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ALLAMMCABLE INFO MUST BE ® FOR APPLICATION TO BE AEI PIED
Date: -
Permif Number; � g
Planning Budding peefit Applil !on o � J�, N�,
Being and Delrebprmerit_,vem�
Building and Co* Redd, bffon !Warm
2300 Vir-ahv6aAvenue, Foptpierce FL 3a6z�j Ab
ne: (772)46L-1553 Fax.- (om) 462-1578 ho
Commercial dr
i
�eSed�tlal Co��
PERMITAPPLICATiON FOR°
T® SOW from drgpboxc click arrow �# �n� offine
PROPOSED71MPR® _EMEIVT L GgTI®N:
AdIdresi• �.t'V
1®tea — — -- -- - PS y
ptioat: WHITE' TY R 'ATES BLK 2 S 1/2 LOT 9 AND S 12 OF W 1/2LOT
10 (0.39 AC' (OR 3635-2272. 4063 2621)
Mci,- coop
Site pla6 Name: VE J' "' Lot No. 4"/o
Pro 6iaeme° Bias& No'.
Sefbacks Fiont Right Side:
Left Side:
DETAILED DESCRIPTION 0F9NQRI6:
�3�a Sao GRo �,,1� E A P T*iN K 64 s
T l�o CoNNeLT A9A F.NAj
e+ioalROna1 WOrktu-t9e pe _er ! t3P'In1t—�ec �IAC app�T.�� Tank Gas =apin—Shutters
—Windows/Doors
Electric , Plumbing � Sprinklers _Generator � Rmaag
Roof rich
Total Sat. R of Construction: P
Sag. Pt. of First Flaor:
Cast of Construction: $ Y � � .
Uti: —Sewer _Septic Building Height:
OWNER/9.ESEE
CcrO
Name
• o
Name:
Address• � `7'T" u ^l.
Company. State., Address:
zip C-000 3 Fax
Phone "iva. '7 y 1 — Zip evade: _34 Q� o
�-7 Fax
• Phone No. 2 0
loll let feedmPfe'nde Nddw on am pft@.Q&q Mwwt E Mail:
r Rated a(e� S4 or
j County l.icerase: ® d
off ' n Is ar MORE�D NNCe mf
- I
DIESIGNEIR/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY; ^ Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
I Ek£ S86i91PLE YITLE 9 ®iD®EDgo ___ Not Applicable.
SONDlUNG COMPANY Not Applicable
Name:
Name: —
Address:
Address:
City:
City:
Zip: Phone:
�a
Zip: Phone:
Ui99MCK/ WIM I Mikan UK All-�•sUVI I o Application is hereby made to obtain a, permit to do the work and installation as indicated.
i.certify that no work; or installation;has commenced prior to the issuance of a permit.
S I Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
i
Inconsideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work
in laccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Tlie following building�permlt 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 Retard a notice of Commencement may result in Vour paying tMce 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 attorney before
c6mmencine work or rpmrdinu ynirr Pkintirn of r'nmm,3nrnrnnn+
i
Si f ature „ ner/ _gent/Lessee,
Signatdf6 'gritractor/License; Holder'
STATE OF FLORIDA
®UNTY ®F
STATE OF FLORIDA
COUNTY OF . . l l �CAe
The for Ding instrum nt was acknowledge before me
th's day
The for Ding instrum nt was acknowledge before me
�(
of 20� by
this', day of J, 29 v 6y
i
(Name of person acknowledging)
(Name of person acknowledging )
(signature of Notary�P/ubilc-state of Florida)
(Signature of No ary Public- S ate of Florida )
Personally Known _ J� OR Produced Identification
Personally Known_ OR Produced Identification
Type of Identification Produced
Type of Identification Produce
/► �► ; "yP;,% I TTA N Y R E D D I
Commission No.4 ems_ of Florida -Notary P
."VPw. BRITTANY REDDIN
c� C °s�%
mission No. C Ill �g� gl�f Florida -Notary Put
b
_* •E Commission # GG 190
M Commission Ex its
i _
82 Commission # GG 19028
oil 1A My Commission Expire
ebruary 25, 202
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