HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAILL APPLICABLE INFO MUST BE COMPLETED Fort
Planning and Develop
Building and Code Rei
2300 Virginia Avenue,
Phone: (772) 462-1!
PERMIT
Address:
Legal Description:
Property Tax iD if:
Site Plan Name: .j
Project Name: _
Setbacks Front
Total Sq. Ft of
Cost of Constr
Building
' Servlces
an Division
Pierce FL 349g2
Fax: (772) 462-1578
FOR: To Select from
-SrCI -M56 -000,
Back: RjiM
IboI tke+bll
I
i L.,_j Gas Tank
Plumbing
nACATION TO BE ACCEPTED
9XIANNEEPermit Number- �j L-193
BY J—
StbiriA rnlinty RECEIVED
it Application I MAR 0 6 2018
ST, Lucie CounkY, Permitting
al Residential
click arrow at the end of line
Lot No-J-0—_
Block No. E_
Left Side:
Shutters Q Windows/i?oors
Generator C3 Roof
--- -•Sq. Ft, of First Floor.
Utilities: Sewer Q
Septic Building Height:
CRY: PQfi 'si' LUci e
StateFL
Zip Code: Jqi Fax:
Phone No. �-77a - 7jc� of • l 0�17ci
E-Mail:
Fill In fee sfi ple We Holder on next page (if different
from the (iarner listed a1aim)
It value of construcRlc" is Epp or mare, a RECORMD l OUce of
Company: C' o�G✓
Address: &5C)
City: yp /O State. -FL/ —
ZIP Code: 3o?(/'Cn Fax:
Phone No. iCo7. �d
E-Mail: t e Cl r" C
State or County License:
eseni is reaaise�d_
01
L.r.41%alicn/c1Yb11VttR: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not
Name: Applicable
Address:
City:
Zip: Phone:
I certify that no
rr work or installation has commenced prior to the isst
St.
is inoconflictwi makes any applicable�Home Owners Assgoaaattionl �u structure. Please consult with your Home Owners Association and re,
In consideration of the granting of this requested permit, I do hereby
in accordance with the approved plans, the Florida Building Codes an
The following building permit applications are exempt from undergoii
accessory structures, swimming pools, fences, walls, signs, screen roc
WARNING TO OWNER: Your failure to Record a Notice of Cc
improvements to your property. A Notice of Commencem
before the first inspection. If you intend to obtain finnan
commencing work olr pcording your Notice of CornmPnI P
_ Signatture of Owner/
STATE OF FLORIDA v STi
COUNTY OF CO
The forgoing instrument was acknowledged before me The
this � day ofPiaiU (i,/u 20 _by this
" / I t r- L Ct 11Pt1
(Name of person acknowledging)
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
'City:State:
ZIP: ,______Phone:
COMPANY: Not Applicable
Phone:
of a permit.
authorize the permit holder to build the subject structure
, bylaws or and covenants that may restrict or prohibit such
ew your deed for any restrictions which may apply.
gree that 1 will, in all respects, perform the work
St. Lucie County Amendments.
a full concurrencq review: room additions,
is and accessory uses to another non-residential use
imencement may result in your paying twice for
nt must be recorded and posted on the jobsite
consult with lenAe or an attorney before
E OF FLORIDA,,-
VTY OF �
rgoing instrument was acknowledged before me
day of - t0or 5 - 20 _L by
Of person admnwli
-tignature of Noti ft Public- State of Florida) (Signature of Notary Publ*_ State of Florida )
i
Personalty Known OR Produced Identification PersonallyKnown
Type of Identification Produced OR Produced Identification
Type of Identification Produced
Commission No.Q--_ o (4 0 ( ea Commission No. %'' •,
g , :•;�' EI)910I)GOMEZ
AMAND
1,•I •: MY COMMISSION # GG127865
Revised 07/15/2014 EXPIRES ""�"
TMstb�; �!
XP RES Octcb®r 08, 2tlB1 )
REVIEWS FRONT ZONING SUPERVISOR PLARIS VEGETATION SEA TURTLETREVIEW
GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
SATE
INITIALS