HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)ALL
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ALL Al T1f.l6wNNE l3VM MUST BE WpP� R*�'ri.71.�:47r11A1 Y� BE ACCEPTED
-Date:
PenT-it-Number. 109 101
1
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mption
Planning ondcT3e+re(i Fti ttiSnVkes • 1PH
Buiiding and bzds"ri aivisian i 1'
2300 VlrginiaAvenue, Fort'13ierre i=i3498� " '
Phone: (772) 452-1553 far 462-B78 '�Oi�imercial RC'Sideritial
PERMIT APPLICATION FOR: To Secf frOM box, Oi& a"wf at f� �..,� a end of tine
oCtAy IV
Legal Description I {�L i! �" �tr►.�
Property Tax ID#:_:�SZZ.
i Lot No.
Site'Plan Name: 1,
)jw�_�')-� 1���F.�, 8113Llf fYii.
Project Name:
Setbacks Front Saotc: RJ#ht Side: Left, Sde:
7 M_ N
. � Tti0 tNO. i3R rS
OHVAC Tank as Piping
3 - -
_.Shuiprs Windows/Doors
{{--_Gas
- L Electric OPIUM �
SP rklers
.f
If
016"ra or Roof Roof pitch
Total Sq.. Ftpf Construction: • I
.1=t of First Floor:
Cost of co€ cborr$ i ( ties- !!
s, �sewe�51-pticSuitsiit�g-Height .,
is- ^-
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7iCade:`= Fax: " ` !
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Phone No- YGot7r-.�.$$� j
C Zip Code: (f328�8-i�i Fa
E-Nla}l:
Phone m6l'i i{ 1-8 q S
Ii in simlAe'Uete Soldw -an neit page (if W
1#a : -=tom` _--�✓` . e.,—
from the Owner listed -alcove) � (State
or Cocii�� Licbnse_ CG01509417
if �fue of co o is $2s oTi ora, 3 SiE i ffi i o
ate 1sT4q*ed.
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_ ®EStGNEi16GINfEE�: ` � Not Appllpblle T(;Aa ICOMPAY: i�ot Applicable
Narae�•v ,:�;��-:•��15• .• I Name: jj
Address:' a �.+.z++oA► I Address:
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City' ' ,�.Ar' State: I MY- i State:
Zip: Pbone: - ! zip: I Phone:
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RE'SiMPL€ TITLE HOLDER:. N& APphcaille
BO NBIN(i dOMPANY: of Applicable
Name:
Name:
Address: i
Address:
City: I'
may: 8
Zip: Phone:. '
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r
Zip: 4 Phone:
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_
t certify that no work or installation has commenced priorto the issuance of a pe6it.
St. Lucie county inakes no representation that is granting a permit will authorize Ifhe permit holder to build the subject structure
is in confiictwith any applicable Home Owners
which Association rules, bylaws odand covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your dt?'ed for any restrictions which may apply_
in consideration of the granting of this requested permit, i do hereby agree that Yjwill, in all respects, perform the work
in accordance with the approved plans, the Florida Buiiditig Codes and St. Lucie eb!uniy Amendments_
The following building permit applications are exempt fjom undergoing a full cor}Icurrertcy review room additions,
accessory structures, sw.irriming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
,
I;
WARNING TO ®i NER; Your failure to Record al.Notice of Conamertcerii� esLd t in your paying twice for
to
improvdments your property. A Notice of Commencemr !nt mu !fie r rd . and �.,., on the jobsite .
hQfnrP thA first ➢ns6PLtinri�?nii infianrl to nhi- in fin�nrinn ,.,,k�.,a i„_ ._ ,._ -i....F....,..