HomeMy WebLinkAboutBuilding Permit Application 07/06/2015 09:36 7724621578 ST LUCIE CO IMPACT PAGE 01/03
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ALL APPLICABLE 11YFp lVltfS{Be COMPLETro FOR APP CATION TO 8E aCCEP'7 Ep
bate` • -W Permit Number: �v 005
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Building: P
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P1Qnnina and Qeverppn7ene Servicrs
BUM1 fg p►:d Code RegWaVW D(Visfon
23001lri7lhia Avenue,Fort Piai'te FL 34982
Phone:(772 4e2, 53 Fax:(772)a6z-3578 Co merciaf Residential
PERMIT APPLICATION FOR: To Select frlom d dpbox, click arrow at the end Of line
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Legal Dcscrip'tions�L�-d
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Site Plait Name: i
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me permit-c ec a app y; ,:. •�,�. �..;•�
CHV,AC �Gas Tank Gas P' in _
�P g 5[,utters Windows/Doors
�Eleciric Pluml,ingSprinkiers Generator Rauf
Total Sa.Ft of CanstrurCion^ S •Ft.of First Floor:
Cast of Construction;$ �. iJtiNi7es: Se+nrer
Septic ' Building Height:_
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Name
Address- Company
a :Ivv
_ State' Address'
i Zip Code: Fax:
I Phone No. 1 - ? �� City: State: i',
Zip Code: Fax-, �
6-Mall_ �. L°c✓}/ ti E Phone No-
fill in fee simPle ritle Holder on next page(if different E-Niaih
from the Owner listed above?
$t�teprCourltyLlcense: (�
H value of constrgction $z5oo or tr�pre,a RECORO£D NOtim 4f lOrnmE'hmment i7
required
PAGE 02/03
07/06/20l5 09:36 7724621578 ST LUCIE CO IMPACT
=/vm*xmnn */ruonditinn|V 772~3989727 P.3
I GNERIENGINEER. Not Applicable MORTGAGE COMPANY: Not Appli�ble Name: Name;Address: Address:im-t SIMPLF'MTLE HOLDER: l4bf Applicable RONDING COMPANY! —Not ADD ble Name, Name:Ad ressi. Address-,CRY; 77 city,Phone, Phone,I ceMfy that no work or Installation has coramenced prior to the issua nee of a permitStu spresing tion that is granting a—hirmit will authorize the permit holder to bulld the su re is in can ict w any applicab s Aome Owners Assom on rules,bylaws r and mvenarits that may restr it su strumni.Please comuit with your Rcme Owner, I rid review your Seed for any restrictions which rnayallPfy:in cmisIderatlon of the granting of this requested M-,--,,.do hereby agree that I m4l),In all respects,perform the work in awordance with-the approved planS,the Florl0a Building Coes and St.Lucie C*Unty Armandmcrits.The folbv4ng building permit applications are exempt from uRdergairig a full roncurrency reView.room additioris,;3"essory oruchwer,swim rning pool%fen CC%vjall.t signs,'e, erk roorrl$:and aoceswry uses to another non-residential use WARNING TO OWWR:Your failure to Record a Not'lle,of Commenoement may rewlt in your paWS1 twicelfor improvements to your property.A Notice of Commencement must be recorded and posted on the jo&Ae before the first inspection.If you intend to obtain financing.consult u4th lender orgin attomey befor6 STA "Lo(Narne of person acknowledging) (Name ot person acknowledging�OR Producad Identification(391 ti. Gieritle MY Revised 0711512014 REVIEWS FRONT ZONiNG SUPERVISOR PLANS VEGETAMON S15A TURTLE MANGROVE COUNTER RVIEW REVIEW REVIEW RtVIEW REVIEW RtVIEW DATE COMPLM I MA