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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1LL APPLlCABLI: INFO UST BE COMPLETED FOR APPUCATION TO BE ACCEPTED' - Date:' _ Permit SCANNED Number. s L_.. St. Lucie C©univ - Building Permit Application AUG 2 8 2018 Plannill and Development Services 9 _ gT, LucieGOunty, Permitting Build,` i''IIand Code Regulation Division - 23W, "r IaiaAvenue, Fort Pierre FL 34982 �'' ... PhoneIII: (772) 462-1553 Fax: (772) 462-257s Commercial Residential. _� PERMIT APPUCATION FOR: To Select from dropbox, click arrow at the end of line PROPSED IMPROVEMENT LO.CATIQI AddleG L �S^ Legal D (ascription• Property Tax ID #: Lot No. Site Pla'pl �_ Block No. ii Name s Ls, Project'i�lame: -• Setbaci Front Badc Right Side:: • Left Side / DETAI D:DESCRIPTON OF WORK Total sq� Ft o_ f Construction: S7. Ft. of First Floor: I Cast of instruction: $ 'I �y UtiGbesSewerE1Septic Building Height: OWNF,R/LESSEE :.... : <. CON TRACTOR Name �! Name: #16 Address, Picon a Company: c K ,' State:�L Address: ZC 073 E Zip Co .lil : 3 ffn - Fax: Cdy: Ff a4m, — C146 Phone io.� > � G �— Zip Code:3'(f s Fax: 2 7 ,yk — ;Cwf E-Maik Phone No. Fill in fl`6 slmTide ple Holder on next page (if different E Mail: from th owner fisted above) State or. Cou-cense- ff value ofi construction is wbw or more, a mmum to mace yr wm..m..az...c—.a .=M....�... Name: Address: CW. ct Zip: FEE SIMI Name: — Address: Zip: 1 certify th Wc(e a hich win structure.) in consider in accordar Thefollowl accessory s WARNIN improver before 0 commen TITLE HOLDER: • ' . Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: OW. state: Zip: Phone: BONDING COMPANY: Not Applicable Addres: ' Zip: Phone: no work or installation has commenced prior to, the issuance of a permit Irhflidmakes with a�rry� Qcatrte Home Owniers�nga As on rulees will authorize or and tents thater maym�ayMrestrithe d subject structure nse consult wtthyaur Home Owners Association and review your deed for any restrictions which may apply ion of the granting of this requested permit I do herebpVw that I will, In all respects, perform the work e with the approved plans, the Florida Bullding Codes and St Lude County Amendments. ,Uiilding permit applications are exempt from undergoing a full concurrency review: room additions, ucum, swimming pools, fences, wall, sights, scremmonagd accessory uses to another non-residential use TO OWNER: Your failure to Record a Notice of Commencement may result in your-oaying twice for ants to your prgperty.' A Notice of Commencement must be recorded and {posted on the jobdte . first Inspection. 9 you intend to obtain finan-dng, Iconsult�vvi�h lender or an attorney before Slgifature of owner/ AgdnV Lessee mgnawre or contramriUMMe rwiaer STATE OF' FLORIDA STATE OF RMDA COUNTY OF COUNTY OF The this ent was acknowledge) met of .Zp; aril was i :_Tby (Name parson owlehing) (Nameofpersonagir� j �er--- (S%pature 'f®,f Notary Pub c--State of Florida) {Signature of Notary Publk--State of Florida } Personally Kihc�lvn_�OR Produced ldwhdfication Personally Known ✓ OR Produced Identification Type of IderW" cadon Produced Type of Identification Produced Commission No. KA NIELSEN tale of Florida -Notch Public Commission No. - . KAREN S. NIELSEtd " ; i�"` P�e'� _° ` State of Florida -Notary Public •°S mission # GG2�7484 �� -•,�,F°FF°��� My Commission xpires rrr„June 12, 2022 =y ��; "-"qr��,� 4y Commission Expires. ''rr���"� RevisedQ7/15�201 Y June 12, 2022 REVIEWS p FRONT ZONING SUPERVLSOR PLAW VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW DATE COMPLETE' INITIALS �� yvt 1 °' as