HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due Receipt#
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Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
Permit #
NO3-66%
SCANNED
BY
St. Lucie County
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 250 1" 1 ��7DC` ✓� \ - ���'� iA-
2. Parcel ID Number: L" 32--,201 - ()c}Z(p -0C)i)^ b
3.
4.
Township
Range
Map Page
Zoning
Land Use
Initials
Office Use
Section
Only
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Owners Informati//on
Name: ) 11 /f 16%) L4�1-4ff I
pn F�a A} 5. Contractors Information
�Or n er-
FL Reg/Cert #:
t4 �� h
Address: 25y3 YV r`WejA,)tvOd J>l• CountyCert#: Vy- 1 4
1
City: P P State: Fic- Business Name: LG�
Zip: 3gg9 2, Phone:E5ZO -qT�hone: �(_ ` t 3Fax:
6. Value of Construction: $ 2�`�
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
compliance with all applicable laws regulati g construction and zo ing.
Ker M add-e n s
PRINT OWNER OR CONTRACTOR NAME S SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA. COUNTY OF y� , 3A- - �C, �
ACKNOWLEDGED BEFORE ME THIS DAY OF 1 10-V-C1I , 20-14— BY l n Dada en
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
— CATHEitME SAPP
AS I TIFIC ION. 810N EE1I071 t
1 " ( 1 �� • (sea FORI" 19. 2016
CVAT�E OF NOTARY /- TYPE OR PRINT NAME OF NOTARY odn
COMMISSION NUMBER E E f -7 0 -71
NOTICE TO OWNER- FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
Revised 04/26/2010
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