HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATIONPlanning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing Z RVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
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1. Location/Site Address: 31 W n Asr-4 19 n C 03
2. Parcel ID Number:
3.
4.
(005`7
SCANNED
BY
St. Lucie County
office Use
Only
Section
Towawbip
Range
Map Page
Zoning
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an
Initial+
Owneorma '0 5. Contractors Information
Name -
Address:
Address: 3100
City: , /�,f (�40 (Le- State: r_
Zip: 3�,lQ4q 1 -Phone:
6. Value of Construction: S W s 1
with all applicable
FLReWCert#: IAQ�I1ko 4V
County Cert#: 8�O
Business Name: to - lam. ,ty, lei
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Phone: agm Fax: 1_[ w.cJ�
construction
STATE OF FLORIDA. COUNTY OF IV c7iuiae
ACKNOWLEDGED BEFORE ME THIS _ DAY OF 20\1 BY SA
WHOIS PERSONALLY KNOWN TO ME ✓ OR WHOHAS PRODUCED
IDENTIFICATIO .
COM&USSIONNUbMEfl IEGC)& lqa.
correct
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TYPE OR PRINT brUF NO Y
A
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
PAPROVENIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF. COMMENCEMENT.
EXEMPT: A/GREAT REPLACEMENT WITH CONTRACT UNDER $5,000.
07/05/2011 12:56
777' 73053 SEACOAST AC, -
F
PAGE 02
C(7 JNTY
❑ Electrical
I] Shed
Planning & Development Services
Building & Code Regulations Division
230o VtrdWx Ave.
Fort Hem FL 34982
(713)40-1553
SPECIALTY PERMIT APPLICATION
❑ Plumbing M VAC 0 Fence
❑ Demolition 13 Gas ❑ Siding
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1. Loesdou/$ite Address:
2. P2md m Nmnber:
3.
4. Ow
Name.
Address:
5. Costraetors Information
City: liCe _ stater
Zip: 3 `t Phone. QI ,
6. Wuc of Construction: S W
all applicable laws
FL Rgprert #:
County Cert#:
BusineZbouax-
Construction
correct
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SIGNA C T7tPB OR PR1NC u N Y Ci p
COaeusasaaMSER fEa'a � 20
NOTICE 10 OSPMM FATLORE To RECORD A NOTICE OF COMMENCEMM MAY RESULT IN YOUR PAYING TWICE FOR
FHPROVEB NTS TO YOUR PROPERTY. IF YOU EVIRND TO OHI'AIN FINANCW% CONSULT Vffm YOUR
IMMER OR AN ATTOHNBY DEFORR RF.00B.DINGYOIIRNOnCE UF4OMWNCEMM.
EXEMPP7 A/CmKUr REFLACErriENT WITH CONTRACT UNDER $5000.