
Commission No.. o�Aa.pNl C ELRAAZ .0 m ssion Na. e�r "% i EIN#FF
*MY COfh ION#FF 904140 * M1�8WION#FF 904140
EXPIRES:July 28,20019_ Nr EXPIRES:July 28,2019 x
jATFOF F`N Bon B -�lrEVdBI'1"• OF rt
Revised 07,1.1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE .
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INiTlACS