HomeMy WebLinkAboutBuilding Permit ApplicationAil APPUCA61,01SIOQMUST BE-
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Build!g Perri t
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Phinniiig and'DevelopmentSolcfs'
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2366,'.Vlro�WbAyenuf, For.tP,erce FL 34'9
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_,RMITAPPLiCA'TION.'FOR*4joan
Rousch,
Address: 4225,NHIGHWAY A1A:23
-1428 'i2
Property T ax-I D;#:: -120,-00 480-0 LotNol;
Block No.
ProjectRame:
New Electrical: Meter setdrid 0ectilcal Meter.
Additi I onalworktobeperforr.hiid under this permit -check all that apply;
A;Windows/Doors:, _Pond
_1�as.Tank Gas"Piplig, Shutters
Plumbing Sprinklers Roof Pitch
Eledric _,�prir ers
Total Sq., Ft of Construction:* Ft. of First Floor:
Cost oftbimtrK ion:,2,500 Utilities:.sewer . Willc guilding,Height-_
:,
NaryfeJeanie Rousso
ousch
Ad4eesis.,4226N HIGHWAY Al A 2a
City: Fiytchinson,Weiiid.
e.
Zip,C.ode. 34949Fax;
Phoile'kori
E-Mail:
Fill in foe'sinip lffeOefit
fromAhe'OwnerAlsted above)
Name--T mle,Pahl
CompinysPahl Constructidn'.11NIC.
Address: 10146,78th: Dr N
City:State: FL
zip-C,9d Fax:
_
Phone N6561-$39-5564,
E-M�ahlc nit @gmailcorn:
. ',
...............
State .or CoL(rkty:,Licensec-Bc,l-26,1'o4i'
. — --- ' ` ' t* " il d
If VAUe of COWS.ii��WIIM� k 2SOO or more, a RECORDED Nbtice of COmffiencem.en.4's required.:
It'volue of HAV6 . �,$7,504,dr more, 1 a RECORDED,Aoike-of Commencement Isre4ulred.
UPI M C�NSTk1GTtQf4L 1tlfl ISURMTtiJr
St.ENMNT.
... . ....:. 5
t3ESIGNER/ENGINEER: _Not Applicable
.. .. - -.
MORTGAG,E;COMPANY: Not Applicable
Maine,:
Marne::
.Address.:
C.;State:lty
Address ,
r `State
Zi Phone
p•,.
Zlp.. Phone: :. . .
FEE,SIMPLE TITLE HOLDER Nat Applicable
BONDING: COMPANY: Not Applicable
.Named:
Address:
Address.
City.... '
City:
Zip : Plian`e:
Zip,.,.. " Phone. `
OWNER/ CONTRACTOR AFFIDVIT.-Application isk ereby made to obtam,a permit -to do the work and installation as'indicated ,,
[:certify tha't.na work or:;iristallat on has,commeneed prldr to the issuance"of a -permit:
St: Lucie County makes na representation,that.is,granting a pgrnit;will authorize the permit holderto build the subject structure
which: is in conictwith•any' applieable ;Borne Owners�Association rides, -bylaws -or and covenants that may restrict or prohibit such;
structure Please;consult with your meOwn Hoers Associatlon;andreview.your,deed for any restrictions which may apply,
In consideration,of the granting of this requested: permit; ido.he"reby agree thatl will, m:al[ inspects; perform the work
in -accordance with the`:approve'd,pians;the Florida Build r 4tbdes'and:5t. Eucie,County"Amendments..
The fallowing building'permit:applicatipns are exempt from undergoing a fish:concurrericy'review:.r<zomadditions,.
accessory structures; sWlnimirig pools, fences, walls, signst.screen`rooms;and acce saiy-usesto another non4esideritial,use
WARNING TO OUVNER• Your failureto, Record a'fVotice of` Commencement may`result in•paying twiyce.#or
improvements to your p'roperry" i A Notice of brnmericement must be recorded,iri the public records of'St. -
Lucie County and::posted otl'0 jobsite before the first.inspect>ort, If, you iritencl to obtain financin& consult
with lend r or an attorney'.befdre cornmeRcirt work orr6cordinEywr Notice of Commencement:
"Sig r Owner/ Lessee%Contractor'as Agentfar Ovuner`
Sign of:Csd'ntra'ctarjLicense;Holder
ST T0= OF: FCORI t
�h,,li�Y'COUNTY
STATE OF ECO IN�A
�g.
COUNTY OF
O,F.
5wor,wto (or aff(rmed)`a`nd subscribed before me<of"
5 r (or,affirmed) Arid subscribed before me-, of,
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