HomeMy WebLinkAboutBuilding Permit ApplicationJUI AR�,.
'INFO -MUST WCO M-PLETED,FOR APPILICATION10 BE ACCEPTED
Dqt
PVrm it Number
ber:
-_-..
7
Bbildift"Pl6trnit'A 4- n'. tio
A,UG
0420,
Bu110b9and _Code ' RegdWan DWoh,
2300 VenJJL*iAdrtPkrjCeFLA ucii nment,
Phork.47-7 _,Comm 191
.72).-4 15S1,6bt-(77
,627 2.
0 - Residential
�PROPOSEDIneSCondominium
`FL
uglgan, LUCle'j'.-!,
PropertyTax 10
Site ,Plan -Name: ',
Bldck-Nd..
Project
Adclitional work to bd perfbmio, de - Ah un r 1$ permit —check allihat apply-.-
n
60s,T G", Piping, 'S ftwm-,Windows/Doors
is
c
'R60f
Pldmbfilsi: Generator
. . .. . ...........
Total Sq. Ft of Construction: Sq. Ft..of I rsf Fioor.-.
Cost of'Construction. $•98.`- Utilities Sewer Septic Building
'CONTRACTOR
!tA
Na-me-CasUe Pinjet, Lange-Martagernont J
Ninjo.., Philipp Utu
Addri 831
1
RooftOpRoo hgj,
ckr. Port St. .Lucie, Florida, state-,
i - - - - -1'0ff'-E6c9
Addness- 1011a Ave
'Cjtv.:
Zip Cod `F
e:
Pensaco a` FL
PhonelVo.M489
ZIP'..r Fax
E-Mail •
Phone -720-29692
FIN In fee sh0pli Tftlkmcodei OnJngiepage,(04 nt,
rap0raise so
irs-RgthaiLz m:
from theft-n6r listed _vbvife).
1.
'-StatevrCm Y
N,vmkwdfHVACb$7AN�or'more;aiRECORDED Natktd.f-Commmamentb-reqljlrod.---lI
FDES
EMENTAL CONSTRUCTION LIEN LAW INFORMATION
'_I
ENGINEER: • Not A liable . , -
PP MORTGAGE COMPANY. Not Applicable
-Address -
Address
sty. State- City:.. State.
Zip one Zip Phone:
FEE SIMPLE TITLE.HOLDERc PP _Not Applicable
Not:A Iicable BONDING.COMPANY.
-Address.
.Address
r �+tr►
,Phone: ne, - -
_ e
Pho
:NER/ C01Yi'RACiOR AFFIDVIT;:Application ishereby made to otitain a permit fo do the work and Insiallatlon_asfndicafed.
(.certify that no.work or installation has commenced priorto..the issuance'of a permit,.
St Wde:Coun makes no repress tation'that is granting a ermit iII aut orizethe ermit holder to bulid`the`subJect cture:
�y r� h p stru
whtdi is in conflict with an t applica le Home Owners Ilssoc�ation rues, bylaws or.and.covenants that may restrict or prohibit such . structure; Please`consult:w h: our Home ;Owners Assodation and review,.Vg - d , d for any.restri alons; which ma a
y Y PAiY�
in consideration:of the &"Ming otthis requested`oermit,hdo hereby agree thk-1,wdl, in all respects, perform tfie>work -
in accordance "h the approved plans .tl a Florlda "Building Codes and-k-Wele,6unty Amendments::
The foiioyAn build
6 g penriit applications'.are exemptfrom undergoing a:full co1.ncurrency review:.room additions,
arcessorl►:structunsswimmin0 pools, , n.'Mi4al% signs, screen rooms.and accessory uses to another non4esidentiaf use.
"!'rARNE11G.T0 :Ol'nYEiC YQIIR;FAICURE°TO'RECORD A NOTICE -`OF GOMMENCEMENT`MAY RESULT 1N.TOW 4PAYING
TtNICE flOR tlMPR01!EIMEIIf�'S.?O YOUR PR&Ekk-A NOTICE OF''COMMENCENIENT MUST BE RECORDED AND
POSTEa ON :TiiE:-JOB:SiM BEFORE THE FIRST. PISPECTrIO YOU;.EItiFJ11D T OBTAIN FItYANCiNC :,CONSULT
ER-ATi0R_ NEY`BEFIORE RECO - -Y t]YC1FIiff.M r -
Si re of Owner Lessee/Contractor as [m Agent for, Owner � Signatureof Contractor/Ucense Holder
STATE-OFf6ARIBA,. �I✓ytG�O STATE OF ! Ora�p
B
COUNTY OF ?� r5 COUNTY -OF. i r; o
The for ing rostrum n ovas a knowledged before me The fo ' tng. nstrumJp�e ! was acknowled ed efore me
�p �Q
this. i."'davof- Ar 20'ZDtiy this.�7`hiay..:of20?by ;
:�OV _ hh, ► tau ray:
,'Nameof: erson;meking stateineriL Ngme,bf person making'statement
Personally Known _ OR Produced identification.. Per naafi Known OR'Producetl Identification .
Type Of ldentiflcation "Type of Identiflcation .
A MM ANDREW. BONNEMA , ;
Produced = Produced-.- MARKANDREW'BONNEMA
Y RUBLiC . AM
IART PUBLIC
STATE OF COLORADO.
NOTARY1Q201114038034: STATE OFCOLORADO..
NOTARY10 20194039034 .,
COfNMISSION E1�IRE$ OCTOBEA`,3,'2ti22; . , COMMISSION
(S(gnature of NotaryPub ic-;State of, F H a- (Signature of:NotaryrPu c to e
Comrnissionft.,ZO/gg03903y _(Seal): Commisslon_"No 20/ :ya3 :0� '
.. y (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEG,0*0ON .." - SEA TURTLE ; 'MANGROVE
COUNTER REVIEW ; _REVIEW",. ,REVIEW ; REVIEW `REVIEW " . REVIEW
DATE
RECEIVED _
DATE
COMPLETED:
ev.
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