HomeMy WebLinkAboutBuilding Permit ApplicationALL At'PblEAt.€ Li d it -W 9� E9j eLEf Efl je:9R klE �i9J� 1fi�9 t$f �� �9 /)
Date: Permit Numben' �f 0 P
P owing perm, it.�0plic
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910 YSf lfdiQAylefly0r h9pt P191ne 4 9-0§
Phone: (772) 462-1553: Fax: (772) 462-1578 . commercial Residential: X -
PERMIT.AP,PhJCATION .FOR:: �
PROPOSED MM,AOVEMENT-LOCATION:
Address:- I070
Legal Description:. §/7 §4 9 LI) fh?fflt-RAA IlYii 9 -►, QAkANt_ DIY of 114-
Property Tax ID # 11W-4 -11 1,-0001409/0 Lot. No.
Site Plan Name: §RAN I I -A-§ IEA'I AY§. Block No. -
Project Name:
Setbacks FrontP? Back: 27"_ . Right Side: If Left -Side: P''
DETRILE'D. DESCRIPTION OF.WORK:
LN10 —SLAS WILL BE- OULT Off UAR Of HOME
I.CONSTRUCTION INFORMATION -:.Add _
�itiona wor .to e e orme --Under tis p.ermit.=checka �app y: QWindows/boors..- - - .
HVAC []GasTank Gas Piping Shutt_
Electric Plumbing Sprinklers GeneratorRoof.
Total Sq. Ft of Construction: 2. 7� S . Ft: of First Floor:,227�
,Cost of Construction: $ $.;900 Utilities:cSewer LiSeptic Building Height:.
4WN Eft/LESSEE:-
CONTRACTOR:
Name iPa € �W,I��pli c Rf�•.
Nam. .
e: 11 iTTth Q►��Y�4-MINN-
Company: i Y INLE L9W/LR:LQPjV NTMRR.. .
Address: KN00'&QUITH WS HAIV, I.- 6UiI LE
City: PORT -ST�L. OLE . _ State:IFLL
Address:.&8= -0.UT�I; U IHWY. iI . W►hTil A02
Zip Code:. :.. Fax:07-2) W § W
City: ROWT V.- WORE State: IF
Phone No. 07g).07 -451 .:
Zip Code:, 52 -Fax: (,772) M-.76W
E-Mail:
Phone No. l(779)$7a-65110
Milpfeg3? tp�eTi ielkJ9 P-r9 1eJ l�of ki &rat
&Mail:
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State or County License- CC-109�
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SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMATION:
_ Not Applicable
Name: IBRADEN,&iBRADEN
Address: 417000CONUTAV.E:
City: STUART State: !FL
Zip: 34996 .Phone: (T,7.2):28.7;8258
FEE 5.11 IPLETITLE HOLDER = Not Applicable
Name:
Address:
City:
Zip: Phone:
IMORTiGAGECOI1l.IPANY; _ Not Applicable
Name:
Address:
City: State:
Z,ip: Phone::
Name:
Address: _
city:
Zip:
Phone:
_Not Applicable
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 permit will authorize the -permit holder to build the subjectstructure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that 'may -restrict or prohibit such
structure. P.lease 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 I will-, in all respects, perform the work
,in accordance with the approved plans, the Florida Building Codes and St. Lucie.CountyAmendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessorystructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
'WARNINGTO:t)SiJi,NER Your Milwre.tto,Record aiiNnticeofCommencemQn3imayiresultiinlY.our►prayiiIZ-t iinefor
;improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording -your Notice of Commencement.
_ Signature of Owner,/ Lessee)/Agemt Signature.of:Contractor/License Holder
:STATE OF FLORIDA STAITE OF IFLD;RMA
COUNTY OF 5,4: COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L day of �C.l C N 2U oZ_,by this � day of J u c: `>/ 20�-o fby
(Name of person acknowledging)
6
(Signature of Nota ublic- State of Florida )
Personally Known �OR Produced Identification
Type of Identification Produced
Commission No. ,•'�"" ``' •,, DOR RRNNBASKIN
MY COMI%UJIION # GG 030145
EXPIRES: October 2.2020.
keyutsed c07/1:5120T
_j1n&-w LYLc WyN!Uie
(Name of person acknowledging)
(Signature of Not ublino- State of Florida )
Personally Known 1✓/OR Produced Identification
Type of Identification Produced
Commission
MY COMMISSION # GG 030145
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