HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLCtFO FOR APPLICATION TO HE ACCEPTED
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Building PermitApplication
Planning and Development Services
Building and Code Regulation
/I Virginia Avenue, • /'
Phone. 4. 46Commercial Residential
PERMIT APPLICATION
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Additional work to b rf� iia under this permit—check all 1JHVAC ffasTank- Gas Piping Shutters Windows/Doors
0 rlectric 21 7
Plumbing []Sprinklers ■ Generator Roof
Total Sq.Ft of Construction. S Ft of First Floor:
Cost of • • Soo ■Sewer ■Septic Building
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Re Name: LVCIEN •
` •• ' Company: IRC PLUMBING SERVICE INC.
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••
SEBASTIAN
• • ' 32958• •.• -
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/ • . . . . State • County0364
07-15-'15 11;50 FROM- T-701 P02/03 U-162
1:313M�I
0112
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY- �...Not Applicable
Name: Name.•
Address: Address:
City: State: City: State:
Zip: Phone: Zip: phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name., Name:
Address: Address:
City: - __ _ _-- City: -
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may,restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments_
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our N Lice of Commencement.
_Signature of owner/Lessee/Agent Signa ure of Contractor cense Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF �6UO V1 X12 QI ' COUNTY OF A�
The forgoing instrument was acknowledge efore me The fv orng instrument was acknowledged before me
this i day of W 20 by this �� dayof 20 LS by
(Name of person acknowledging) (Name of person acknowledging)
vla
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known If OR Produced Identification
Type of Identification Produced Type of identification Produced
►Fr
4•. ` _ NESSA MCI' ;�+.
Commission No. _.; e Imission No. +, "�; AVVESSA MCPAL,L,�,�l 1 COMMISSION#FFo 44tnv'AX'
' EXPIRESJanuary 20, ? MY COMMISSION#FFos447
88W;"" EXPRI515�JI-ani-Q-90 2011
B p153 FforideNofaryService.com "
Revised 07/15/2014 (407)30.153 Flaridallotaryservice.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION $EA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW
DATE
COMPLETE
INITIALS