HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION70 BE ACCEPTED
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RECEIVED JUL 3 0 2015
-Building Permit'Application
Planning• r Devetopment Services
r Code Regulation
/! Virginia
' • • 462-1578 Commercial Residential
PERMITA•PLICATION
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Cost of Construction.$ r r� Utilities.-USewer OSeptic Building Height:
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Fill in fee simple ritle'Nolder on next page ff different
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If value of construction 00 or more,a RECORDED
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p �NotApplicable MORTGAGE COMPANY: NotApplicable
Name: Name:
Address: Address:
City: state: City: _ State:
Zip: - --Phone:_. -- Zip: Phone:.. _... ..
FEE SIMPLE TITLE HClLDER �•,•_Not Applicable BONDING COMPANY: _lVat Applicable
Name: Name:
Address: Address:
City: _ Crty:
Zip: Phone- - - Zip: Phone:
I certifythat nowork orinstalWdon has commenced priorto the issuance of a permit.
5t.Lucie Court y.rhAes no•repn;se�tt��Ron that is grunting a permit will•authorize the permit holder'to bund the subject structure
whichy is in:co ict with•anya�}kable Horne OwnersAssarjatlbn rules,Bylaws ora d covenants that may restrict or prohibit such
structure.Pleasecon'suitwith urdomeOwners Association and revi�wyourd;afbranyrestrictionswhichmay,apply.
In consideration of the grantingiof 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 5t.Lucie County Amendments.
The following Wilding permit applications are exempt from undergoing a full concurrency review:room additions,
accessary structures,swirnmin j pools,fences,walls,signs,screen rooms and accessory uses to another non-fesidentlat use
WAI NJFNG TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for
imp rovements-'toydur.prooerty.AN ce of Commencement must be recorded and posted on the Jobsite
before the first Inspectlott':-if you Intend to obtain financing,consult with lender or an attorney before
comri'tencit: Work•b'r reeoMin ur Notice of Commencement.
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AgentY� :4;. p.,r or License Holder
STATE4OF FLOR�f►„ , STATE OF FLORI
COUNTY OF-: J COUNTY OF i`tet
The f i ant aCknovA re me The fo in Instru ent was acknowledged re me
this day of ZD by thEs "1-day of zo
`
W-U50L
(Name of person acknowledging) (Name of person acknowledging)
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(Slinature Notary Pub'c--Slate of Florida) (Signature N ry Public-State of Florida)
Personally ' Personally Koo : ° tali.' - ro W ' .
Type orf Iden ucetl " Type of ldentifl ii1R$5TA
•—CR1'�7Rt.'�CbE �: �_ awry.,publlc a�fatl`'�t.�liirida•.
• , Hotiry:Public of Florida MY Comm. Oifq
commiss'�on •g �� Commission No.
" l al,2015 ,,,,;b otnrrNs'siori >:I.i17d7�•:.'''
y � Cammie'sien EE 117479
Revised 07115/2014
REVIEWS FROND ZONING SUPERVISOR PIANS VEGETATION SEA TUR`EE MANGROVE
COUNTER REVIEW REViEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLY
INITIALS
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