HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO'mP�ff 0
v STEP FOR:APPLICATION To BEACCEPTED
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Building Peiribit AP
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llQ;. Fora Pierce FL 3498Z>
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Residential
PERMIT APPLICATION FOR.-c
-I .ver Palk.; . . ..
525 NW,Pe.abbck
ftperfytax I
Site Plan Name:
Project Name: '$L
Rigpl6ao (1)g ,�Oxistih- Chill "I J - i bran
New bectricil Mator 5ep9nd E , fectifcal Meter
pimp likO.
Cof No:
BlOck No
Additio.iial w&rkIV:40,0bffqren-ed Uhder1his perrnit='chkk A -that apply
:,
ical Windows/Doors Ddot�, _Pond ..,q�_3�,Urik Gbs'P"PIN Shutter�: W -
bectric --Plum bing: Sprinklers Generator I RoofPltch
t6 f N661 #-$q;�.Ft-d C6n!ft
on :Sq: Ft"_.of;Fi�st.Flooi:
6,s: -'Sewer' Septic Building'14,�ightt
Cost of Cdns�tructi 4 7 iob."
ti We
--St ' ouqty
Name- .,.- 6.�C
Add- -3158:Will FbdRoad
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$R4;Corporate W
mpmar,
ZIP 3302
Ohdrie N65.61-E
Stag " e CdUrit
. .- .0 y Li
if Valmw of constiudion. ls.1566.ior morei.6 RECORDED -Notice dtommenceirtent-is.
If Value-& AN VC.4,VeS:`0D or Moro; a, IkECORDED Notice of Commencement is.reqUI
n
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R11"PWIPUME01M. WBN
DESIGNER/ENGINEER: NotApOUWO_ C
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MORTGAGE COMPANY: Not Appjllc-'�ble
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Name:
A,
Ald '6 B'vd
01 Q"60*g
i y': 5� ndo
CitR_
�y
city:.: I
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ZI _�2817 Phone_4O7
Phone:
zip.
FEE $W-0itf, LE-HOLDEWNot -A O" I I ta l'd"
'80NDING COMP Not A' pI"IcI bI e
':
Name.,�t W616.66untyName:
I k1dross. 3158. Will.Fee.Road'
Address:
Fort Fierce, FL
City:
21P ..one;
?Wne:772462A428',
OWNER/ CONTRACTOR AFFIDVIT:,Np _p.tpina'permifto ot 0 d
Olicbfio ls.,fie�66b.y,m§�d ''b d h VdtR -and installation at itYdicate
I certify ti%at n®work or installation has.cotnmenc2d prior to the, issuaiTce of,a permit.,
St, Lucie cou I makes . no rep-"resentation that it graptihg'a permit will authorize the'vermit-holder to build the subject structure:
1 any "applicalJ14 116rne Own prohibit-su'Ch
which is"ih toiI ith ro
suit wi Od ati6fi and review ybut deed
5truct.uret-Please'con th.*yofir Home Owners Association fo'r''a'ny restrictions -which FTfaya*pply
Co . that I will, i' 611 re�;pib
lh:' 0,erf th ri prm. e wo.r.x.
0Florida'Bulldirjg�� es, 6 " 6. u6ty A . . en rnents�
n"'- �6rdahce'wRh# _�p�bveq�l�n',th _ '6d le'c d'
1 s
The -following
building
b6il&i& permit 4,�pplications are exemptfrom undergdlng�a'fullc9ncurren 6'
room
additions;.
accessory siruures;swimmingpqcls, f6n es, walls, signs,screen rooms kc�ssbiysestoanother
Wort-residential use
WARNING MOWNER: Y6u'r fall uip 46 Retdrd t - Notice dtk6 cif C6m-ineifcement may, result in paying twice W
iraiprovePnepts to -p! o,pert .. 4 N6ti&6'6f'C&nme Commencement . cj�n.t mq�fbe'retor.ded' in the pqbk_r6cords of St.
ypur "y
-�Od p6�t�dbn the ; `b before the fir�flhspectioh.'W�du intend tao'tain financing; Lucie fiep'. si -e, b.consult
qlo!�ounty
Ira- ar,f%r an . n n V_I - rp" idinig. Cornme'n�e rnp , v hA 'frina r _ �irrimpnrinp k Or cn vour'.N6tice of ment.
7
John s h
s. twe.,win C = US-0 =-Trane
Signature of C6nfr 6. T
Ownerl Agent for Owner
Signature of Lmee/Contracior as
9 21,05- I'M20:05-:04TO
STATE OF FLORIDA
STATE FLORID
.1
'COUNTY OF z
,OYOFF
COUNT
riti, ),bn'd subkribed'b' 1�
Of0e...'rn'd Of
6ri1111[ne'Ncitarizatibh.
Swain to'(p.r.affirmo) an- t.O.kn1b�ed Wore I
esence. or
nline Nota8zation
.this ,2024 b
this z'PYC!f" 2fl7i by
WMe pf person rrWI AAembrt.
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PersbilallyKnown 09,Produced-Identificaton
personally Known ucedIdentification
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Type o Identification'
113 denti atW;1
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'Produced -6duced
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(signature crf Notary.. Pijbl ir--'St
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.Coin isiion
GRISELCORTES
MMISSION#33318753
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