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BUILDING PERMIT APPLICATION
INFO Awst gE a, p D MR-AAR , Date: � ©' � I • � 1( .. CJ�7tON TO BE;gCCEp'iEp 4 Permit 1Number,iUL O-! LCL RECEIVED Plannhve Wpm, 1 ITT siding-Permit,APPOCation eatHAVana cade,R °111 a serv�aeS O C T 312018 eatiorr.Di�ri�ton _ _ 23ZVWu�►kAvenue FwtPierceg34M, sT, county, Permitting PhWW (7,72j'462-15M ram (772)A62. zs Commercial PERMIT �. PPUCATION FOR: --- at Residential. To leaf from-d PRC�POSI�"INIPROVEMEtYT fix. dick a�rc�w, ofJine LOCA ON Address: 4 V Lwi a«iwon: g� Z w St LQQ!e Cou srAl r-S. 14 nt Property Taxl10 M. o 0_ 0 0 `_ 0 00 + O t Site Plajr e E tot Ifb- _ Project Name• elan -No. semacics ..w..�`_..._ . ISNA F--�-5�— Bath: • o ht'-L--__LeftSide; ��_ DyET/�!1l.EQ t?ESCRIRTIpyy O iNQRtG _ • Sooer . L III v GEx a2 NN (?' 'Fo/I FdAL G�cS iN�, �s Ucck 5 N .. , INFO �'RUGTION tlUiA710N .-. e:pe all app 1 WAC Gas Tank as Piping PlumbingShutters Wind T _ prinkiers ,_Generator Roof °IOaArs ota�l Sq. Ft of Co ._.. Roof pieA Cost of Co:07$t 00 Sq• ft of First Floor; MUM_, Sewer Septic 6ui10ing Heighk OVtfl1MAJI L F.SSEE: Name E COM'RgCTDR:f Address, C E r iMame• NN Mr. E Company: e: Addr (� zip , y Fax Phone (, Zip Code: Sty Rff In fee ---ft Tlt�le M Phone No. 2 _ - " . Fax next pa (N diti eM / �D O 4 from.ffieOwner t above) t~MaiI:�Cb�toFleQ,_��_Corl` State or Counts/ License.0f'S4 4. — if w of D SZiQO or'ajr 'of`°�''. r VESIGNERJENGINEER:- N Name: Address' Clty: Zip: I Phone: I FEE SIMPLE TITLE FOLDER: NC Name: �' Address: City: I Zip: I Phone: OWNER/ TRACTORAFFIDvfP: Apl I, certify that no work or installation:has comt St. Lucie Counttyy makes no representation tha which is in conflictwith any applicable Nome i structure. Please consult with your Home Owi In consideration of the granting of this reques in accordance with the approVi:d plans, the Fii The followingbuildin g;.p`ermit appircations are .accessory structures, swimming pools, fences, WARNING TO OWNER: Your failure to I improvements to your property. A Not before the first inspection. If you inten _commencing work or recordinLy vnur N STATE OF FLORIDA COUNTYOF �C`i:��-} (l l The forgoing instr m nt was'acknowledg this day of 20 Personally K Type ofider Commission REVIEWS DATE - RECEIVED DATE COMPLETED eT acknowledging --",% ^ _ X_ OR Produced BR N REDDIN o.State of Florid -Notary Public My Com is ONIN6ebru r ion Expires FRO COU41 FMA Name:Address- State: City: State: Zip: Phone: r Applicable• BONDING COMPANY: Not Applicable Name: Address: - City: Zip: Phone: !Ication is hereby made to obtain a- permit to do the work and installation as.indicated. ence.d prior to the issuance of a permit. is granting a permit will authorize the permitholder to build the subject structure iwners Association rules, bylaws or and covenants that'may restrict orprohibit such ers Associatiop and revfi wyour deed for any restrictions ---Which may -apply. - ad permit, I do hereby agree that i will, in all -respects, perform thework rida Building Codes and St. Lucie County Amendments. wempt from undergoing a full concurrency review: room additions, Nalis, signs, screen rooms and accessory uses to. another non-residential use ecord a Notice of Commencement may result in your paying twice for :e of Commencement must be -recorded and posted,on fhe'Jobsiie to obtain financin& consult with lender or an attorn.' before rt•rrls A'F.rnVe�mnnnnw.....1. STATE OF FLO IDA • COUNTY OF �-�(l�'�_SL��e� ..._. me Thefo oing instrument was acknowledge foreme this day ofZpby (Name ofperso �odging ) (Signature of Notary Pub State of Florida ). Personally Known _ OR Produced-ldentification. Type of Identification Produced Commission Nob& P 1 PLANS REVIEW VEGETATIOt REVIEW - BrT1`77ANY REDDIN ;State of Florida -Notary Publi carnmrs on # GG 190282 My Corn ission Expires -nioTfabr VIEW-I-