HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAMAPPUt'1tBLE INFO MUST BE COMir•.=, D FOR APPl JCAJWN TO BE-ACCEp1Ep
Date: 9 - S- /9
87
SCANNED Permit Number Aa.(Os
BY
• St. Lucie County
RECEIVED
Building Permit Application P/w+MngondlievebpmemServices SEP.27 2019
Building and Code R? onohds9on Permitting Department
23W 117WnfaAvenue, Fort plewe R 3498t.. St. tusje county
Phone- I772I462-ISW Fax r1n)462-157g
Residential
Commercial ti//
PERMIT APPUCATION FOR: To Select from d
PRORQS_EO IMPROVEMENTLOCIIYjON; click arrgw end of Jine
Legal Description: �/ /��S l� 04 Q 1� /�G s " '
Property Tax ID d: Zi- B1-0y�,fe. r- 0,0� 0 �
Site PWn Na1ne: 14
,-E Lot No.
ProJectAinne-Tor,Block No.i0/
Setbacks Feorn_ /O Back Right Side O
-. � Left Side:
DETAILED DESCRIPTION:OF WORK:
.KuR P*510 GALLori ;+.
�`' �a �R �� -rt,,i� cis
.1r44rA L x4milzi ciA (;AS alive. EXIZi tQA rL✓R4Li. To coovlOP
Con1 tJeC7' (j RS T�'kw,G %ArvEsS a
-. -�� KCX-jer, � c�olclaP
--.--••o• "MR w ue ormeu er s�nnit-c ec a aPP r
--�� Gas Tank ✓ 2!4! ing _Shutters —Windows/Doors
_ Electric
_Plumbing —Sprinklers _Generator Roof Roof pit h
® -
_
Total Sq. Ft of Construction: -
Sq. Ft of First Floor: '
Cost of construction: $ 3. n
—� tftiGlips: _SewerAWat WIN _Septic Building Height:
Zip coje-Fas;
3�19 state:
Phone No.__
FIB In feesbnple title Holder wr nW p I if ditferrsnt
from the O Rsted above)
Company -
DpCode:��/Qg0 Fax
Phone No. -a 00
EMail: VI ��'.+t <p4el[i2:ar titi�
State or County License: 0559 4 : errs
uo Or more, a RECORDED Nooaa dNenurn ..w,.. r..�- .r- J 04 1 0
— - • •rr•• - •�
Name:
rvHunIUAW: UUMPANY: Not Applicable
Name: —
Address:
Address:
City: State:
Zip: Phone:
City: • State:
Zip: Phone:
FEE SIMPLE TITLE WOLDER: —ot NApplicable•
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
r: ..
Address:
"y:
Zip: Phone: Zip: Phone:
OWNER/ CONTRA4TOR AFFIDVff: Application is hereby made to obtain d permit to do the work and installation as indicated.
I.certifytfrdt no gyork or InstaIlation;has commenced prior
the issuance of a permit
St. Lude Coonty makes no representation that is granting a permit will authorize the ermit holder to huild the subjectstYucture which is
in conflict with any applicahle Home Owners Association rules, bylaws or andpcovenants that may restrict or prohibit such structure. Please consult with your Home OwnersAssodation and review your deed for any restrictions which may apply.
In consideration 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 Stt. 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 properly. 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
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STATE OF FLORID,
COUNTY OF c T 1��E
The for oing in �imentwas adno ledgbefore me
this day of ?A by
STATE OF FLORIDA
COUNTYOFZTT, k �1CAC-
The for oing in ument was a dge before me
this day o 0 by
iMA ('JUL F ti
(Name of person acknowledging)
(Signature of Notary Pu lic State of Florida) (Signature of No ary Public-._ tate of Florida )
Personally Known "_ OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
NGGi
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