HomeMy WebLinkAboutBuilding Permit Application All A PPUCABkE iHFO MUST BE COMPLETED FOR APPLICATION TIC BE ACCEI: D
Date- Permit Number,
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Building Permit Application
F?arrning GDOLpLW1QPW prtt 5ery 5
4! ar rng and Cave Regidavan i7lrisxm
23DO V nr mia Avenue. Fort Pwrce FL 34982
Phone: (772)452-1553 Fax:{772)4-62-1578 Commercial Residential +
PERMIT_'Ypr_New Single Family Residence
PROPOSED WJROVENOEN f LOCATION: -
Addresx: Loi 23,Oman €slates Drive,Fcc Pierce,34949
P rcperty Tax 1D 9: 7 Lot No- 23
Site wan dame. Avalon peach I3-l.l.E�. 2
Project Name. Avahon Bead�Lcc 23
DETAILED DESCRIPTION OF WORK' 7.
iCONSTRUMON INFORIVATON:
Additiunal woric to be performed un0er this permit-check aJl that apply:
-emecharlical —.Gas 7ank —Gas Piping —Shutters W"6'W'Moors
E kectric y Plumbing leurinkWn —Generator �RRoof Pitch
Tota l Sq-Ft of C onstruct>iom 3AD1 _ Sq-Ft-of Fiat Floor._I J87
Cyst of Construction_S 427.109-00 _ utilities, lesewer :Se-ptic IBuildirrg Height: 30'3'
0WNEI LESW: : CONTRACTOR:
Name Ocwm Esb des Dri m.ac- _ Name; Trerrias P Mille-
Addrew.9508 Windy Rk%p Drive -- Company:T R M C0f18WL::lW" A+lanagernont. Inc.
co: WirgJarmere State: FL Address: 1512 SE Village Green Crave
Zip Code: 34786 Fax: City. Pori St Lucie State:FL
Phone No_772.546 4197 Zip Code- 34952 Fax: 772.237-3081
E-mail,matte g o3 fP.ne, Phone No 772.9M.27 7
riH in tee simple Title Bolder lan next page I if+different E-I1+I
from the Owner Iistecl above) State or County License C CO24"
1f Value of construction is S25co or nwa,a Kcoftot o Notice of commencement is-requifed.
If vahie of HVAC is$7,500 pr mpr@,a RECORDED Notice of Commencernent is r4equirred-
UPPLEMENTAI_CON STRUCTION LIEM LAIN 11*10RMATIO14: -
DESIGNERJENCMiNEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Narne:- -- - dame; -
Address: _�$,e1 Address: 2
Gigf: 01`6d.X — _ State; fi City, State-._^
zip: Mos Ph0rje47 EA?U930 Zips: Phone-
FEE SIMPLE TITLE ACID ER: Not AppliCable BOM IDING COMPANY: _' Not Applicable
;Name- Name_
Address: Address;
City; CAV,
Zip: Phone: Zip: Phone:
OWNER/00NTRACTOR AFMFIDVIT:Appkati#n is herby made to otatain a permit to dQ the weak and instailattan as inditated-
i Cerzft tf►af na work or InstaflatQn tas COmrrreneed prior to the isSUanCe pf a permit.
St-Lucie r�makes no represent iOn that Is gfanNng a permit will aufhor 1*the{permit haidef to buiW the 5ub*d SSMHVMfe
which is In can with any a#p4tabie Home Owners Assouation rules,bylaws or and Covenants thin mey restrict 4f Pmhi6rt such
structure.Please consuh with yoarr Home Oamei s Asswietion aM revnrrryatrr deed for any restrictions whrth may apply.
In cofr46d mWm of the gra nil ng of this requested pe r mot.F do hereby agree"I will,in aH respects,perforre the work
irk accordance with the approw" plans,the Ronda Building Codes a nd U.Lucie€ou r+ty Arrwr4ment5.
The kolpwirg bu Ming permt applications are exe rnpt from u ridergaing a full spncurrenW revWw:room add,trnrm.
accessory structslret.Sw•mming pml�.fipnces.walls,signs,MFeen rp4rns alnd accessory uses to another norkresk:lrnt►al use
'WARNING TO {)WNER-. YOUR FAILUR€ f0 9fCORC A NOTICE OF fGMWNCEMIENT MAY MULT IN YOUR PA YINC
T"WE FOR IMPROVEMENTS TO YOUR PROPERTY. A N01W OF C0W*V00PENT MUST BE RECORDED AND
POSTED ON THE JOB SFFE B FORL THE FIRST t}Y$F`E 'OU i# MW TO OSTAN FINANCING, CONSULT
Wrr"YIOU tea OR AIM ATTORNEW BEFORE REf'0RD5MA0tW MDTICE OFCONNIIE EEMENT.'-
g nat uWWOOr lessee{Contra[tnr as flgerlt For Owner ISTA
We Of Co ntraCt4Y/LiCaAS@ Wider
STATE OF FLORIDA E OF FLORI -.COUNTYC!F i' 1�1 FfTY OF
The to 4inz inrtrufneat was acxnowtedW before Yoe The fpr$a,ng insk men! vra a{k otvledged before me
tNs l say of 20 N by thrS dayaf�C` 2 Eby
Name of persan mak state men#. t Nartte of perwn rr:dkirrg statement.
G
Person@4 Known f personally Known Oil PToduced ideraWk ation
Type of lr rrtifiW# gW
COf3i ANNE DEMARCO Type ofWentificatran
Produced r�or r1�NbieC-$tile of rinrido PL4A1i1'}l90serm Auyb#t 26. 2ID29
tSigAaTure of NotaryPublic-St at #Flo tire of Not r't.a d v)y public-State of rl. ids
GOmm53rOnHl4 CornmiSSron No %, p �rnmissicia EXPO{
1•'441 ryd ry 24, 21}2#
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REVIEWS FRONT 20NING I SUPERVISOR ! PUk S VECATATIC14% SEA TURTLk MANGROVE
COUNTER REVIEW REVIEW REMEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE1
COMPLETED '
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