HomeMy WebLinkAboutBUILDING PERMIT APP - 5310 Deleon Ave All APPUCABLIE INFO MUST K COM PtETEU FOR APPLICATI CNN TO BE ACCEPT-ED
Date: 16 121f/Z 7 1 Perm i l. Nuinher:
`I - r
4
-UV W- -y Building Permit Application
� ���� errt rvi�es ,••
evifdinq and EndL-ReguWtlarrl 4prr Commercial Rt�51dun#EaI ✓
23M Yiryinra Ave me,Fthrr Pk-rre ft 34922
Phow- (7 72)4 ,1553 Fax- 2?462-1578 CB DG Funding
P E R MIT APP LICATION FOR
PROPOSED IMPROVEM ENT LOCATION:
PropL-rty Tax ID ilf: LIC Al - 11 3 Lot No.
Sift' PI•an Ni3 rm2- _ Block No- , 4
project f�a rr�e
STAPLED DESCRIPTION OF WORK:
-- --- �,•�'_ .LAY �.�
New Flectfrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Add itii aI work Cep bel perforam2d under this permit -check all that apply:
4 Mi�charkica I _ Gas Tank — Gas Piping _ 5hutte rs 'W irndoxvs/Doors _pand
+ le roe Plum Bing __$prinkler.5 _(a a nerator 'Roof )Pitch
TotalSei_ Fat of E:aps ruution_ _ _ :9. Ft.of 1 rrst Floor;
Cast of Constructon:S ,� 06. OC9 Utikities; _Sewer eptie 13 u ild ling m6ght:
D 1?NER LES TE: µ CONTRACTOR., --
w m-e + _ Name: TLiZk A�f A�_A
Address"3 � NA Corn ply.
City: ,L'0 9T Ph!Iced Stare: Ad4dre ss;
zlp Codm IL4 Faic cirY= flip_f P14 A Sta# ;
PhorLe No, 77 2^S I Zf- j/3 E� 7ip-Code= . Fax: _.
Mai L.jh;S� T 08a CS A i:j Y z.1-C JC,�.jArL Cc Phone No 77.2:_�5-rd?-g? 11e-)
pI II in f"slmple Title Hakler on eel page frf dH91'arent E-Nla ik Y�,l� ,.� �,� �r�� L t TY1_L-C IL { �:
from the Owner listed above) Stag or Co u iity Licens-e C. i:�,: s El
If value of construction is ZSOQ ar more, a RECORDED Niatice of-Commencement Is requ Ired_
If valve Qf HAVC is$7,500 or more a RECORDED Notire of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,
DESIG N ERf€NG I N€€ _N of App I ica b Ise MORTGAC E COMPANY: _ Not Ap plicab I e
p
Na mez
Ad dress= .Jb- Uj A �"IEI_ kxf, � - Ad d ress:
City; CL.A 91 a-k r-AoLa T State' Fzy City: �StalR:
Zip. a ALL . Phorne _ Ua s—n q zip, , Pill i)ne.=
F E E SIMPLE TITLE HOLDER. _Nut Ap plicab le BONDING COMPANY. Not Applicable
N erne: Name:
Ad dress: MclfeSs:
C Ity' City:
Zi p; Ph ern e= ZIP- Rltione:
OWNER/CONTRAC fDR AFFIDVFT: Application Is hereby made to ob Loirr a permit tv do tM work and Gmtallatlon a5 Indiut-io d,
I certify that no work or knstallatlon#has oommcnced prior to the issuance of a permit.
.St. LoCi-e C4ujity jyoke-,no rLWrL-,entativn that is antiR a penm.twill authorizp.the P�-Y"t holdu r Lo build th-P subject srructure
�whach contlicts with anjY app irable Homaoum�rs q•�i i(3ri fwIB,Wawa or and covenban�that may restrict or prohll)i! swell
structu re- Please consult with yrp+ur F{omwwners Association and review your deed for anyr rp.strlOL-ons which maw apQlyr.
In conside-ration of the gtaotirlu�of this requested permit, I do Mrehyr agree that I will, In all nespLcts,perform the work
in accordance with the approved pkansr the hharida Building{des Bind St. Lucie Cou my Amendments.
1 he following building permiR aF)0h Wtivn5 a re exempt from undergoing a fu II conuurfencyr rewlew' room 06di;Lioris,
actezar-V structures,swirnmieg pools, fences,walls,signs,scre.p.n iooms and aoteswry uses Lo another non-residential u�,-
WARNING TO 13WN€It=Your failure to Record a N otIce of RiQi'r'Imenrernent may result in pwortg twice for
improve menu to you r property. A Notice of Com rm encement mu st be -recorded i n t he publ i e records of St.
Lucile Co-Lnty am d poste4 1)rf the jobsite before the fi rst i nspection. If you i nte0d to i)btain fin a ncin& consult
with Iendpr or uL=orriey before ecim rye n6ng voork i)r reourd i n$ you r N otice of Co m me ncern-ant. _
Sig n �fC_ontrActi)r,)sAKurlL f43r Owner
5 V E OF FLORIDA
DA
COUNTY OF _ST Ll
Sworn to jor arffifined)and subscribed before me of Physical Pm.wrice of UPI ini=h ota rization
this 2Q9, day:of r{ TR . � .;. by
5--VAe AVAILrx
I
flame of person making statsuient. — --
I
Ptx sunally Known QR Produced identification
rype cf Identification Pro�duce6 irSr
i
Si atura of hiotary R C--State of Florida}
Corrtmissian Na. (1w) `_ opm;M IM� 4��►R-
REVIEWS FRQWr ZONINri SLJPERVISO $ PIL NS VEGETATION SEA TURTLE MAMrPRQVE
C.00INTE R KVILW REVIEW REVIEW REVIEW RFVIFW REVIEW
DATE
RECEIVED
DATE I T
..._ ...
COO PLFTFD