HomeMy WebLinkAboutapplicationAll APIPLI CABLE INFO MU5T 8E MPLETED FOR APPLICATJON TO BE ACaPTED
Date- P=it Number:
Building Permit Application
Planning aad Devekpr )ent Se'wcex
J3a ldxnq ww Code Pegdabu? &wvay Commercial Residential
1:f la 1lrgil Avenge, Fr# Pierce FL 3&9&2---
PFhone: (T72) 4G�-155� Fax: M2) 462 lS 18
P ER IT AP PLICATIO N FOR:
PRQPOSE D I MPR01fWENT LOCATION:
Prnperty Tar€ ID 3!-
Sete Plan Name:
Pr*ct Name:
DETAI LED DESC R9 PTION 0 F WORK _ ---
z-f-
Ncw Electrical !V!4-ter Second Electrical Mater
CONSTRUCTION INFORMAT10N;
Additional work to b--- perForrned under this permit check AI that.3pply;
(Aff-rdavit requiribd)
Lot No. 3 t
Block No.
_Mechanical �-. Gas Tarok _ Gras Piping _ Shutter$ _ windows/Doers _ Pond
Llectric Y Pl rrF�i r _ 5prinzlers Generxtor Roof Pitch
otal $q_ Prot Construction: r� _ S+ . Ft. of F-rrA Floor -
(log of Construction- 5 � �'rNiti-e5= _ Scwcr _ Septic BuiWing lief e.ht
ERAESSEE:
Na rr
r
C
zip Code: 'f ii Fax:
phone No. r 3 7 �
F-�Ilail:•-- ---
Fill in fee sirnple Titf a HeIcler on next page if difftrent
FrOM the Owrtii�r listed ahovia)
CONTRACTOR.
Naive- -
cORlptiirijr: U
Stater
Zip ode- I yf Fax;
Phone No L 14
State Dr Cotyr License_ ` urr
if value of eoFKMZti13rt CL 7.50a OF mom a RECORDED Notice of commencement i& rt qu i�rd.
rf value of HAVC is $T,StA or more, a RECOR]]FD U tke of Com mericemerrt is required_
S U PPLEM ENTAL CC N TR UCTION U EN LAW f N FORMA-PON,
YESI GNER f EN GINI` ER; _ Not Applicable
Narn-e=
Add reSS: ' - —
+ , State:
Zip: Phone
FEE SIMPLE TITLE HOLDER; _ Not Applicable
Name:
,add ress:
City_
LP: Plhone=
MORTGAGE COM PANY: _ Not Appl ica He
Name_
Address:
Ciy=
Zip- Phone:
BONDING COMPANY:
N-ot Appl ica b4e
Name:
Address- — -
Cxty- —
Zip= . -• -- P*IOrle= — —
OWNMI CONTRACTOR AFFIDIJIT_ AppIif:.iitVn i-. hcrcbY made to obtain a permit to do tlsi!� work and ins#allatiorr as indicated.
I certrfy that no work -or imUll;illoi bas commenced prior to the isspane.(- 01;0 permrt.
St Lucie Court m.0 kC'ti ng representation -that is granting 3 permit will aixtMrize She permit Braider to build ffic- sut;jed s#ructwe
which 11; 16 Wriflict with anyr app;lcahle Home ownfY!� Amu-datiorn ruses} bylaws or and oawenanU that rroyr rcArkt -or prohibit such
struOu re- Please consult witfi y,aur i amr : Fwrs Association and review your dertid tw any eestricdom which may apply_
In consideratico cf the gmeiting of this guested permit, 3 do hereby agr(* #hot I vyill, 0 al! respects, perform the work
in 3cowd'sm with the approved plans, the Flofiil$ I0Idin¢ fides and St Lucie Cuunty Ampmdmentc.
The foltowing building permit appUfAti<:ins are exempt h-Dm undergoing a full conGjrr-ency review-. Toom addilic s}
accessory-Muc.,"res, swimming pools, fences, wraps, sins, soven rooms and aacessc ryf uses to another non- re -+den ial use
WARN tNG TO OVIAN.ERL Your failure to ReLmd a Notice of Cummenmmimnt may restitt in payiig twits for
improvements to your property- A Notioe of CQm€nen cement must be recorded irw the public records of St.
Lurie County and posted) an the jo idea before the first in5pectl ort- If you intend to obtain Financing, wnsult
with lender Qr an att-orney before coma -Lend ng work or repo riling you r Notice of mmencernent-
i
a5 Agent (or Owner
,Sworn ko for aifirmedj anq subscribe d be c me of Hh�sica I P're noe oe —_. Online Notaraatie n
this _15 day al _ , y 20 e, t b-I
Name of pP.ry" rr,-kang sta meat
P�ers�Fn r`KY3own- O}R Produced ideirtificat inn
TYReI ntification Prod ur�d
•.iSipLnaE f Natwy Public -Stag i)f Flea I
Corr mission No- 9 IL� lij') j5e2t�
F RONT
COUNTFR
N.W AAM ST 5rM MA
rkWFY PUNW. - Staie of FknZ
�gfflRwa:" r GG 26419?
k -0r rti. IN CWW- URes DEC 13. 7 0 7 j
5andLA 4hra* hWtk I Sol &:Y 4w _
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