HomeMy WebLinkAboutdaiglepermitappAll APPEICARK INFO MOST BE COMPLETED FOR AR PLI CAT ION TO B E ACCEPTE D
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R T Building Permit Application
Planrrrng ur?d e S rv,c es
& 1iidirhp Ov)d Cvde Re:YuJa#;v+3 &Mion CO Rnr n-e rc i,3 I Residential
2�00 YOY014 AVMU#, FOR Pier[e ft 34992
Ph*ne I M2; 46�-:L5 S3 Fax=1772 � 452-1578
PERMIT APPLICATION FOR:
P ROPO ED I M PRONE M E NT LOCA-9 0 N ' • • —� � ,� — �.� --I*
Proparl+ar Tax ID #_ Lot No. d1
Site PI an add may : Mock No,
project Larne;
DETAJLED DESCRIPTJ0N OF y{V0RK.
New Elecirical Meter
Seca nd Electrical miter
kdftuna I work to he perf9rml-d wrider this parmlt — cheq* 0 that apply-
_Mechainlcal _ Gas Tank _ G-m Plping _ Snurier5 _ MInclows} UUQ r' _ iloniJ
— E lectric : Piumhing ! SprErtikWrs — G-operator Roof 1 i -Z�Pltch
Total Sq. Ft of ConsbuKtiph: 140, 0
Cost Or Construction_ � V V T NO - -
.OWN E RAESSE:
Hama t
Sq. Ft. of First Floor,
Utif ties; _Sewer _Septic. BtAfI-d I ng Height:
' CONTRACTOR:
Addi-MV A 4S j I L Kjna�% Company, F #w�?1
city, - U. 4 C-- - - 51ata, radd
Zip Cod : 95 ),- Fax.;. 1 ,+= L state: -
PhOnL96 N D. � 5I " 13{5 Vp coaw ' - 4.95'� Fax;
E- Mail; -, Phone NOM 9L - ggigI
Fill irk fet 5imp1L- Tftfe Holder on nrext gaga I if d ifFerpnt E-ma; I ti I7
from th12 Owner I isted a L}aye) State or Co4rnty License I
ff %*Iuii� OF conmI'uaoq iS 2500 fld mare, a RECORDED No{I0o CrF C0I M,0r1C4=1t F Is Fequired
If valua 01- AVC 15 57,5110 u r mare, s RECORDED NuTN;4 Qf Cammencerrrent Is reQu Ired,
S U PP L EM ENTA L CONSTRUCT I ON LI EN LAW I N FORMATI ON'
Not Apo�
Name'
Addre.ss:
Cry_ SUM
FEE SIMPLE TITUE 11 Da_o E R
MORTGAGE COMPANY: Not Appli-cable
Name.
Address:
CRY, State;.
Zip: Phone;
Not APpifEabl it I BOND;NGCOMPANY: Not Appkabl a
Name.
MOM,
Add rem
Adcl rew.
City;
CRY!
B:P: Phow
—
Zlp; Phone
OWN ERf CO NTRAC T`OR P31I)1IT: ApplKaxran t� hereby made t* obtaln a iparmlt to do -rho work and Irctana6w a5 indicated,
I OMifv thaL rw wo,-k or IrLgaligion hxs mmmetnoM prior to the Issuanc.@ of a permlrt-
5t Lucie Courdy makes no repre lion that is granting a permit will auk o(in the ermit holder to build ihre wbject shrLw-tum
whkh Is In p� nEll�t with 3�ryy�� �p� hCl ab99 YJo�C �wnee� ,�iss�efatl�rt r ul&s, bylaws OT aqc tra �wnts Chet �.0'f rift or prohibit such
st.rvrture. Feea5e cmx5uIt With ybu1r #lone Owner's Amciabon and resew y deed r anw rfsuktions wh may &PP V,
to -comWarardm of Che panting of this r*quaKhed perffilT, I do hkereby al�rQv t.hi)t I wHl, ire ail ro'.tpacm, berform tht work
r n acoordancc with the agoroved Nam, the Florlda $ul Id ft r_od:cs and St. Lud-a Cowty ArneradmWas.
The fallowing buQI ng permit applications are exempt from undergmng a full conourrerluq r2MIm: room adit s,
accessory 5gUc0ures� - w mmine pnols, fenoe:�, wiA!! signs, s[reen roornx Pnd aCceswry u5e5 to another norrrusldentlM use
WARN[ G TO OWNEPL Your falWm to kocord a Ncn1ce of Cammerrcement may rwuj It in paying twice for
Fmp rove ments to your pro p , A Noti ce of corn m encernent m Ust he rarardtM i n the p L bI i4; retards of St.
Lucie County and posted on the jobsit a before the first Ins �ection, If you i rrte rid to obtain fta nci rig, consult
with lender or_an-atrbfnefieWr a commencing work or r�cordi ng
STr I E OF FLORIDA
COUNTY OF:. 5- Li(9.
swam w Or affirm-ed I and subeul bcd befom me of
Ical Pr is eiz or OnJlne Notaeiz Loon
this _d*k of Dl tt VL_WZ . 202D hw
1; r�'% h � h I 1p, m7 6 L ` kAP -
Name of pe-rson making stawmem.
Rerson-Alw Knewn OR Prod uCad I d4LnUHC2 fan
Twe of Wentiflcadon
[51SnatUre of Nary Rbl K- SIM 'I ar;d?Frr'a ❑+�+n9Clico
NOTARY PUSLiG
CMm&W N,.(,-t OF AREA
! z%f20z-r--
REVIEWS FRO NT ZJD N I PNIG 5LJ P ERVISO R
COUNTER REVIEW REVIEW
RECE IVED
Holdcif
STATE OF FLORIDA
COUNTY ioF 4 f-
sworri. to -or of orriedl wLe! whsertbed 1�91!ore meL of
Physlral Pregence or _ OnIrne NoLarwi lon
this f44 dsy aF r a v... 4r 2020 bw
\ ( c-'. o A-
Namc all' person malong stawm"t:.
personatIV Known OR Produced I¢errtifirabon
Type or 1-dee tificaVan
ZM7-�—
J&Ignaturm of Notary PubI Ic� S[at-0 rdi I Gina
commimicm No.
RtANS VEGETATION
R EVI EWf I REVIEW
W%JTARY PiRIG S
IEOFFLORX�,,
"09164M
$EA TU RTLE I MAMA ROV E
.REVIEW REVIEW