HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPERMIT
APPLICATION FOR.. Other.:..
PROPOSED
IMPROVEMENT LOCATION: r
REP',IACEMENT:MOBILE-HOME: SET UP AND TIE -DOWN TO -CODE
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CON�'TRUCTION
INFORMATION:.
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itona
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.wor• to e e orme :. under tis permit.— c ec
VAC .: - Gas Tank..:Gas Piping ..
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a -pp y:-
Shutters.
0Windows/Doors: ; -. -• �: ;
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Electric -. ✓D Plumbing-..
Sprinklers
Generator-�-.. •
� Roof
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:Total 9q:
Ft of Construction.: 938 -
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of First
OW
ER/LESSEE: - • �, :
CONTRACTOR: r
Name;
NNE.BUILDING
If valu' of construction is $2500 or more,. a RECORDED Notice of Commencement is required.- :
SUPRLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable.
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MORTGAGE. COMPANY: x . Not Applicable- .
. STEVE WOODS. . .... ..
Address:' .'
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Name:
Address:
City:. �f: State: " .
City: State:
Zip: II Phone: (772)618-5644
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Zip: Phone:: .
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FEES
MPLE TITLE HOLDER: x_ Not Applicable
BONDING COMPANY:. x . Not Applicable .
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Addr
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Name:
Address:
'ss:.
City: '��
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Zip: Phone:
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I certi that.no work or. installation has.commence'd.prior to the issuance.of:a permit.
Si: Luci�'e County makes.rio representation"that is granting a:permit will �authoriie the permit�holder to build the subject:structure'-'
which is in conflict with any applicable Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such -
structu le. Please consult with your Home.Owners Association and review your deed for any restrictions which may apply..
In cons6ration.of the granting of this requested permit; I do hereby agree that I will; in all respects; perform the work
in acco dance with the approVed:plans, the Florida Building Codes and St. Lucie County.Amendments.
The folk wing building permit applications are exempt from undergoing a. full concu"rrency review: room additions,
accessI& structures, swimming pools; fences, walls, signs screen rooms and accessoryuses to a.nother.non4esidential 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.attoeiey before
commencing work or recording Vour Notice of Commencement:.: '
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Lire .
_ Signatof Owner/ Lessee/Agent Signature.of:Contractor/License-Holde
STATE OF FLORA. STATE OF FLOC `
COUNTY OF Jn �LiC� COUNTY OF Cam:,
The forgoing instr, entw s acknowled ed fore me
The for ping instr ent w s acknowledge�p�fore me g g g,
this day of 20 by this �( day of 20 by
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i I tat.t L i :�`C1�1:�C�nl
(Namebf person acknowledg(g) (Name. of person. acknowledging)
II fl �/I e -\ n n ; n n
(Silt atu�e of Notary Pub' State of Florida) (Sighature of Notary.Pub `a State of Florida )
Person.'ly Known. OR Produced idehtificzition Personally Known OR Produced Identification
Type ofadentification-Ptoduced Type of Identification Pr
Notary P►� fe of Florida Notary P} tic State of Florida
Commission No..: R.4O� Lai. Comrriission No: �° Jutle NiIII JUIIe Niilassl -
�a My Commission GG 036942 0` My Commission GG 038942. '
?anon Expires 10/16/2020
Ii�'t .
Revised 07/15/2014
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REVIEWS FRONT_ -ZONING.- SUPERVISOR. PLANS VEGETATION SEA TURTLE_ MANGROVE:
COUNTER.: REVIEW REVIEW REVIEREVIEW. :. REVIEW:-. REVIEW.: -
DATE^ I