HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUSrBEOOMPLErED FORAPRIGCCnON TO F3E
Date- Perrrsit Number'.
Building Permit plication
Banning and Development Services
Building and Code Regulation Division -
2300 Virginle Avenue,Fort Fierce 8.34982
Gone:(772)462-1553 Fax(772)462-1578 Commercial Residential
PEFUrrAWLICARM FOR To Select from dropbox, cli k arrow at the end of line
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Address .2 -Y1 Vdr eL-W
Legal Description: nit
Commercial
plication
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Property Tax ID#. r 6 J-- 6 6 a - -71 Lot No.
Ste Plan Narner Bock No. '7'
Project Names.
SAbacks Front_ Back: Right Sde.- Left Sde:
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GONSMCTIONINFOWATION-
Additionalworkidloe rfortned under this permit-check
[J WAC I!GBsTank []Gas Piping "p'
t". 11WriclowsrDoors
089dric E Plumbing [],8p(inklers ,nerator [:F;bof
Total 8-A.R of Cbnstrudion: R of rst Boor.
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Cost of Construction:$ sso. -V Utilitie:n r n,%ptic Miding Height:
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OM R1 LEEREE CO"CTOR
Name 126AI Name. DS e/9,Al Tzt 11 X
AddremjgtL_ e Company: Cees:-f
City- S:
44t eg�-e- -,qate. Address- 1 4 2 S4, --Olt
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Phone No. 7-7.2 g 70' 21p Oode: 1341.ra — Fax -33-C X6 0
E-Mail: Phone No. 3 .7-7 3d 0.2
RI1 in fee simpleTtle Holder on next page(if different G-MW:
from the Owner listed above) sate orOt ntylJoenw. C'OCL /v;22vf /0
If value of construction is$2500 or more,a FEUDIRCED,Notice of()3mmencemlnt is required,
mes bul 1,60 ung
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SUPPt M ENTAL GONSTR X110 !UEN LAV INFOWA-
DESGNERENGINEER Not Applicable M ORTGA GE OOMPANY: _Not Applicable
Name: Name:
Address: Address:
City: gate: Qty: nate:
Zip: Phone: Zip: Phone:
FEE SMPLETITLEHOLDER Not Applicable BONDIN OOMPANY Not Applicable
Name: Name:
Address: Address:
C Ity: ❑ty.
Zip: Phone: Trp: Phone:
I certify that no work or installation has commenced prior to the issuance of a I iermit.
g.LucjeQou ymakesno representation that isgrantinq apermit will autheri the permit holder to build theNbl'ect structure
which,s in conflict with any applirahhle Home OwnersAssoraation rules,bylaws rand oovenantsthat may restrict dr prohibit such
structure.Please consult with your -tome C>tinrnersAssociation and review your i iesd for any restrictionswhich may apply.
In consideration of thegranting of this requested permit,I do hereby agreetha I will,in all respects,perform the work
in acmrdaneewith the approved plans,the Rorida Building Cbdes and Et.Lucie County Amendments
The following building permit applications are exempt from undergoing afull ncurrency review:room additions,
accessory structure%swimming pools,fences,walls,signs,screen roomsand ry usesto another non-residential use
WARNING TO OWNER Your failure to Record a Notice of(brnmence Tient may result in your paying twice for
improvements to your property.A Notice of Commencement mus be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,con t with lender or an attorney before
commencin-q work or record!na vour Notice of Commencement.
r
gnature of er/Agent/Lessee ure of ntrtctorlLicense Holder
STATE OFFLORID�/ STATEOF ORIDA.
OOUNTYOF X �vc-i'ti OOUNTY
'thefor inginstrument esacknowledgecib ore me Thefoyinginstrumentt acknowledged before me
thisdayof d 2i) l by this-_7 of /��{ 20 by
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(Name of n {edgine a pe n n ging
Mature f Pu io
o- fRorida) 3gnatu eo'JKOtWfy Public,gkp6fRorida)
Personal ion Person 1 I cation
Type of I _rr@ r��+i 1x Ftp Type o i i�''C� sION.
M-Fi�23
ice,.• EXPIRES May 21,2�"""i)' Commi EXPIRES May 21.2019 y
Comm' �. •' l
anise. h3 U:' orrice.corr
Revised 47115/2014
FGAENS FRONT ZONING SJPEFxMSDR PLANS V GUAnON TATUR7LE MANGROVE
COUNTER FEM IV FeVIM REVIEW REVIEUIr I SaW FSABN
DATE
OMNI PLEfE
INITIALS
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