HomeMy WebLinkAboutpermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATloN T0 BE ACCEPTEDDate:Io|j20iz°oiiPermitNumber:
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Building Permit Application
Planning and Development Services
Building and code Regulation Division psh
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Name. PLC.ii`p 4i 4Ap CK€c~
Address: ticsi Tr^v€l€rf uj+i Company: i+ `+ H PLUH8;J6~
city: Fpff `?;`€AC6 . State: FL.Address: q7G J ` ei ,4vcn,z. S'.uJ.
Zipcode: 3qaJG2* Fax:PhoneNo.r71£-Li6|-J7q|City: \/¢&S Bt-4cJ` State: F¢-I
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E-Mail:Fillinfee simple Title Holder on next page ( if different phone No. __ 1.1d ` r] `T S ., 3 i a rf
E-Mail: hhp ';nvtro Gj be.llsG`Jjfr, nc+
from the Owner listed above)StateorcountyLicense: CFCL OLt ®&75
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: i Not Applicable MORTGAGE COMPANY: `/ Not Applicable
Name:Name.
Address:Address.
C,ty: state:City: State:
Zip: Phone:Zip: Phone:
FEE SIMPLE T lTLE HOLDER i Not Applicable BONDING COMPANY: j|Not Applicable
Name:Name.
Address:Address.
C,ty:Cit.
Z,p: Phone:Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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ln consideration of the granting of this requested permit,I do hereby agree that I will, in all respects, perform the workinaccordancewiththeapprovedplans,theFloridaBuildingCodesandSt.LucieCountyAmendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences,walls, signs, screen rooms and accessory uses to another non-residential use
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ecord a Notice of CommenceceofCommencementmustoobtainfinancing,consticeofCommencement
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATECOMPLETE
INITIALS
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