HomeMy WebLinkAboutBuilding Permit Application 07-06-2021All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial _
2300 Virginia Avenue, Fort Pierce FL 34982
Residential ------ XXX
PERMIT APPLICATION FOR: Addition of a Two Story Deck and Two French Doors
PROPOSED IMPROVEMENT LOCATION:
4fol[lf@";
I DETAILED DESCRIPTION OF WORK:
I CONSTRUCTION INFORMATION:
ll hat pply
Lo No .._
Blc No._
_Mca
Ect
G s T
_ug
_Gas ipng
_Sprinklers
Shut
G a t----
t $ --'------- s 12 Bu
OWNER/LESSEE: CONTRACTOR:
n
op
t t l c-
a uc a --
Fill in fee simple Title Holder on next page ( if different ryffi
from the Owner listed above) u ty Lin G 8
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: MORTGAGE COMPANY:
Name; resp. sman
5228» ue
Cantero 0262 506-367-8920
FEE SIMPLE TITLE HOLDER: BONDING COMPANY:
OWNER/ CONTRACTOR AFFIDVIT:
Association aws or and covenants that may restrict r prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrict ions which may apply.
WARNING OWNER:
rt.f mn recorded in the cd f S.
L y nd d h js bfo h fis ict .If fiag,u
with e o a ttrne fo mc wk r d c f mmt.
STATE OF FLORIDA
COUNTY OF s»«toe _ _:.:......='-------------
STATE OF FLORIDA
COUNTY OF_S
own / o
(uCe
_P ce or Online Notarization
i»»rot )1oob»
Croi9_,S_Gcc
N o kg
Known dentification
T
Produced _
rn
_V_PhysicalPresence or _Online Notarization
this~day of slue 020 by
20l
Kam Hee4u
(S g Nry li-F )(( 33[487 4vs' KAREN CABRERA
commission 6. ? st opopes» {commission No. ls;k; "{&it\,"; 3,: {".5z%%.c ? ·»~s#re»esi ime
fh__ Eupwe it 0try As
EVEW
DATE
REEVED
FON
OUNTE EVEW
s
EVEW
PLANS
EVEW
VEGETAON
EVEW
MANGROVE
REVEW
DATE
OMPLETED