HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA6fAPPMMLE,INFO MUST BE COMP. ED FOR r AP>�iLCA710NT
Date:
O LEACWTE
-
... . ,.,.., 6G N ED PermitNumber, A 9 a$ -W 513
• St. Lucie COUrity RECEIVED
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Building Permit APPlication AUG 2 g "019
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_ S� Lucie County, pe
23W 1GM?kbAvenuey FatPleiaeR3�-,, rmitting
- — (M)462-1553-Fax (M)462-IM- -- -- — — -
[omrrlere-ciai Residential
RMITAPPUCATION FOR To from dnapbmX, dick
PROPOSED IMPROVEMENT, arrt;w end of Dine 95
LOCATION:'
Address: 9voa c„ �o a
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— SPriniders _. Generatar
Tota�4 torconstructim: —Roof Roofpt
Sq Cost orCorrs6uctFon:$FL of First Floor_�Idla.Oa Ud_Sewer
OWNERILEiSEE — Building Helgbt
zlP oD�73 y 8 to
Phone k&_ -47,12 - _
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FW'n fee"B*Tlde Holder on nmPaft(ifd{krert
fr= the owner listed above)
Name:
Zip Code: Fare
Phone No.
EMail. -- -
StateerCea--.a.,�___ .....�.-._
Name' —
Address:
C)ty: ' State:
Zip' Phone:
FEE sIMPLE TITLE MOLDER Not Applicable-
Name: —I
city:
ZIP= Phone:
Name
Address:
City. State:
ZP: Phone:, 2.
BONDING COMPANVi _Not Applicable
Name:
atldre5s. -- — — — -- — — - - -
City:
Zip: Phone:
OWNER/ C0111MCPOR AFFIDWr: Application is hereby made to obtain it permit to do the work and Installation as indicated.
lcertify that no work or instillation. -has commenced prio'rto the issuance of a permit
it Lgde County, makes no renresermatien that is
""r'.^UjU"uas.wmcomay apply.
in consideration of the granting of this requested permit I do hereby agree that f will, in all rrsptcts, perform the work
in accordance with the approved plang 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, swimmingpoois, fences, walls, signs, screen rooms and accessory uses to another non-residential use -
WARNING TO OWNER: Yourfailure to Record a Notice of Commencement may result in your 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 lender or an attorney before
commencing work or recording Vour Notice of rnmmanrmm-.a
STATE OF FLORIDA_
COUNTY OF
The fo oinginstr twa 'ackn ledg eforeme
thfs�dayofV� 9by
pvame or person acknowledging)
]
(signature or Notary ublic-State of Florida)
STATE OF FLORID'
COUNTYOF c t
The forening in inentwas adaiowledge before me
this-Q of 20 [ by
(Name of person' &n
PISITHEUM Or NOCRIV FUbIic-.StatN of Florida
Personally Known X_ OR Produced Identification Personally Known /K OR Produced identification
Type of Identification Produced Ty a of Identification Produced
�� �l ,lMV"'�•;, BRITTANY REC CommissionNo.eA , "1 BRITTANY R [[11��JJ��
State of Florida•No al¢'ptf�ll n NO� r'+° *to of Florida•Notat
=' •e COmm19sion#G - •= "Commission#GGI
%{ 190252
My Commission Expires My Commission Et
REVIEWS FRONT ZONING SUPER S R -VEGETATION SEATURTLE MANGROVE
DATE,
COUNTER REVIEW REVIEW REVIEW. REVIEW . ' REVIEW REVIEW
RECEIVED
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