HomeMy WebLinkAbout703 Bouquet appALL APPLICABLE lNf:O MUST BE COMPLETED FOR AP . PUCATION TO RE ACCEPTED
Date: Z- Permit Number:
wilding
Permit Application
Planning and DeveIOPMent Services
Building and Cqoe Regulpf?qn Division
2300 virginio Avenue, . Fo rt PierCe I FL M982''-
Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: _Z, Ct t__
Legal, Description: ILjt-�L
00c3 - (0 Lot No. Af
Property Tax ID (ci Flo - 02-'7..(,o -
Block No.
Site Plan Name:
project Name:
Setbacks Front Back: Right Side: Left Side.
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W:_
110 FX0 -5- * El �_715_a
'IT
('0 f 12.) Att
PermK-`1"'
Itiana worn to der tn's
un
1JHVAC f]GasTank E]Gas Piping Shutters
Electric ED Plumbing oSprinkler-s Generator
So_ Ft. Of First Floor:
Total Sq. Ft of Construction: -----------
Cost of Constru ion".$ Utilities, 13 Sewer 11 Septic
os
Ad&sS...—
State: AL
City,*
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Phone
Tdk,14OWer on F next page i different
III in fee simple
from the OWPOr ftted above)
Windows/Doors
Roof = Root pitch
Building Height::..
N arr A je. ter
company:
Lowe,s,"e 666tersi.!Lc
I - 31 I
P.O.Bpx- 78199
Address: State* FL
City:
rip Code: 32878-1993— Fax:
&ij 9 ,
Phone No -
E-Mail.. 4,
t GO 150841 -1
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State or County License:
------ is reqlAred.
n is $2sW or -more, a RECORDED Now OT COM11"nCO"ent
jivalue of constm
DESIGNER/ENGINEER: ___ of Applica0le
Name:.
Address', State:
city -"--
Zip: ,:_ P.hone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:.__,___.____ Phone: _
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: --- Phone:
BONDING COMPANY:
Name:
Address:
City:__
Zip: _ Phone:
t�Y
Not Applicable
State:
Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure, Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
e
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of commencement ma es in Your paying twicen the for
improvements to your property. A Notice of Commencement must be r ord d and p
before the first inspection u intend to obtain financing, consult wi len r or alto ney before
enmrnpricine work or reg6rdinAyour Notice of Commencement_
re
STATE OF kLORIDA
COUNTY OF
The for o' g in nsrr urt was acknowledged before me
this ay o
Pe r a cataro + /
(Name of person acknowledging )
Personally Vom
Type of ldentifit
Commission No
Of
x OR Produced identification
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DAT is
COMPLETE
INITIALS
STATE
The fohrgoiinstrur�,}t ,ent was acknowledged before me
this t4U—day of 20 by
Peter A Cafaro IU
(Name gf person,acknowledging )
J x OR Produced identification
Personally Known _
Type of identification Produced_
Notary puk*c scam Ofr�
Karl � - Commission No.
M PFi 9$1647MY
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