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HomeMy WebLinkAboutSand Dollar Shores Building A Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: LYLY I A0V Permit Number: �`4Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial ,_. _X Residential 2300 Virpinla Avenue, Fort Plerce FL 3498.2 Phone: (772) 462-1553 Fax. (772) 462-1578 PERMIT APPLICATION FOR: Address: q • •• l • •y 1i/i /11 .r • R • ,....• ate• • ! . V V V V Y Project Name: 'f0 COr+'�rwOf� RQ. G�. New Electrical Meter, Second Electrical Meter.. ---(Affidavit required) Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tanis _ Gas Piping _ Shutters w Windows/Moors _ Pond Electric „-,,, Plumbing _ Sprinklers — Generator — Roof — Pitch "fatal Sq. Ft of Construction; Cost of Construction: $ j2,,3,3 . ? � Name mock,-),r 11a,- - e3re_S Sq. Ft, of First Floor; Utilities: Sewer _ Septic Building Height; City: A li e n each_ State:r� � Zip Code; V.q! -7 fax: Phone No.._2 .. '3 - 5s E-Mail: S11,4d JrSk 6) )Let Fill In fee simple Title Holder on next page ( if different from the Owner listed above) Company: addres/664) 11,e . Cg 1 Ave_ City:! -Pb zloel 1 0. .k. 92 t''..lr► 5tate.,w.C. Zip Cade: a2., Fax: E-Mail Fla CICT 4f,D CQr -;'J GMCt) QW Ig Stat© or County License C & C 1Y —73 -� 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, VVVIIICKf A.,VIY 1 MAIL UK AIMM VI I'. Application is hereby made to obtain a permit to do the work and Installation as Indicated. I certify that no work or Installation has commenced prior to the issuance of a permit. St, lycle County makes no representation that Is granting a �ermlt will authorize the permit holde to build the subject s r et:ure which Is In conflict with any applicable Home Owners Assaoclation rules, bylaws +fir and covenants that may re trlct or pr�+ I It .such structure. Please consult with your Home Owners Association and review your deed for any restrictions whic�i may apply. in consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The fallowing building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wall*,signs, screen roams and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement May result in paying twice for improvements to your property, A Notice of Commencement must be recorded in the public records of St. Lucie County and osted on the jobsite before the first inspection. If you Intend to obtain financing, consult witl 4mder_or 0Jjorney before commencing, work or recording your Notice of Commencement. as Agent for STATE Obi COUNTY OF Sworn to (or affir subscribed before me of Zphysical Presence or Online Notarization this day of ed and J 20U by Namt� of person making stat6ment. ` — — Personally Known Y _ OR Produced Identification Type of Identification Produced (signature of Notary Public- State Commission No. A& 939 t (seal) REVIEWS FRONT ZONING COUNTER REVIEW Notary Public state Of Florida Afettandra Kusen Exp vas t0112salon22 239381 SUPERVISOR I REVIEW I VEGETATION EV EWI S REVIEW I MANGROVEREVIEW