HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPL , 1CABLE3F LIST B^^E COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: RECElvt:'J U
2- ok
97. LiCDC
FEB 2 3 202Z
17 Building, Permit ApplicAt
Planning and Devellopment �ervices
Building and Code Regulation Division Commercial Residential
11 1.11 1 MM
2300 Virginia Ayqnw� Fort I XeFUA 34982 BY
Phone: (772),462-I583 Fax: (772) A62-1578 St. Lucie CouritY
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PERIVII I -AVIJLK-A I [WIN
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Address: ff -7,
Property Tax ID #:
Site P166 Name: -
New Electrical Meter Second Electdcal Meter.
Lot No. 1019
Block No., -Y
Additiohil-Work, tob�eperformed under this permit -check all. that apply:
_Mechanical- _-Gastank _Gas Piping Shutters _W[ndow0oors Pond
Electric _Plumbing _Sprinklers —Geri6rator Roof Pitch'
Tota4 So. Ft of Construction-. Sq. Ft, of First Floor.
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Utilities; -Sewer _Septic, Building Heigfit:
ME LESSEE: A
Name
TRAMR- -R
Name:
Company:-
Address- SY
Address: 01P 415c
City - 06t A&mf�
Zip Code: Y2LV4 Fax: AW—,t--
Phone No.
Emlvlall:
City: 'ef i---
Zip Code:
Phone No
State: -&.
Fax: /Y/A-
.I
Ellin fee -simple Title.,H [der on nextPagq (if,differe
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from the owner listed above)
'State ceCounty License
if value of construction is 25uu or More, a Ky.-
If value of imiAvc is:$7,500 or In ore, a RECORDED Notice of Cornmence.mept is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAUV I
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DESIGNER/ENGINEER:
Name: .0 i z_ lclr'%s
_Not Applicable
tf AA-11 •
MORTGAGE!COMPANY-
Name: .
_Not Applicable
Address:Address!
City:., - '
Zip:_ 3H4,?-y Phone-
State:Fc
S:
City:
Zip: Phone:
State:
FEE SIMPLETITLE HOLDER:
Name:-
— Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip;, Phone -,
Zip: Phone.
OWNER[CONTRACTOR AFFIDVIT: Application is -hereby made to obtain a permit to do the work and mstanation as marcatea:
I certify that -no work or installation.has coin menced'prior to the issuance of a permit.
In consideration of the granting of this requested permit,; I do hereby agree that will, in all respells; perform the work
-
in accordance with the approved! plans,the'Florida Building Codes`an i St. LucieCounty Amendments.
The following building permit applications are exempt from undergoing a,full concurrencyreview: room additions;
accessory structures„swimmingpools,.fences, walls, signs screen rooms and accessory usesto another non-residential use
failure to
be
for
STATE OF FLORIDA 'STATE OF FLORIDA
COUNTY OF /3?A¢ LOUNTYOF /hires
Sworn to (or,affirmeol and subscnbei nerore me of Sw_ oyn to (or"affirmed) and subscribed'before me of
PtiysicaPPresence"or_OnlineNotarization✓=PhysicalPresencepr_Online Notarization
this_dayof .2020 by this'_�ddayof r2020 by
Name of person making statement. Name of person'making,statement.
Personally Known. ✓/. OR produced Identification._ Personally Known � " OR Produced Identification:.
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