HomeMy WebLinkAboutSigned_Building Permit Application_Lot 28Al APPUMLE INFO MUST BE COMPLE7ED FOR APPLICAT [ON TO aE Ac SPITED
Date"
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pfam wmg uod Deetopment Sew_v
awkh,V and Code R�h Tmn n
2" %F91F1$0 AvrnLw, Fort Pky:ce FL 34982
Phcme: (772) Ab2•1553 Fat:: (772) 2.15'7B
Permit Num r,.
Building Permit Application
commercial - Residential VO
PERlw+1ITTYPE:N w Single Family Residence
PROPOSED IMPROVEMENT LOCATION'
Address; Lei 28. C cew Estates Dim. Fart Fierce. 34949
Property Tax 10 #- 14U3 t044_ 045
Site Plan Narne: Avalon Beach P_U.b.
!}rayed Name; Avalon 80a&-Lot 25 -
DETAILED DESCRIPTION OF WORK:
N" s1roe tartly re$o nt:e, Anachad 2 cat 9afage-
CONSTRUCTION INFORMATION:
lot No, 28
M k No. 2 --
Additional work to be performed uttd-ar this permit -check all that RWY=
IffMechankal ! Gas Tank — Gas Piping ^ Shutters-sewindowslDnors
Electric T&Iumb;ng ] sprinklers T Generator Roof Pw Ch
Total Sq• Ft cf Construction= 3A01 _ Sq_ FL of First Floor: 1,787
cost of Construction. $ 427.109 00 Utilities, 1 Sewer _ Septic Suilding Height' 30
OWN ER/I..ESSE E;
Address; 9508 Wi" fridge Drive
c ; Y9hndian"ere — state:
Zip Code; 34786 Fax;_
Phone No. 772.�46.4197
E-Nlad; rrkato geioyp net _
Fill in fee simple Title lic4der on next page � if dl#f�r�nt
from the Owner listed above
CONTMTOR:
Name, _ Thomas R Mriler
Cptnparry; TPM CorkstruakOn Ma 1, lrtc,
A,jd,e55. 1512 SE Vila Green (MVe
Crty; Port St IiB state; FL
ZipGode. 34952 Fa�c 772- 37 3.0$1
Phone No 772.5.727
E W ail DaL�Q l rTCrorpll o0m
State of CDunty i`aoe11seOC'O02d829
if vae of constrl+4born is $2sia6 or more, a RECORDED Ma#i[# of [o men�emerrt is rggwrad.
lu
if waf n of HVAC 6 $7.5 or mare, a RECORDED Notice of Cnrnmin[ement is feQUiM&
UPPLEMENTAL CON STRUCnON UEN LAW INFORMATION
$ESIGNEI /ENGI NEER- Not Applicable -- , MORTGAGE COMPANY: Not Applicable
I
Name: -
Address: 3M Eope eT7 Ur°x 5" 101 Address:
+: State: ft City: State:
Zip: ;kMA _ PtVWe 40764709gW Zip- Phone.
FEE SIMPLE TITLE HOLDER: VP Not Applicable
Name:
Aft-es5:
City:- —
Zip: Phone:
BONDING COMPANY:
Name._
ApdresS.
City:_.
Zip,
Phone:
Applicable
OWN E R f CONTRACTOR AF FEDVFT: App lkatinn is hereby made to ohtai n a permit to do the work and insta Ution as indicates.
I €e-TiN Tbat no -Rork or instalkaUan has Earnmenced prior to tale issuance Of a permit -
St Lucie Counq- ma kes no repfesentat ion that is gre ntins d pe rfnit will authofiFe the Permit t1plcler to build the Subject structure
which is in conflict with a" applicable Home OwnemAssociati�un rules, bylaws of and catirerwnts chat may restrict or prdNbit wth
strwaufe• Please corlsuit with your r+ome Owners Assxiatian and review your deed For iinv restrictions whkh rmv OPON-
In consMderation of the gniinting of this mquested peirnkt, I da hereby agree that I wK I rI all respects, perform the warlr
in accordance welch the aG?rrned plans, the Flarida Kurlding Odes and !R. Lucie County Amiend:rrw mt.
The ft}Ilgwi ng bu Ading pe r rinit appIaCBligns are Exempt from uncl ergmng a full concv rrensy review: roam addittans,
accessory Stfu[tures, swrtmming pc015, fen6e9, wafts- signs, S[f4 en rooms and acc,s5sa+Y uses to mother nnn-rt-Aentkdl Ir5a
A IRI�IIG TO OWNER: YOUR FAILURE TO PECORU A NIOYIEF OF COMd{EKEMENT MAY REStXT IN YOUR ia'AYIfIIG
TI KE FOR IF FROYfMEHTS TO YOUR PROPERTY. A NOTWE Of COIM ENCEMENT MUST W RIMORDED AM
POSTED OIN T E JOB SITE SEFORt THE FIRST IFISPECTX) E: TOU UWTEW TO OBTAIN FIHAMCxwiG, CONSULT
WrM TOM LENMIT OR AAL ATTORMY $EFORE "mpXi� i71F COI��IY�CI7r1E]tiFT-
/CaMra€tor as Agent
controaurlucense Holler
STATE Of FLORIDA � STATI Of FLORIDII-
COUNTY OF anC g COU TY OF
The fergping in$trurnem was acknow.ledged hefoee me
1 his day # " r� rvx 2019 by
4
Kame of person rn king Stdteelprlt-
Pemonllly Iingwh A OR Produced Identification
TVPe of WeUtifiCatinn
Produced -;
T#we For rug inSSr ent wa� k edged k}efofe me
1
Name ofperWnmaklng atement.
Personalty I:nowrr OR Produced Id.-ntiflra6bfl
Tv a gf Identirmnian
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#S..d Y Cornmisai0n�February
24. 2
REVIEWS FRONT
ZONING SUPEf "SOR
PI_AN5 1#EOFFATIION
SEA TURTLE : #,rM"GROVE
COUNTER
REVIEW REVIEW
REVIEW 1"EW
REVIEW REAEW
DATE
RECEIVED
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DATE
COMPLETED