HomeMy WebLinkAboutPermit App - Signed■ i LTML AL
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vermx Number: SLC - 2011 0038
Building Permit Application
PldrwirV and De"doWmert services
Building and Code Regukrtion Division
230n Wrginio Av+errue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-4578
Commercial x Residential
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PERMIT APPLICATION FOR: Change Of Contractor - SCL-201 1-0038
PROPOSED IMMOVENIENT- LOCATION:8735 S Ocean Or - Marina Sfip, to.'
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Address: 8735 S Ocean Dr
Properly Tit ID Ma Lot No.
SMe n Name. Block No..
Project Name:
DETAILED DESCRIPTION OF WORK:
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no M
opt 0
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ew Metrical Meter Seared Electrical Meter
CONSTRIJCMN INFORMATION.
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Addrtional work to be performed under this permit— check all that apply:
Mechanical
Elechic
Gay Tank
Plumbing
Totil Sq. Ft of Cormtruction:
Gas Piping
. Spri n
klers
Shutters
Generator
Sq* Ft of First Floor:
Windows/Doars Pond
Roof Pftth
cost of consmmuon: Uti IItl -. Sewer Sefi c BuildingH ht'.
ONER/LESSEE. CONTOR:
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Name �-- N a me; Adam Winslow
AM revsi: I corn a : inn In
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#1�: Paulus
P fie: Fax: City, Boca Ian state.
Phone No. Zip fie{ Faic
-Mail: Phone No 561) 376-41
in fee AN an page (if dMerent E-lea-]I
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the Owner Ested above) State or County UcenSeE 1 3007387
K value Is --
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SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
D NEVENGI EER.: Not Applicable
Name:
Add: _
State:
iP: Phme
FEE SIMPLE TTRE H t
Name --
Address:
is
Zip: -1 Phone;
T Not A40ica6le
MORTGAGECOMPANY: � hkot Applicable
Name:
Address;
Cam- tatea-
ip: Phone
BONDING COMPANY: iNat Appli cable
Name --
Address:
City- ---
p: - - --- Pane:
OWN CONTRACTOR AFFI4 Applicaton is hereby ma do to obla fry a peftnit Lo do the work and imWiation as MicatecL
I ce that no work or i r IIiation has commenced mar to the n of a permit.
St. Luce Coan makes r repre n to teen that grants a perm i t wil I a r ize the perm i t h al der to bu i Id the subject stru re
which is in n-ri th a ii ble H Owners�iaticn rules bIa s or an covenants that m r or ibis such
� Pie ase l t hpHornen Associationand revie your deed for any resWctons vihkb may a ppi-
In wrtsi&mmti on of the gran Of this requested pe rm it, I do hereby agree the I wi11, is a]i nnpects, perfixm the work
i n accor& nce nth the app"wed pl a n o the R Ada Bui id-ing Cod e s an d t, Lu ci e County Arn en dments.
The foli owi ag building perm it applkabons are exempt from undeWing a fuIf commrmn cy revieW.- ran add-Iti
acre strucftjre, smmming paots� fence, wa Hs, sib, screen rooter s and a cce ssory uses to an oar non-ri deal use
WARN I NG TO OYM F W. Your failure to Rid a Notice of Cam menceme rat nrLay re suit in paying bKfice for
improvements to your proper A Notice of Cornmencement must be recorded in the public records of t,
Lucie County and posted an J ob sifte hefore the ftr t inspection. If you intend to obtain financing consult
-wft h l ender or a re attom�y more com men cing work or recardi ng y4pu r Notice of o encem ant_
ofOwner/ Lessee/Contractor as Agent for Owner
STATE OF FLORM
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-Sw= to (or affirmed) and sum bed before me of
STATE OF FD