HomeMy WebLinkAboutBuilding Permit Application ALL APFLlC1 ALE INFO Weer BE
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Date: Permit Number:.
L610.
pfamv"Oro
Building and Chae.ftegulacian Davis on
?300 Virgi€araAnare,.art fie Ft.. 2
Rhone:(772-).46:-1553 Fax-(772)462--157a ComlTf€_rdat Residential T
PERMIT APPLICATION FOR: To.:Select from elropbax, crick arrow at the end of lure
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Legal Description- �7rt�' �I..c4 e . C Ca f cht n S G 3 a q()
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Property Tax.ID#: Z`�I l `7 O -J d q' 3 ,15 b totice. gF16►:o(
Site Flan Name--
Project Name:
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Setbacks Frant lac , R ghr Ci s: b!ft Side �.
F�
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DETAILED DESS-CWTION OF WOPM a�a lit
���� r,.
and ��s�all
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•
E, CONSTRUCTIONWFORMA-TtGW
Additional work to be gerfarmed under thi&permit.-c_ec , : aqp y: -
6
LIHVAC Gas Tank Elzm Pipes shuttevs. Wkvdows/Dcors:
DElectric Plumbing Sprinklers �GeneratDr Roof €od pi"
Total St;_Ft of CGnAruction: 7 e/ -FL of Fla-A:Fkaor=
Cost of Construction:. .- �--...-3,1 d U0-._.--._. utilities_[Sewer OSeptic uitdirvg +ei ht:
i- tit
Name�� f c� Uarl � �rt7�7P,tf.� ..C,�O, � ��' ,�jJ iC?� 4' 617,
Address: -.fin y� T 1 Co €� ��E IC AST .� WU
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City` �U�!��- .�a���. f .� ..: T� ;...
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Zip.Code: 3,3_5!7'T Fax: _ Gam: !/� csA LUCK' water
. F4g84 Fax_ 77 -343�•-8,3-% I�
Rhone No. _—.._ � Cam ------
£-Mail: g ncurse.c4a ..-...... itr
Fill in fee Mmpfe Title Holder on tw-4 pa&I if F 7�� � - -------- t�
4 ar,
from the ChNner fasted ab~) State°orCourr Uterase.:
if valcce of conmucttm is S25.W.ov more,a.REW.R.t£D rfetke.of Contmencetmot is reiplire&
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Dame:
Address: Address:
City: -State: City: State:
Zip: Phone Zip: Phone: �
FEE SIMPLE TITLE HOLDER: �Not Applieahle BONDING COS TNot Appkable
?Marne: Name:
Address:1816swBiLTMOR'ESTREET � Address:
City: - - City, 1 ��
Zip: Phone: k Zip: Phone �)
OWNER/CONTRACTOR AFFIDVIT_AppEication is hereby made to obtairra permit to do the,work an&inskaltat;•on asin&ca e&
certify that no work or installation has c"ornmenrced prior to the issuance of a permit-
St. Lucie County makes no represenEatim that to build ThesuTrjp�cx structure
which is in conflict with any applicable Horne Owners Association rules,bylaws oran covenants aatmay reitrktof prohiVitsuch
structure.Please consult.with your Home Owners Assodation and rev3ew-your deed for any restriefians 1hYfirch may ap yr In consideration of the granting of this requested permit,I do hereby agree that t will,in all respects,perform the worts
in accordance with the approved plans,the Florida Bending Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures swknni4V per,ltences�way tG;-.U14;eT-
WARNING TO OWNER:Your faffure to Record Natke-of Co enceawn t re m pavirg bwke 10t-
iM.0roveMetits to our Prow— t_�,
before the first inspection. If you iftend r€:r FffwrC €g,
commencing w rk or recordin your Notice of C6mrnencern,-nt,
51gnSTATE or RJOR"
3tUr4:rf
STATE OF FLORIDA
COUNTY OF s Lcu'E CGUNW Ors{LU(
The fo going instrument.was acknowledged before me The forgoing instrument was acl nrMedg befog me
this C�day of Ch G .2G.A0., by this,,2/ray of Cali G 2 by
MAN J MALONEY -- �� � BRM.P KALONEY
Name of person making statement � ftme—of pessm matirgsMMment
I Personalty Known x . OR Produced Identification Personaffy Known x OR Produced€dieM: atmn
IIII Type of Identification Type:of IdL-raffication
Produced iced
No(Signature of tary Pubs-State<of Ror, a) tsignaYrrre`'uf I'* �P€ -,/Staff o f
Commission No G L=� �_� (fit}
o
[,A)tea te n {Florda �
@o st 114s1
REV Z4ub. P tAFIi (Sl; NIA €IVE .
,�ssti4�n
C R Notary{pulbil of Fl nd>
i DATE Gfl lVly ComrtEI-sign Expires 111 /2Q 1 1
RECEtVE13 i _ Comrti fission No.GG 274292
DATE _._.. t €
Rev. 8/2/27