HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL 4RXULE INFO RRA BE —
CONII'ttTED . FOR; APPU
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Ipi`� O BE:ACCEPiEO
s Permit: Number:
SCANNED
RECEIVED
and8e„� BOW -Ormnit ppl!ion s E P 2 4 2018
23W Avenue, FortP1WmFL3swz,, ST• Lucie County, Permitting
k,l (MJ'462-1553 Commercial.
PE APPUCATlt1N l�R: Residential—Z. z �'
PRQ
s To Re► v from dropbm dick auroMr at #he.ettd af)n
_ P�SEQ iN1PRQVEMENT L
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Proper"
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site Pta4 one., �04 E SSE Cot Na. i4i4:'7"
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Project 'uw..._ . �O fs/ Block No
S+stbadcsl Front Back:r-- 0 ftht Side: fl
i ETA�LEp —L L,et�tSide: > O
F DESCRIPTION OFSWORK
:
B�.R �00 Ghlla „r Q
�a��le'` r,R 74AL 4�,s
u CT10�1INFQRMAT -ty ..
rs erm -• c a y' apP
Gas Tank Tas piptn
_.Plumbing
._, _. Shutters _,_,_ Windowv#poors
Plumbl _. Sprinklers Generator
TOM 4Ft� construction: Rod�--•� Roap
C41st of "n: $ Sq. Ft. of Flrot Floor;
IJ L UUMMM _Sewer
QWN
Sept 8uitdirrlg
#tI I.E.S.SEE;
Name g Y CONTRACTOR:
p a Nance:
, a
MY: A 4
ZIP Vie' , State: E—L Address: W1
Aw
G�"- r?Y
E�19ait: P Code: 4y'O Fax
f In flee `' .title Molder Oe � (if eRt Done
i~Mait:
fisted above)
G'I State or County License:- . O
Graf LL
Is-S�6Q0 or 7rrore,.a pSp Naam.� Cc+maenoement is roAu�d:. "� � �'
DESK
Namr
Addr(
City:
Zip:
FEE SI
Name
Addre
CitT._
Zip: —
OWNI
t certify
In c
in a+
The
STATE
COON•
The f r@
this
N�rne ( o
Type of
MURTGAGE COMPANY:`... ,
Not A .0,Ical le
Name:
Address:
State: City: State -
Phone: Zip: Phone: r
nrdc TITLE fE)LDER: Not Applicable, BONDING COMPANY: Not
A , Name: Applicable
s' Address:
City;
Phone: Zip: Phone-
t/ CONTRACTOR AFFIDVIT: Appilcation is hereby made to obtain a• permit to do the work.and installation as indicated.
that no work or lnstallatton:has commenced prlo�to the issuance of a permit.
County makes no represerttatian that is granting a permit will authorize the ermrt holder to build the subject structure
n conflict with any applicable Home Owners Association rules, bylaws.or and covenants that may restrict -or prohlbit such
. Please consult with your Home ON►ners Association end review.your deed for anyrestrictions.which may.apply:
iration of the granting of this requested permit, I do hereby agree that l will, in all -respects,, perform the -work
3nce with the approved plans, theFlorida [3uilding Codes and 5t. Lucie County Amendments:
vin buildin � " a g gpermit applrcations are exempt from undergoing a full concurrency review loom additions,
structures, swimming pools, fences, walls, signs, screen rooms and accessory uses toL another non-residential use
0G TO OWNER: Your failure to Record a Notice of Commencement m result In: our
may y paying twice for
ments to your property. A Notice of Commencement must be -recorded and posted on the jobsite
he first inspection. If you intend to obtain financing, consult with. lender:or an.Attorney before
Icing work or recording your Notice of Commencement.
Fly GRID
OF
ig in me t a`' ct owled efore me
ay of 20by
�— OR Produced Identification
Produced
STATE OF FLORIDA
COUNTYOF
The-fo oing instr en Sal wedge¢ before me
this' day of i 20 by
(Name of person a edging) .
(Signature atNotarykublic--State of. Florida)
Personally Known OR Produced;ldentification
Type of Identification Produced
roo.,,,A�ealPRITTANY RED ftm IssionNo. L�1�QI
o.Stata of Floridt22
y Public
. !N Commission9 282
February 2FRONT S •VEGETATION
COUNTER REVIEW REVIEREVIEW. REVIEIAJ
ED
...... aCag R I TTA N Y ER D
�oState of Florida -Notary
'= ,Commission
OmmlSSlon Exi
a
REVIEW REVt