HomeMy WebLinkAboutBuilding Permit Application II
ALL APF LE INFO
STPE COMOLkIMD FOR APPUCAT104'ro sE ACCEPTEDDate: Permit Number.
Building Permit Application
Plannin I I ind Development Services
8ulidJ
Ind Code Regulation DivisionI j
2300 inia Avenue,Fort Pierce R 347�21:
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Phone (772)462-1553 Fax:(772)4llW',1S78 COMMerlial Residential
tPERMI APPLICATION FOR: T Pelect from dropbox click arrow at the end of line
PERM�tAP P
Address,
L I ription.
Legal De.,dription: DP_ME:E�> 1:� 16 Ki ica A.
06�'lei 19-1)-7
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Site Plan�,lame; I Block No.
Project �me:
Setba-4,- Front Back: Right Side:. Left Side:
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cx�4 CW
I wor o ene rmed under this pen-nit–check ail t=apply:
H C Gas Tank ;'ElGas Piping Shutters Windows/Dc ors
El ric E]Plumbing 17-15prinklers 11 Generator D—Roof
Total Sq.F t of Construction: S -t of First Floor: I--------
Cost of C instruction.$ e5, La utilities: . Building Height:
ii
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Name J 6,1 r"VY Name:Arr Anru Ka-1
Address Co-npany.
City: State:FL, AdIress: I
Zip Co - Fax:— I Cittate:1=I
Phone No, VIT Code: =_))• Fax:
E-Mail: Ph ne No. 4--.-5 20 0
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Fill in ample Title Holder on next if different E- ail: 5.ej LAI
page of
from mr listed above) St i ite 6County License'
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thl
lfvalue al ristruction is$2500 or nibrah*15CORDED Notice of torn mancement is required.
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DESIGN ENGINEER: _Not Applicable M Mjrq E COMPANY: N61' pplicable
Name: N e: `
Address A cess• II
City: State: C' _ __... _''' _ I; State: -
Zip: Phone: Zi' Phone: l _
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FEES] : 1:TITLE HOLDER: _Not Applicable B NDING COMPANY: _Not Applicable
Name: Nine:
Address ' A ress: I
City: ! Ci I
Zip: Phone: Zi Phone: I
I certify tl t no work or installation has commenced prior to the issuance of a permit. li
S#.Lucie C nt�vy makes no representation tha is granting a permit'wIII uthorize the permit holder to build the suk{ject structure
which is i 'onfiict with any applicable Horne! wners Association rules bylaws or and covenants that may restrict yr prohibit such
structure. ease consult with your Home QAers Association and Levi your deed for any restrictions which may+lapply.
In consld on of the granting of this requegted permit,I do hereby a tee that i 1011,in all respects,perform the work
in accord ` e with the approved pians,the Florida Building Codes and t,Lucie-County Amendments" �!
The folla I g building permit applications arp exempt from undergoin a full concurrency review:room additions,!
accessory ctures,swimming pools,fences,walls,signs,screen roc and accessory uses to another non-reside'tial use
WARNI TO OWNER;your failure olRecord a Notice of:Co mencement may result In your payinice for
improve 1 encs to you(-property.A Notice•of Commencem� t must be recorded and posted ont*efore
jobsite
before t•; first inspection.If you intend to obtain financin consult with lender or an attorney •
comme n work or record' 'r Notice of Commenceniient.
S i 1' 11
Signature ' Owner/Agee/Lessee ! 'Sign ture of Contractor/License older
STATE F, FLORIDA .STi TE OF FLORIDA
COUNTI OF CO INTY OF
The fno� .g in ment s aclmowledg ore me The r ing Inst ent acknowledged be f're tree
this
I : y o 20 � this day of 20 �Jr
(Name of 'tson ckno ging) i �Na a of per n ac o ledging I:
{Signatur 'of NotaryPubl' -state of W1481.*)' (Si aIure of Notary Pu Stat ori• a)
Personals own OR Produced Identification Pe nally Known OR Produced identifieation
Type of Id 'tification Produced _________ Typ of Identification Produced
Commissi 'i No. ission No..!! (Seal)
CRYSTAL MARIE CRU .ADO
Art
_ ., lamOMCRUZADO
Rev! 7/15/201`4 A SJuna25.2078 " MYCOMMtS51t�t>XEE7874B3
to "iebulss I roam EXPIRES Jura M2016
REVIEW;'. FRONT ' ZONING; SUPERVISOR PNS VEGETATION SEA TURTLE i MANGROVE
COUNTER REVIEW ' REVIEW REV REVIEW REVIEW REVIEW
DATE
COMPL
INITIALS
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