HomeMy WebLinkAboutBuilding Permit Application All APPtICABLE;tNPd:ftifiUST BE COtViPEETED Ff1,R APPLICATION TC+SEAt,, .
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Date.. Permit Number.:' . 00
KI1a UL RECEIVED
Building ris�if AP, l 1 JAN 2 S 2022
s P rpica
Planning,and Development Seryiee.5.: St.Lucie County
P witting
.'Building and Cade Regu/viron D vrsion Corrim:er..ciat: Aesid,tlfil �
2300:Vrr4iriip Apenue fart Pterce FL 34982'
J?hone,(772`)462=1553 E.ax:(772).462=zs.7s CB'DG Funding:
'P.ER'MiT APPLICATION ;FOR,
PIOPOSD'!MP'ROVEIIEIT'LOCATON
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Address
Pro a .... ax 1C3#l.} i � U 1:' I�. 1
p rty l _ Lot;No ,.
Site Plan Name-". BI Protect Name:
aDEfAlLEa [3ESCRIP3TIdN O uvoRKt
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New Electrical Meter Secorid.Eiectrica[,Mete (Affidavit required)
,C(3t�tSTKUC 'Pt}ftt #NI�CiR1"A 'IONVZ
Additional work to be performed underth Aspen check;all that apply,
_Mechanical G4tJbhk: ;'Gas Pi i g _;$KottdHi� Winclo Dodrs __,__Pond
Elbaeftk'l =Plumbing; Sprinklers: _ Generator Roof, Piteti
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Total q,Ft oCartstruction„ _ l '. Sq Ft:of 1=irst: loor_.
Cost:ofGonstructian:,:$° `ial `. U,tilitie : _Sewer _,Septic Wilding Height::
}WNER/LESSEE 5 COITftACTOR '
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iddress; ,V c�' Company b
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Or, ,�3 ,` � State x Address }_. �1ail
Zfp:Eode., IT. fax . City: I i+� li E # State:
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P..hone`No . . ode C
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1.Fill in feesEm to Tttte�Ho#derr;or�next a e �f, hfferent' E Nlail.. ,i� t
from the Owner I(sted above -,State or Caurity Ucetise
if value�of construttian�s'2500:0�more,a RECORDED iMotice of Cammencement�ls required.•
if value of HAVCA$$?,500 or mare,a RECORDED°rVotice;of.Commencemen As required:
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aSUPlwitlfEhITALCC}i+ TRllCT1C�kU t. Et 'LAUC�SIIFt�'RMATICIV
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8 DESIGNER/ENOINEE11r l Not Applicable- _ MORTGAt�E COMPANY-� V Not Applicable:
+ Name: Name:
Address: Address:
City state.. City State: .
Zrp Phone Zip; Phone.
fEE SIMPLE TItLE:Ht31 DER —Not;Appficable I3 NDING CGiMPANY —Not.Applicable
Name::
Address, Address:
City: City:
,
Zip: Ph"one Zip:. Phone-' ,
OWNER/CONTRACTO AFFiDVIT:Applicat on is heret y made to�obtain a peimitto:do thevork and installation as indicated.
I certifythat.no work•or,installation has commenced prior to ile issuance of a permit.
St.Lucie CoUnty:mjI(es_no_representation fhat is granting a permit w3A•authorizethe{permit holder to build the subject structure
which cbnfiicts with any;apphcable i-lomeovuners Association,rules;.byfat,or:and couenantsthat may restrict or.prahibit such
structure:Pease consu t,wrth your:Hpmeovuners°Asspaation and review your deed for any restrlcttons.which tray apply:
F In consideration:of the granting of this requested permit,1 do:ptereliy.agreethot(wilIJn:all respect%.*0eiform the work
inaccordancewth file approved.plans,the Florida Building Codes and5t:Lade county Amendments:
The following building permit applicationsare exempffrom.undergoing a,full.'concucrency review:room additions,
accessory structures,swimming:pootst fences,walls,,signsi screen rooms and;;c essory uses;to another non resideritial`use
Ul/ARNt[�G.i'O:R7WNER:'Ybur failure ta;Record a Notice of Commencement May result in.paying twice°for
rmprovements to,your"property.A Notice:of COMM99cement rrmust be'recotded in the public records of St.
LucieXotinty and poste&&.h thelvbsite.before the first,inspection d#yvu intend to obtain,financing,consult .
w` lendervr-atk a, r before ct)mmencin work or re'cordin : our Notice of Commencement .
-Si ee of Cori#ractor- s-Owner Bullder.`as, p cattle
STATE OFr FLORID"
COO I'Y 00
Sworn to,(or:affirmedLandsubscribed,before Me o.f Physical Presence or. 0nI1ne Notarization
A4AL
this clay of 202`a-by
Name of'person,rnaklrig;st0a ent _' . . .. .
I � r.►u, DANIKER HUNT
Notary Public-State of Florida
tly Known OK Produced identification i� • Commission#HH 029526
Type of a if`rca a Produced My Comm.Expires Aug 6,2024
Banded through National Notary Assn.
(SignatureofNotary Publliic• SState of Florida)* -
Comm".$J n Na,��Z�j Vo�Q�,(SeaI)
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REVIEWS FRONT ZONING SUPI RVISOk. PLANS �:VEGEi'ATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEIIU REVIEW REVIEW' REVIEW
DATE
RECEIVED
DATE
COMPLETED
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