HomeMy WebLinkAboutBuilding Permit Application ALLAMOCAaEINFO M a °z � z° U CAERNE BEAD
Date: Permit Number: \1 d d3 \
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Phone:(772)4G2-1553 Fcnc (772)462-1578 Commercial Resident iel
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Property Taos ID# - 701 - be,L/,-4 - lot No.
Ste Ran Name: S I L-V� &-V+46- Rook No. 3
Project Nam: G �'c�► 641-"14 6IF
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<on wo o o un is permit-, apply.
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gBectric t�Rum6ing O*inklers generator f�of Roof pitch
Total Sq.R of Q)nstruction: .R.of First Floor: � -76 S
.�.. Cost of Construction:$ . b O o tltititiesT5bwer DWic Building Height: �D
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Name (Z1c h,Wd + An r GW L-A-i Name: Gfl) 6-f CAST—tE7
Address -,e7b6 A/, CV PKCS5 Dr-i L4 (mmpany: CXT t 6CJw4-4 I
Qty, T&rRV6-S 7 4 gate. Address 57AFFoxo Tar I V=
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Phone No. Zp Code. 3Y 99r; Fax
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h 5' State or Cbunty License. 0(00 1312
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3 NotAppticabe x2M 2' GEQOMI _Not plicable
Name: POO, (,j(`,7X Name.
Address: lge)L4 S?' ItLj Address:
sty: 4 s* [,-Z,C State:� Qty. Nate:
Zip:3q y Phone: 7 7, z gs 9e88 Zp: one:
FEELB41ELMUFUDEMINot Applicable BONDINGMMIANI it Applicable
Name: Nave:
Address Address
city. at :
I.certify that no workor ibstaltation has commenced prior to the istranee of a permit.
3:;Wee CbuntY•makes no repreW t ion that is i a will authorise the mit holder to build the su ed�r��ture
which ism aormid with an i ee a Owi'i s , , anon jules�b tlawsor venantsthat ma r restnd r ohibit such
' structure.Please consult v itli your FC me Ownets cation and revl your deed or any restnctionsvUlticn may a ply.
` to consideration of the granting of thisrequested'pesmit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Ronda Building axdesand a.Lude County Amendments,
'The following building permit applications are waempt from undergoing a full concurrency review:room additions,
aeoessory structures,wArnmingpools;fences,walls,signs,screen roomsand accessory usesto another non-residential use
Wi4CRINGCOO�MV E E+ Efill a 151,1114,11131119111-1
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improvements to your property.A Notice of Oemmencement must be recorded and posted on the jobsite
before the first inspection. If you intend to.obtain finanang�consult with lender or an attorney before
commend work or recordingour Notice of Oommencement
4i
L4Wure of
10111 IM F C1(nttr cfbr License li
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The forgoing instr�meet was acimawledged before me The for ing instrum t was ad owledged before me
thisaO day of J 4\-N 912A1 by this day of Ao 17
(Nameof person admowiecking) FM ofson a lmowl( ng) •
(Sgnature of Notary Rablio-Sate of Rorida) (S of Not a of Ronda)
Personally Known ORPtoduaed Identification Personally Known
CR Produced Identification
Type of identification Produced Type of Identification Produoed
Gbmmiesgn No. (9ral) Commission No. �c�t1
�LINDA'l�CvtaCATELL0
MY COWASSION M FFM%1
Revised 07/15/2014
FEMSAfS FRONT ZONING SUPERMSOR PIANS VBETATION SFATURME MANGRD&
OOUNTGR RSABN FSABN FSABN REMBN REAABN FBABN
OO 2�t 1 i
ao�A .
INI 25
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE O p cable
Name: Name:" `'
Address: Address:
City: State: City: St e:
Zip:. Phone Zip: Phone:-------,,?..
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING ddMPANf.-----___NQt Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countv makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
whichr is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please 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 County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the firs ' spe ion. If you intend to obtain financing, consult wi lender or an a rney before
commenci r ecordinglyour Notice of Commencement.
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Signature o Ow' essee/Contractor as Agent for Owner Signature of trr License Holder
STATE OF DA STATE OF F RIDA
COUNTY OF —i tA COUNTY O M s1 GLS r r\1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this2j�STday ofS�;�0�4UO C_k_.201q by this 20_0 by
Name of person making statement. / Name of person ma ng statement.
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced –CSL_ Produced "bI
ignature of Notary Pu ' - to of Florida) (Signature of Notary Public-S too Florida)
DONNA MARIE GENTILE DONNA MARIE GENTILE
—AgCommission No. rFtD NO PUBLIC FF-69 r71 L r
�'� Commission No. p(��A�Y PUBLIC
-�STATE OF FLORIDA . –�0� -.STATE OF FLORIDA
7142
4'c r ires /14/2018 ° ,y ��
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SERTLp�r ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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