HomeMy WebLinkAboutnatalie permitgoo APPLPCAB
Date: �y
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LE INF '' 0 �3dUST BE COPAPLETED fDR APPL9CATION TO BE ACCEPTED
Permit Number:
DD') Uo'J 11'ne. hermit Ap��oc����oor�
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMITAPPLI
CATION FOR;
PROPOSED IMPROVE
MENT LOCATION:
Address: 17nqW i rlti,.,�., A A .._.. �,,.
Property Tax ID #: 142_8
Site Plan Name:
Project Name:
-0025-00�-
Kfick- residence
DETAILED DESCRIPTION OF WORK:
Res �denual a X
Elft
like for like water heater chainge out- located in utilihf room
Bradford- 50 gallon electric
Lot No,, —''
Block No.
New Electrical Meter Second Electrical MeterI '' .- I
Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed
Mechanical
-Emmwww� E I e ct r i c
_Gas Tank
X Plumbing
anv�
under this permit -- check all that apply:
Total Sq. Ft of Construction:
Cost of Construction; $ 1719 7n
OWNER/LESSEE:
Name.. Ster)hen R Klick
Address: 19476 Halwood Rd
^, Gas Piping
do
Sprinklers
Shutters Windows/Doors pond
,�, Generator Of Pitch
Sq. Ft,. of First Floor,:
Utilities: morWHEMM Sewer � Septic
City: Glenwood � State: MN
Zip bode: 56334 Fax:
Phone No. 6127437095
E-Marla Steve(&_kfickc s.co
Fib! in fee sompie T'Kle H0,1der on n
from the Owner Hsted 1100VO
CONTRACTOR:
Name:
Building Height:
Don-Mirand�
Company: Miranda Plumbing &AdP
ir Conditioning
Address: 750. NW Enterprise Dr, Suite 100
City: Port Saint Lucie- State: Fl.
Zip Code.- 34986 ^"
Fax:
Phone No 7728785123
E-Mail njohns@mirandacompanies.com
State or County License
If value of construction is 2500 or more, a RECORDED HAVC�9��Qce of Commencem�re uoIf va#ue o� ��,��� �� �� �g���RDED Notice o� Commencement�r�u� 0$ required,
red.
SUPPLEMENTAL CON
DESIGNER/ENGiN
EERot
Name.,
Address:
City:
Zip: Phony
STRU�CTJ.oN (.IEN LAW INFORMATION;:: .
.� Not Applicable__
FEE SIMPLE TITLE HOLDERI
Namelp
Address:
City:
zip:Phone:'
ri.T
r f -�
St a .
__,_ Not Applicable
eea�u� a SAGE
Name;
Address:
COMPANY',, � Not Applicable
state
App�icable
Address, � -
City:
Zip: Phone:
City; '—'--
Zip: Phone:
BONDINC% COMPANY:
Namp-
I certify that no work or inst��laiion has co AL IOR AFRIDVIT" Applicition is hereby made to obtain a permit to do the word and installat'on as indicated.
St. Lucie County makes no representatton that is �ran�in a
which is in conflict with any applicable Home 4w
g permit wfii authorize the permit Folder to build the subject structure
structure. Please consult with your Home Ovyners Associ�tior� ��
Hers Association rules, �yiaws or and covenants that may restrict
In cansideratlon of the g�-antin� o�.���$ requestedpermit d review Maur deed fa�- an�, r�$�rr�.�iorts v�rhich ma a
or p�-oi��b�fi s�rcire accordance wit# fihe a � � do hereby agree that I will, in all res ec�s Y pp�Y.
approved plans, the Florida 8�afidir�g Codes and St. Lucie Court q p r Rer,Qrm the work
The f011owing building permit applications are exempt fromY mer�dmer�ts.
accessary strucfiures, swirnminfences.,.
� undergoing a full car�currency review: room addit'
g pools, walls, signs, screen rooms and accessor use 1pns,
RIMING To �vV���n ���[� .�9�E� i��7 �i�� Y s �� �nothe�- non-residential u
yY
'r'�ACL� �'OR 9�l�����f��G'��'� 71'o yoQ�� ROPIERTY.I��'�'nC�� (�!� f�aRA6�[������������' � 5e
POS�'(�D 0�� �'4fiJE �t�f� SO�'E f�El�8RE �'�� i����� � �1 NalrOCE OF C052�f��(�f����� MUST��l�.� UPS Y(OUR PAYONG
TH YOUR LEND.E.R. �}i� ajU �`�l�F��'��� RECORIDI �'H� Y�C� pb��t��[� �`� ������ �B� E RECORDED .�N1D
`�C�(�� NOTu(CIE �V ��..�t�Q'k�{�9 CONSULT
re
STATE OF FLORIDA
COUNTY OFST IUCIE
ee Contracar as Agent for Owner Sr t;ure f Contractor/License
The forgoing instrument was acknowledged before
th►s 2?� day of A�►uA�Y
.--� ,zoo by
ame of
p making stato 0n*
� STATE � F Y FLORIDA
Wes. -
,� COUNTY
s
�M
Personally Known xxx � W
0 TYPe of 1dent!f1c;at*..`II"`III""""""��� oUce f ' WW
ion
Produced
Wi
i
ature of Notary Pubfic-Sfiate
COmMiSsionNo,
�d
alder
The forgoing instrument was ackr�ow(edged before me
tf']15 2_2 _ dayof lAUARY
20 � �Y
__c
Name of person making statement,
Personally Known ?� _ p� Rrodt�ted Identification
Type of Identifica��on
Produced
e 0 Notary Public.
J
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missionNo,
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REVIEWS FRONT ZONING �—_�—
____ COUNTER REVIEW SUPERVISOR PLANS VEGETATIpN
DATE REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
ev.
EA TURTLE
REVIEW
0
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TO �v
MANGROVE
REVIEW
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