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HomeMy WebLinkAboutBuilding Permit Application Ali APPLICABLE; NFC)MUST BE COMPLETED-FORAPPLIOWN TO BE ACCEPTED: LUC r B 11,010g Floreoft:Apotication: bw nQ'and Deyelapmer�i Services BaildingarrdCodelt utut�oaDivfsfarr R �0111TY'1,��1`CIRl „ 23UO 0109Avenue,Dort Pierce FL 308Z Pone:(772}462 1553=Fax.(772}a6z sus CBOG.Funding PE>{MIT ARPLfCAT1ON Ft fi. ( , h�l . two > gig f k ' Address. � y a. m. t S - i Property Tax lD#:_ � ©� [:ot No Situ P1arti Nam ' Bfock No: _ �mmo. �.H ins; ^a S 1I In Oaf I.IQ u'�'�' Ne�'Electrical Meter "I Second-Electc"real Meter (Affidavit required] F "� � : Ad-clitionat,w kt 'be performed ran er this: _erm t-cHeck ail p . ..that apply: Mechanicaf' Gas Tertk .._ .Gas Piping. _Shutters VI%indow"s/Doors Pond !Electric YPIurnjl ing _.Sprinklers GeneratorFitch Total Sq Ft of Construction Sq..Ft..of First Floor...* 1124 Coast of ConstrWion ;$10 O(bo - _.. Utd�tiesSQwereptic: Building Height: t ^ : . r s Name LT ciMEMO fr,.IV T12; � - . Corns 2rGVA p � r 't cu ! _ - Corn any ;. State. L Address Zi Code• 3ak' Fax: No - ti.. Phone city + 1 .: State : 1. _ - Mail: E Zip Cdeo (F'�� fax• nd I r IW mCctSf Phone No 3J Fil(irt feesimpte Title Wofder orr rte xt page'(if different E=tNaii i`Y1.kl t Y �tic�:1 'S l`T i��t f "m fromahe:Owner.listed above? 1c 5t..� State;-or County license Ifvalue of construction isZ500 or more;a RECORREC?Notice of Commencement:�s,requiired ff value of HAVC:is$?500 or more;a RECQttDED Nonce af.'Comtrrehcemeitt is required. aEsrGNER -/ENG1lV ER�F E `licabi. Name; t Applicable, MORTGAGE..CMPANY. Not App.. Andre Name A 1.ss;' " Address. State= :'City St;rte, .. Zrp , Phone P Phan Icab1 ; FE.E„ t�U M,jT�E H©lDER.: ;Not App N t A" lr t30NdtNGCQMPANY. N"acne: p _ am Clty� ess. ... , P Zrpr _ a ,_.. ..-mow ..... 3: : OWNER �ONTRACTQR AFF[DVIT.Appltcat�on Is;�ereby made to cbta�n a permit to do th,, and(rrstaitatron a"s indicated, 1 certfjr thatrta work ar instaltat�or has commenced pnorto the�ssuanteof a permit; - St:;Lucie Coun makes=not r "' tibnthat;is"rantin a ermrt';w�il authorize the,�ermrt holder°td build the sibject:structure' tY ap.esenta p v�rhlch'„confllctslivable Homeowners Association riries�,�aytaWS or and covenants that,iri�Y restrict°ar;prohibit:;such. strvctu fie_ t'teasecorisutwth your,Homeowners�►ssoeiation and i eview;yourdeed for any restrIcE�ons which rgray app Y�. in for in accor�ddearnactei with the pproved pl , that f Will;jn ali redsmpeentst,s,0,00 t?e'woc on of the a tmg of m greeCumnanstheEbd8wldingGodes andSt Luceo ts The fiollowin building permit appllcatjons'are exempt from undergoing a futkonturrency revrew room additions, accessory„struchire ,swirn:ning pouts,fences,uvalls,signs,:screenroomsand accessory uses to artather:non resrdential'use; ' WQRNING'TU OWNER:Your failure#o Record a Notice af'Cc�mrrrancement may result m payingtwce for improvements to your property;A Notrce;ofCorrimencement mush be;reuirded rn:the pubUc records of St: lucre Gou n osted n thR jobsrte before the Jett ir_5Pection_ if ou intend to obtain financrrrg,Consult ; At sari r o : ,;. ' before commencen work ar recordiri . ourN0 JCe.of_Cr mmencement Signtur ,of Ow 5r seej ontractor,,as Agent far Owner: STATE iJRtDA...,. C'QUNTY'QF �n,.5; n� Ph sicaiPresence ar Online Notarization; Swag t or affirmed air subs_robed before me of Y , this< daSaf ? bY- Na»e of= . rsan,mak�n�;statement _ . . Personally°<Knawn �OR Produced'tden 1f bt�on pe of rdentdic ton P ced rodu (Signs_ re of Pratary Puril.ic State o iordat MITAICIA ANN CHACON issioRNo. •tSealj; �.. s `My C0r4hiy5i0N#GG367d74 .Corinrr!.._ _. - �• 4z - EY,F'IFtEB Augt�s,�°1,�023;_- "��R e•�� .'ansrCd Tiini lVohaY PulAC Unddrwt tets. -- . .... REVIE1t5 FRONT- 20NING: SUPERVISOR PLAINS NEGETAT.10111 SEATURTLE MANGRf?VE COUNTER w I:V,IEUV �REUft `REVIEIIII REVIEW REVfE1N: REV1EUtif; D,"A7E 3 DATE.. COMPLETED ;