HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'Add ress : LQ... Y'•I�U2� �= 9�1 .... .
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Property Ta ID #: . Lot. N. �)
Site Plan N me::: .: Block No.
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Project -Name:
Setbacks Fron. Back : Right Sicle: �y` a� Left Side: '
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Haarcionai l orK.to:De errormea .unaer-tnis permlt.7.ClWeCK all apply:...:: :: : :
IHVAC Gas Tank Gas Piping: Shutters Windows/Doors
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.Electric D-Plumbing Sprinklers Generator. Roof
Total S C
q, Ft ofConstruction: �� � � (� �: ��..::: So. Ft. of First Floors q.
Cost of Construction;. $.� . _ Utilities:: _Sewer _Septic.:: Building Height:.:
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Name
Name: Tom Saurey
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Address: ` ��' i. �1�Y'�.:.....:: ::
Com an . ....
P �: Tuff .Shed, Inca
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:City:.�r P.� .::.:: :::... .State: .
524E Colonial Dr.
Address:0.
Zi.p -Code d Fax:
�—�-
:.City.:: Orlando
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...State: FL
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Phone No. l� , - &01 • '7
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Zip Code:'32817 .
Fax 998-3228 .:
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C�Y'Y101,1 •i� :
Phone,No. i407).85299.0:
Fill in fee simple Title.Holder on next page (i different
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E-rViail tuffs�ed@permit-it.com
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from the: Owner listed above). ..
CBC1253645
State or Count License: :..
it.vaiue of construction. is $2500 or more, a RECORDED Notice of Commencement is tequite& II
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SUPPLEMENTAL CONSTRUCTIO. EN,LAVU INFORMATION
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DESIGNER/ENGINEER• _ Not:Aphticable
:MORTGAGE COMPANY: X N.otApplicable
Name:' ......::..... ......::...
Richard -Wills #76835
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Name:. .... .........
1 Street Suite soo : :.
Address, 7n S Harr�ison
Address.
City:: Den* ewj .. ......... ::State: co
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City: State:
:Zjp; 80210 Phone: (303)7538833; : :
Zip::: Phone:
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FEE SIMPILE*TITLE
HOLDER: Not Applicable; :
BONDING -COMPANY: X Not Applicable:::
Name:' I
Name: i
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Address:
Addres:s,.... .... .. .
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..:City:
City:
:::...Phone:::..: ::......
.Zip .. .P.ho.ne:.:.
Zip:....::.(.:
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certify that .rro, work or installation has commenced prior to.tfe issuance of a: permit. :.:
St'. Lucie County makes-tio representation that is granting a permit will authorize the permit holder to build the subject structure
:which is in any Home Association: rules, by or and covenants that may restrict or:prohibit such.:
conflict with: applicable .Owners
structure. Please corisult With your.Home Owners A'ssociation.ano review your. deed for any restrictions which may appl.y..; ..
In consideration of. the granting: requested permit,. ) do:l ereby agree that I will, in all respects; perform the work .: :. :.:
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in accordance with the approved plans; the Florida:Building Codes and 5 ..Lucie County Amendments:'
:The following building permit applications are:exempt from undergoing a full concurrency:review: room additions,
accessorystructures, swimming pools; fences, walls, signs,:screen rooms and'accessory uses to another non-residential 'use .. .
WARNINq TO:OW,NER: Your failure to Record: a -Notice of Commencement may result jn your paying twice for
`be
improvements to you('property . A Notice.of Commenceme.nt:must recorded and posted on the jobsite
.before theI fi t.inspection. If.you:interid to obtain financing, con It Wit lender or. a.n.attorne.y before....
commenci' ork or recordin : our Notice of Commencement:FA
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ly
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Signature of Ovuner/ Lessee/Agent ::
Signatur :o Contractor/Licens . older.
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STATE OF FLORIDA.
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STATE- OF COLORADO -
COUNT. :.:
Y.OF.....�..:j,:qj,%�........::... ........_,--.-,—.
COUNTY OFDENVER.: ::.......
The forgoing 'instrument was acknowledged before me =
The forgoing instrument was. acknowledged before me
this . day of SFpT , 20 ./ by
this : ay of March , 20 18. - .by.
Tom Saure ... .
(Name "f per
on ack ow �F mg)
-t0 4 STACEY:JOSEPH
(Nafne of person acknowledging )
Commission # GG 198139
Expires March 20, 2022
Bonded tlwu k6getNotary Services
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(Sign e o t blic- State of Florida) .. ::
(: tore f t c -State of Colorado)
:...:
Personalty Known. OR Produced Identification :.
Who is personafly known to me'and did not take an oath..,
Type. of Identification Produced $340 �69a " S-79N=
I :STACEYJOSEPH
Commission o,_ _ Y . t�bn#GG;198139._ :::
-1.
Commission.No, .2002401781.9 ........ Seal ...........
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t
:. Expires March 20 2022' : ::
STERIANIE BUTLER
ti.. e . :.
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... PLPLIG ......
Revised.07/15/2014 ::
:STATE OF COLORADO
NOTARY ID 20024017819
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MY COMMISSION EXPIRES OCT
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE.
. MANGROVE
COUNTER
REVIEW
REVIEW ,.,
REVIEW, ..;
...REVIEW
REVIEW
REVIEW..
'DATE
COMPLETE
INITIALS