HomeMy WebLinkAboutBUILDING PERMIT APPLICATION(a
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Permit Number: �. O t O` S P
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P/or,l►,�, and8ev Ar guildin .POrmit Application
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(rr Luoie County
23WIVffg&*Avenue, FortPferm.R30OZ2 -
Ph (M)'462-1553 Tam (7n)462-1578 Commercial
PEN ITAPPUCATIO FOR: Residential
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PRO .PtEtllMPRtJVEMENI' OW.,
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,-Property, Tarn) #:
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5rte Play (Name:
�& Lot No /Cj
Project Name:
Bkxk No
sebacksl Fior�t � �..;. ...11`
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D!E7"AILE� DESCRIP'ilON `1NaRK .
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HVAC ,,. Gas Tank 7 Pp
as Ptptna ....shutters
Plumbing S rin - _ Windows/poots
—Sprinklers
_,_ Generator ti.
T� sq. Ft of Construetton: f pitch
Cost of �n: $ ' Ft. of First Floor: .
OWNER/ EE. Sewer _ - tiei t:
Building
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.r1wn1%3J%`3r- GVMRANY:' = 'Not:Appliea6le
Name:
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City: State:
Zip: Phone:
BONDING COMPANY: ____Not>Applicable
Name:
Address:
City:
Zip: Phone:
R/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
that no work or installation:has commenced prior to the issuance of a permit
ttyy p F
m conflict wk th an (apr licea I Home Owners tAssoc afion uwl! s, yf ws or and nantds tha may estcict njr rohlbt such
Please consult vinthpyour Home Owners Association end review your deed for any restriciion5 which may apply.
leration of the granting of this requested permit, t do hereby agree that 1 will, in all respects, perform,the work
lance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Irlri buildin Wing gpermit applications are exempt from undergoing a full concurrency review: room additions,
structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to. anothernon-residential use -
NG TO OWNER: Your failure to Record a Notice of Commencement may result in. our !ments to your property. A Notice of Commencement must�be-recorded and posted on f a jib for
.he first inspection. if yQu intend to obtain financing consult with lender or an attorney. before
icing work or recordine your Notice of Commanrnt„onf
State:
V1PLE TITLE tt3LDER: Not
_ Applicable.
s:
Phone:
STATE OF FLORID_
COUNTY OF
The f r otng {nstr s'" nowledg fore me
this lay of ZO by
t118nacure Or iuota!"WIPublic-Stat6ofFlorida)
Personally Known _y— OR Produced identification
Type of Iderkilication Produ
P6%, BRITTANY REDDIP
CommissionlNo e�%S(514t Florida -Notary Pu
•= Commission # GG 1902E
''•,� a�;•� My Commission Expire
REVIEWS FRONT ZO I G P R I
COUNTER REVIEW REVIEW
)ATE,
STATE OF FLORIDA
COUNTY OF I i2
The f going inst a. edg fore me
this' day of 20'l by
(Name person owledget ng) f.W
(Signature of N tary P bGo-State of Florida)
Personally Known OR Produced Identification
Lpe of identifici , Produced _
St iq1TANY REDDIN
�lorida-Notary Pub]
Commission # GG 190282
My,Commission Expires
PLANS I VEGETATION
REVIEW . REVIEW `- _ REVIEW