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HomeMy WebLinkAboutBuilding Permit Applucatiom7907ArthutRDIII APPl.lCApLEE COMPLETED r®l� �1�(PLl Date: CAyj®N TO BE ACCEPTED 4toPermit Number: p LL $'[>�oflCioltl PlanningpndDevelopmentServi es Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce COi'71MerCial Phone: (772) 462-1553 Pax. FL 34982 Residential 72} 462-1578 cB®G Finding ---__ PERMIT APPLICATIOR: PROPOSE, IMPROVED qi NT LOCATION: 1�L (1- ..�_ Address: Property Ta>c D Site Plan Marne: Project Name: Lot No. Block No. �-, DETAILED DESCRIPTION OF WORK: mo � , ©' New Electrical Meter �jL ------ __ Second Electrical Meter I a ➢, (Affidavit required} '" C®I�iSi'RLIC`GI®ICI II�FORil� TIOIV: IAdditional work to be performed nder this permit— check all that a —Mechanical — Gas Tan ApIY: _ Gas Piping _Shutters Electric ' PlumbingWindows/Doors _Sprinklers _. Pond Total Sq. Ft of Construction: — Generator Roofv L Pitch Cost of ConstrUction: $ Sq• Ft. of First Floor: _Sewer OWNER/LESSEE: Utilities: _Septic Building Height: Name C' CONTRACTOR: Address: �) Name. Crty.� y Z t` �c- 4 ' Co m p a n State: _a y'd�° f," °f I Zip Code; r Fa Address S � ;� `� /° x: Phone No. —°�' -� i5 City:'' 6 i r State: Mail: E- Zip Code:- Fill in fee Simple -'itie Holder ®ea nex Phone No Fax: 7 --�%� j from i he Owner ➢isted above) page cif different E-Mai! State or County License 9f valUL' off c0nSt?YJC ion is 2900 ci ®r more, [iECO MUD, Notice of com �"� 1$ value o� �A�c is $7,500 Or more, a i-E ®�®L® Notice of �oeearnee�xennent is required. s rq av�ea�cesysent is required. SUPPLSl.4C-NTA— L ®C�1c��i�R�L,4�9~�>11�lEER: Name; Address: City: Zip: Phone FEE SBMPLE T2TLL7 HOLD, Name: Address• --- City: Zip, ------------__. PilOne: 'Jwh JLR// C0NTRACTOR A IfF� I certify that no work or installatiol whiLucie h conflicts. makes no represei With anv applicable structure. Pleas' consult with your In consideration of the granting of i in accordance with the approved pl The following building permit applic accessory structures, swimming por WARNONG T'0 OAYNERa your f improvernents to your prc Lucie County and posted c with lender or an attorna%, -or- STATE OF Fr' COUNTY OF Sworn to da {',- rmed) and this n day of _ 114 A f Name of person making statement. Personally Known OR. Prod TYpe of ldentifif-a+r n LICTION LIEN, LAW INFORMATION: Not Annlir nkie State: --- Not Applicable MORTEAGE C®MpAIjy: Name: Not Applicable Address: City: Zip: Phone: State: — (f$®R9®�h�9tG C®6�(PA�9y: Name: -.—Not Applicable Address:_. — Phone: Phone: :Application is hereby made to obtain permit to do the work and ins has commenced prior to the issuance of a patallation as indicated. permit. :anon that is granting a permit will authorize the permit holder to build the subject structure iomeowners Ass rules, bylaws or and covenants that may restrict or iomeowners Association and review your deed for any restrictions which may apply. lis requested permit, I do hereby agree that I will, in all respects prohibit such ns, the Florida Building Codes and St. Lucie County Amendments perform the work itions are exempt from undergoing a full concurrency review: room additions, s, fences, walls, signs, screen rooms and accessory ilure to Record a hRaatiice ®f C®mmeetceanewt ynaY resuitanheano� -residential use �eY A Notice of Commencement must be recorded in the I the jobsite before the first inspect on. if You intend to obtain financi Before commencin work or recordin our Notice of oommen roan cords of St. n. consult nt. as before me of Physics! Presence or 20,2-)by — Online !Notarization '3 (P`) Identification taignature of Not Publlc- state of lorida) Commission No. al) 9m] tate of Floridainonesn HH 093277of 025 REVIEWS FRONT ZOO NG ____ _ I COUNTER REVIEW SUPERVISOR PLANS VEGETATION SEA TURTLE )ATE I— REVIEW REVIEW REVIEW tECEIVED i REVIEW MANGROVE REVIEW