HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa ae� o ,
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A!! APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 01411
orDeveiopmer,: Services
7 L'ii0ing and Cone Peculation iJivisip.1
Z30C Virginic Avenue, ror. PierCC FL 3498-7
Phone: (772)462-1553-ax:(772)^-52-1578
PERMIT APPLICATION FOR:
Address: &201—N
eo Oesc; 1pnenJ;_&W
-roger-, Tax')D 4
Sits °!an Nane:
pr. Ject Nerl2.
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Permit Nurnber:
1panLp-
SCANNED
BY
St. Lucie County
JUN 0
Building Permit Application per/.201g
Stt.4 D
/ Cilntyent
Commercial Y Residential
Back: Right Side:
Lett Side:
c^monaI wom to be perrormed un er t is permit - cnecr
Shutters
Gas Tank Gas Pip:ng —
Mecha^iCal _ --
__ o:, t.'n- Sprinkler$ _.6eneratD;
Sa. ri. 0r First Floor: _
a,a! Sq, r o- �onctruc-ion: _
U—
tilities: Sewer —Septic
_ost Cc ns-;;uCiiCn: S h�� `v�J
vas' ]CiI�
racoress.
4 _iate:�
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Fill in fee simple Title Holder on next page ( if different
rom the Owner listed above)
Lot No.
Block No.
Z W inflows/DCO rs
Roof
Building Height:
't Name: to LLLA! II H.ti �'c' •.•—
p
J
l,Ompo"ny: IY - %'C1Jf S^ .2
Address: i108 arroha, t
1 !tCity: t"ct"'^ a 3es�r
State:-'
-,- 7 =ax:
zip Code: -3z,?
SLI- i7 - uL U
PhoneNo. i✓
"
' SLa i:. Of :,OUnil.' ! icensE'. JI�
If vaiue or construction is 2500 or more, 3 RECORDED Notice of Commencement is required.
DESIGNER;
IENGINEER: Not Applicable MORTGAGE COMPANY: No, Applicable
Name, Name:
Address; Address:
City: State: City.
Zip: Phones Zip PII
FEE SIMPLE TITLE HOLDER: Not Applicable i BONDING COMPANY: —Not Applicable
Name: i Name:
i Address, Address:
city:
Phone: i Zip: P h on
the; _no York o, z0ation has commenced prior to the issuance C., a Pei'ma.
Si. Lucie Co Unrimakesno repricstrizarion that is granting s, permit will authorize the permit holder to build the subject structure
whicwhichis in conflict with any applicable Home Owners Association rules, byla'vis aranc covarants the, may -as.., ornrornbi iuch
2PDIV
s,rucrure. Please consult with your Home OwnerSASSOCRiaTor, and review you, deedior any r¢stictions which may
in consiae,a zior of the granting of this reque5t d ce,miz. I do hereby agree That I will, in all respects, perform the work
In. ;ccordenc'swith the approved plans. the Florida Building Codes and St. Luce County .4rneOdment"-
7he following building Permit applications are exemot From undergoing a full concu. rercyreview: scorn additions..
accesson, Tnumi, es, swimming poois, fences, wells, signs. screen rooms and accessory uses to another non-residential usa
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resuit in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on theiobsite
before the first inspection. If you intend to obtain financing, ng, consul with ipeder or attorney before
con-irre cfn work or re rd'n you, Notice of Commercement. I
Lesser; Aiffen-Sigriature of Coniractzi is ense riolcier
STATE OF STATE OF FLORir).f,2
COUNTY COUNTY Or
t.
TheSing Ins-, '-'- as 'a
b, this :Sda" of .20 Is,
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iiTamt of cerso, ack.,io,ledffina) (Name OT PeFSOr. iicknowiedg�ri.e
I
*Srre igna,ure of r y Public. 5'a,-a I of Florida I
le, sonaPy Known 11-1, CR Produced denzifica-i0i'. i Personally Kno',,,ri __X_ OR Produced identification
-ifi ..'P 01'4c, en. don Produced ype of identification o:*cotuced
isco commission No'
'p ftit�' A Notary Public Stat
M ft. NotaN Public State of Floridaii
Ass_hhfl�ey fM4 �Anjonelh 0 Y Commission 5
5/20 1 4 My Commission GG 152970 Expires 10118/202
Expires'10118f2021
xP'.sj0IJ8 021
z 0 IN I N G SUPERVISOR PLANS V 9- G E T 7 1 ONI SE A TURTLE i INIA N G ROVE
I j
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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