HomeMy WebLinkAboutBuilding Permit Applicationwal
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Sul d!�n� p rtnRt Ap►�la��tion
Plranning and Deaelepoent Service
Building and Mde.RequlatipnD&Wdn Commercial X— R�sid�n�ial
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PERMIT ANP! I TION FOR:
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Address: 7
Property Tax ID ire
Site Plan Name:
Project Name:
Lot No.
,.
New Electrical (Vista Second Electrical Meter
Additional work to be perfbFmed under this permit —check all that apply.-
-Mechanical Mechanical Gas Tank @, Gas Piping —Shutters Window Doors Pond
Electric—Pluriibing—Sprinklers a Generator Roof Fitch
Total Sq. Pt:of Construction:. Sq. Ft. of First Floor,_
Cost of Construction 'C .mac Utilities: ,Sewer ®Septic
Address,:Vl/ d� -�itv.. t!r -� Company P
City. /�w�_ Staife' r Address -
Zip Coda Fax; City: t fd .�
Phone No. Zip Code s
e
E-Mail;_" 7�!-r 'LYri1 ;°' Phone No
Fill In fee simple Ulo Haldcr On:next page (if different: E-Mail
from the 0w' ner listed above) State or County (icen:
if value oiconstmction is 2500armore, a Rt;+cDt��9;fS of�mran€�avenee�€s regraise
If value of HAVC Is $1,500 or more;CORDED a RIE leouce df_Comm nre�ent: is
- required.
Building Height:
Fax:
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Stater
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;FEE •SIMPLE TITI E, IQLI3ECR- . _ . Not Applicable BOI1lCllplC�:COIN'1hA111 : -Nat Applicablr�
Address Address: - -
A.CitY: City.
Zip phOnb... up: Phone
dWN�RJ COIVTttAiL� CDR AFF16VIlt..i►pplir5tiart is hereby madetoobtairra permitto do the work and installation as indicated.
I certify [fiat h, workor instaitaiiorr hasr nrnenred tsriorinthr; rssuance of a perririt,
St.: Lucie; Count�:me es no.retresentation that isgrantine a permitinn'il etr�h®r se the peKnit holder to build the subiett structure
In; contideratian:of the grariting of this requested pe,rMity 1 dtf Irereiiy aRi�ee. that I iaill, In all n ects, perform the'wark
irr accoidarice,uvith ttie approvedplans;the Florida Building Codes and St. Lucie County Ar ib-hdrnents.
The following building permit apphj* gns-ar°e exemptfrarn undergoing.a full c d' ndmmncy review. morlrr additions,, .
aceessory strucires, swirFrrrrirrg=panic warm vary{is,gu, sen rrauritis slid accessory risesto aootheP ri6t rresidential use
Ul/Al2RI1NCw Tb OVIINrn'tI;t: Vaur failure to fteeord Natr:nf Garnrtrreiicerrirartt.ay result rn: pay,ng tuuiee for,
Irnprovrnent� td yatir pt�peri�r A r�li�tile d Cdrtitneneeiment rrsus b �errof Bled iri the �u�Uta �edrds of 5t.
Lucie County and:pusted nn iie jtibsite beloY the -first `rrespret�on 11 jvr�u intendo e►btainineieirig; cntitslt
witH.leiuler or an a t:tar�rir,�r::tiefare ctiri�ra�f�iirin�:virci'rk tee° reearciine vtrur hlatic� rif_r�rrrirninerrr�!nt.
nature of Own e - nt actor as Agent for Ouun&
Signatu ��ntractor/ljcense Holder
dam,.:.:
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COtJIUT1i-OF r jr- 1iuty'
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'S to,(or_affirmed) and subscribed before me of
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into (or affimred) and subscribed before me of
{? 'zal Presari ' or _ Online blotartYation
this ay of __' - 2020 by
this dayof Z020 by
Name.of person making - haterhent:
Name.& person making statement.
Personally I(rrown C./duceai Identification
Pernally lCnowri OR Produced Identification
Typeof t ntcatioir
type of ldentifirron
::Produced.,
Produced
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(Signatu Notarscate
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REV.IEIIUS.-
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PLANS
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SEATURTLE
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COUNTER
: REVIEW
REVIEW
REVIEW
REVIbM
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'DATE~
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DATE '.
COMPLETED