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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLIAP 'U QiE INFO MUST BE COMRFED FOR Appr lCAnpN TO BE ACCEP�i ED41 OIL IN _ D Permit Number; I RECEIVED duirnm Application AUG 0 7 20' 18 i and ©e��lopment-Sgmk�es rr and Cod Region pWa ST. Lucie County, P4rmitting OiniaAv ue, fort pierce Fl3M2-,, _ (772) 4 I -1553 Fax: (M) 462-1578 Commercial Residential r APP � CATION FOR: To Select from dro pbox, click arrow at the end offine 5ED 1l1hRROVEMENT'LOCATION: (all LA4 ex Pro Tax ID Sit I Plan Name. a � aecT ' f � Lot No. Block No. Back: -J .9L __ Right Side: 1 v Left Side: 1011V QF W4RK;. L G CAS 4„ t T Gem Fi dA a LV NSTRUCT�ON^='i N FORMATION:.., na e Pe un er is WAC _ Gas�nk ✓ Gas Piping —Shutters _ _ Windows/Doors Electric _ Plumbing _ Sprinklers _Generator Roof Roof p� T i Sq. Ft of nstruction: Sq. Ft of First Floor. Cc of Co coon: $ :Z . Utilities: _ Sewer _ Septic Building Height: dress. Name: drI.MLA S tv, Company: 1 `' I C State: �L Address:Su irip Co fie; �a(e Fax Cty: State: f'l ' one No. 12 - �-0 - �2 [ E Mail:_ �� ZIP Code: 3- 49T�_ Fax: i81n tee sbnple Tine Holder on next Phone No. �Z - G Z (O I ia� (N diitterent E Mail: nl 0 F' o I 'am the listed above) State or County License. O -- �/ Sra►Tc value of ' n is $Z500 or Wrote a C oZ Ca REGARDED Notice of Gan�rnenMU is required . s r DESI NER/ENG1 EER: Nam : _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: I Address: City: I State: "City: State: Zip: I 11 Phone: Zip: Phone: FEE Nam IMPLE TIT : �146LDER:____. Not Applicable• BONDING COMPANY: _Not Applicable Name: ess: Add Address: I city Zip: • I City: Phone: Zip: Phone: OWNER/ CONT CTOR AFFIDVIT: Application is hereby made to obtain a, permit to do the work and installation as indicated. I•cert fy that no wo k or installation -has commenced prior to the issuance of a permit. St. Lu ie County m es no representation that is granting a permit will authorize the'permit holder to build the subject structure which is in conflict ith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please suit math your Home Owners Association and review your deed for any restrictions which may apply. In cor1slderation of -he granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with he approved plans, the Florida Building Codes and St. Lucie County Amendments. The following build g-permit applications are exempt from undergoing a full concurrency review: room additions, accessory structure, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO NER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements t your property. A Notice of Commencement must be recorded and posted on the jobsite befb�e the first spection. If you intend to obtain financing, consult with lender or an attorney before commencing w k nr rpcnrrlinrs vnur Nntirc+ of C'nmmanromnn+ gsknaiu= wne' Less" ur �ani`atL�icerrse Flo er STATE O�FLOR STATE OF fLORIDA NTY (1 C7iorgoing COUNTY OF za tc* ( L� Tlnstr ent was acknowledged before me The forgoing instrument was acknowledgebefore me this ,1Q,day of 20_ by this' 3aday of U 20 by rCIL A beALcnn J Wex�a1 (aeofpersordta,knowledging) (Name of person arlynowledging ) (Signature Public- S to of Florida) of Noi IfY (Signature of Notary P lio- State offlorida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Typl'of Identificatj n Produced T o dentifrcation Produced�,,BRITTANY RE No. ago l `'� ,state of Florida -Not IN .;�d�a BRITTANY REDmfission r BOtie3 ion No. C �gyaga lahe of Florida -Notary :• • Commission # GG My Commission 90282 a• *= Commission # GG 19 xplres %�+ ,' My Commission Ex i ��i r IN 9 -SUPERVISOR Rn/iEiNS FRONT Z PLANS -VEGETATION SEA TURTLE MANGROVE OUNTER REVIEW REVIEW REVIEW. REVIEW- REVIEW REVIEW DA C ,RECEIVED P L COMPLETED ublic 3$