HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL 4PPUCABLE INFO MUST BE t&VIPLETEV FOR APPLICATION TO BE ACCEPTED
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Permit Number: IR-tb —OZ3 0
111MMMM WRT11,01M.
ONE
OCT 192018
Now
Building Permit Application ParmittIng Department
Siand Development Services St. Lude County
hg and Code Regulation Division
Virginia Avenue, Fort pierce FL 349S2
e: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential4
?IT APPLICATION FOR: TO Select from drOPbOx, dick aff0w at the end of line
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Mcription: IC70 -7-)q UC\ m 117 "C' C-\. I till tk.. it.,
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Property Tax ID
Site Pid I n Name:
Lot
Block NO.
Front Back: Right Side: --_ Left Side.
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UHdAC 1j (;as Tank aas Piping g'
IlEle c Plumbing [:]Sprinklers --Shutters El Windows/Doors
0 6enerator C1 Roof ;�Cq 1
Total Sq. Of Construction: Hf--06
Cost Of Construction: 3 ci oc) Utilities: Sevuer
Sq Ft of First Floor.
Septic Building Height:
City:
ZIP Coda
Phone N
E-Mail:-
Fill In fee
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Title Holder on next page (if dyferert
listed above)
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Company:
Address:
City: State.,_Ecl
ZIP Code: Za2- Fax:
Phone No. —
State or County Ucense:
Us 141wa, a 't"'wMtQ NOUce of Cwvuie-n rnen�js
+�.aaif�GR/ clvtallVttti: _ Not Applicable
Name:
Address:
City: I State:
Zip: I Phone:
FEE SII
Name:
Addres
City:
Zip:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: - Not Applicable
Name:
s. Address:
Phone: Cam'
Zip: Phone:
TITLE HOLDER: _ Not Applicable
I certify that no work or installation has commenced -prior to the issuance of a permit.
St. Lucie County makes no representation that is grantinga permit
which is in conflict with any applicable Home Owers Asaaptio lrules, authorize
and antsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consitleration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential 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 lenfer or an attorney before
commencing work gP'ryecording your Notice of CommenrPrn-nt
_ 5ignahire of owner/
STATE OF FLORIDA
COUNTY OF —��'I �% i/)r VP ✓
The forgoing instrument was acknowledged before me
this/ 0 day of 20 d_by
r A��
(Name of person acknowledgin )
1114
(Signature of Notary P is State of Florida )
Personally iKnow, _ OR Produced Identification
Type of Identification Produced
Commission No. � t,..,.,,' AM
�rf��yl S WARREN
MY COMMISSION # GG149063
Revised 07/
REVIEWS
INITIALS
STATE OF FLORIDA
COUNTY OF__
The forgoing instrument was acknowledged before me
this I day of 20 J0 by
(Name of person acknowledging )
Of NOiarOub`(ic- State of Florida )
Personally Known_ OR Produced Identification
Type of Identification Produced
Commission
FRONT I ZONING SUPERVISOR I PLANS
COUNTER I REVIEW REVIEW REVIEW
AmAWM S WARREN
MY COMMISSION # GG149063
VEGETATION I SEA TURTLE MANGROVE
REVIEW I REVIEW I REVIEW