HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPIJCABLE INFO MUST BE COMPILWID FOR APPLICATION TO BE ACCEPTED
Date: ,G 1 1 1
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BY RECEIVED
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BUittli g'i�eftit Application JUL 2 s 2018
Pl (rnirrg and f)eveftment Services
84i�M9and Co* Re onpiWa ST. Lucie County, Perm!ttin
236 V'r9thiaAvenue, Fort Pierre FL 3498Z ,
Pholl e. UM) 462-1553 Fax (M) 462-1578 Commercial /
Residential V
PERMIT APPLICATION FOR: To S
Velect from dropbox, click arrow
at the end offine 6.
LQCATIOas
PRO SED !MP . PA ROEMENT N•
Addr 0 E.
Legal D I 'ption: , `
I �IJT LAL oitl.�
�1j�s 4N.r �L-
Prove Tax ID _
Lot No.
Site Plan acne: Q- A t 1 r /� -
o�rA
Project e• • 5 " Block No.
Setbacks Fiont 0 Back• 0 `
Right Side: LO _ Left Side: /O
DETAILS DESCRIPTIONxOF WQRK:: '13'�
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?NSTRU „ 1 ON INFORMATION: v �oNNc a
Add na w _ .. _
t
e Pe er s p it a FaPp r
WAC ,_ Gas Tank Gas Piping `Shutters
_ Electric ` Plumbing _ Sprinklers —Generator
Roof Roof pitch
Total Sq. Ft of I nstruction: sq. Ft of First Floor.
Cost of Construction: $ _
II — Utilities. -_sewer
._ Septic Building Height:
OWNER E• . - - ----`'
1.F59,�
-
� TRACTOR;
Name E Name.
Addr ��Nc.► OAi� �l t Company: ,,13, --N
City: _ �l.M CI�iT; State: EL Addre R 1:'a Mw Y
Zp Co j n34 at Fax Cry: C %N
Phone 6. 03 T =I - 0/ %b �/,,,y� state:
Zip Code: 9 9 l7 Fax:
E Mail-ARA6 Ok K r e r N C . Ca tl Phone No. 2 1900 %O 1
Rn in tee �' � � �.-19
simple TI a Holder on next page (ff different E Mail: sTl�y —10
i from the Owner fisted above) State or County License: O
C
If value of eo tiorr''Is $25W or more, a RECORDED Notice of Comanencement is required.. o
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name• Name:
Adress: Address:
City State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE FIOLDER: Not Applicable.
Name:
BONDING COMPANY: Not Applicable
11
Address:
Name:
Address:
City:
City:
Zip: II Phone:
ll
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain at permit to do the work and installation as indicated.
(•certify that no work or installation:has commenced prioi to the issuance of a permit.
St. LucielCounty makes no representation that is granting a permit will authorize the'permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and that
covenants may restrict or prohibit such
structur . Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
aeration
onsi In cof the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accord'i nce with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foliTitnr building.permit applications are exempt from undergoing a full concurrency review: Poom additions,
accessorSyllstructures, swimming pools, fences, walls, sigris, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commer c' in work or recording our Notice of Commencement.
grratur . wn 9 jr gent! LeSS
UrB... •gnira n r�hicerrseyHblc
STATE OFIFLORID
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STATE OF FLORID
COUNTY OF .�)oe,
COUNTY OF t(-} U)aP
The forgoin Ilinstru ent was acknowled before me
this da' of 20 by
The forgoing instrum nt was acknowledg before me
this'3 day of 20X by
(Name of pers"04 acknowledging)
(Name of person acknowledging)
61
(Signature of Notary blic- State Florida)
(Signature of Notary blic State of Florida )
Personally Known_ OR Produced Identification
Personally Known_ OR Produced Identification
Type of ldentifi6ation Produced
TIFRe of Identification Produ
,�os�""'"a? BRITTANY RED
Commission Nol _ijce of Florida -Notary
IN ,.�':��,, BRIT ANY REDDIN
PG®Ti0 fission No. o'Sta(S®�F�loritla-Notary Public
_ Commission #i ,(319
My Commission Ex
_,
282 =. "a Commission # GG 190282
res 'i, , a My Commission Expires
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