HomeMy WebLinkAboutBuilding Permit Application 06/09/2015 10:19 7724621576 ST, LUCIE Co IMPACT PAGE 02/03
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AILAPPUCLA1111 INFrOST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date, Permit Number;
S%3Z.J
Building Permit Application
Plannirig and OcveloonlentScrylces
quJiding and Code ftgurotjotl Dfylsiun
2300 Virginia Avenue,(port Nome Ft 349$2
Phone;1772)462-1553 Fax;J772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To SeleCtfrorn dropbox, click arrow at the end of fine
PR6170SE6
Address: +
I
egal Do 04
Property Tax ax IV#: Lot No, f,
si-e Plan Name, Black No.
Project Name.
Setbacks Front Back- Right -d a: LPft Side:
ESCRIP.-T"i OR.W.0 RK:'
1�e' may aa- h'/;,e_ Li nes(deP7-Va-
L7
L
aft aoply:iona worlftol�enerlorrned under 014VAC E]GasTank DISQ3 pipiShuttorz Wintlows(Doors
SIrPrInklors Roof
Electric Plumbing Gen#.,rator
Total 5q.Ft of Construction; SCI.Ft.of First Floor:
CogtofConstruction:$ Uti!fties:0 sewer0septic Building Height:
OWNE E E...RA :A'P-?
a- -ft__4
4i
Name: pi- b Irb ISill
Com an ")
Address: 5,40014P y:
ims-4 al,
C Ity. R ,e
er(- - 5tate;Oe Address; L4-7
Zip Code; Fax-, City: State
Phone N6759.n fl'?_ Zip C d0: ^ Fax-,
E-Mail. Phone No.
Fill in fee simple Title HofderZ_next page(it different E-NAafl, OA-rm6ry'cLriki
from the Owner listed above) State or County License:
1.��2300 or rmoye,a RECORDECI Notire of commencementi-required.
06/09/2015 10:19 7724621578 ST LUCIE CO IMPACT PAGE 03/03 -`
Jun 09 15 08!36m Grommmenn /V, Condiltion|n 772-3989727 P.3
DESIGNIk/MiNEER: N&Applicable MORTGAGE COMPANY,- Not-Appljc�$Iei
Address!. Address,
City: State: City- fl.:1
Zip: Phone: Phone: 71
FEE SIMPLE TITLE HOLDER: Not Ap p lic�i b le BONDING COMPANY- Not App a Ile
— T�q1 -1
Address: Address:
City: City
Zip- Rorie:
zip: Phone;
St.LurieCourit makes no rp presentation that is gran rmit will authorize tne permit holder to build the subject dture
ayhr
5tructure-PIdase consultwith your Home Owners Association and review your deed tor anV restr-,ctions W 16 May 2131DI
In consIderatort of thc granting of this requested perrmit,,do hereby agree that I will,in ell respects,perform the work
in aco�rdanv!with the approved plans,the Roricla Building codes and St,Lucie Ccunty Arnendirnents.
The iollowing building permit applicationS2M OXern 3t FrOrn LIMeltrgoing a�ull concurrency review:room aidditidons,
accetsory strUtt.Lres,swimming Pools,fences,walls,signs,5creen r4porns and accessory uses to anotherion-micluntlai wa
WARNING TO OWNER:Your failure to Record a Nolice of Commencement may result In your paying twice f6irImprovements to you property.A Notice of Commer%ennent must be recorded and posted on the ja s 'e '
before the first inspection. If"O intend to obtain financing,consult With lender Dr an attorney before
S ign signature 00%,�6 Holder
. S' LORIDA STAT IDA
Me me of person ackrimvIedging acknowledeing)
(Signature of Nctary Public,State,bfvi (51g,11atUre mf Notary PubIIc4-W1:c!t0 Florida
aiii H, Gentle Gail H
Revised 07/15J2014 "Iri-&W wffW.AAF10WDThW=M
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGUATION SEA TURTLE M,�k ili:ow
COMPLETE
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