HomeMy WebLinkAboutBuilding Permit Application • MUST BE COMPLETED FOR APPLICATIONTO BEACCEPTO
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Building Remit Applic bon
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AI Virginia Avenue,Fort Pierce FL 34982
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check
permit
IPP
LlfHvAc EnGasTank ■ F]WIndows/Doors
1215enerator •..
TotalFloor
Cost of Construction:S ' ■
Septic Building Height;
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Name-
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Zip
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Fill in fee simple Titie Holder an next pag4(if different
ftom theb"er listed above) Flu
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FINIGINIEER: I Not ppl cable MORTGAGE _SL Not Applicable
"DESIGMNERIENGIMNIEER: Not rAppi cable ,
Name
Name: Name.
Address: i
Address:
C t
St te. I V:
citv: state:
City: te:
Zip:, Phone: I ZIP: Phone:
Flu SIMPLE TITLE HOLbEk: 'Not App ticable� BONDING COMPANY: _OloiAppllicable
Name". Narne,
Address; Address.
City: City:
zip:
Zip: ne-
I certify that no work ar,install'ation has commenced prior to the issuance a er it.
..St.Lucle Coun makes-no repfesen Kio(commence
I permit will authorize th.' e J0older"to�build the subject structure
which is TrizonWict.with an, pillea e-H rrhe0w Owner lation rules,bylaws a" covenants that may restrict or prohibit such
b r,
" I d ge Nfgo
structure.Please consult W t urHo Owners.AssQcia i n an review your. ran !restridlons which may apply.
wi
his r quested It,I do hereby agree that 1 11,in all respects,perform the work
In comideration of the granting
in accordance With the app dplans, helorida1ulldIng Codes an I St.Luciecouhty dments.
The following builldirig permit 4 rency: ew-room additions,
op Cal 0. s are ex6inpt from undergoing a full conp,� 0-M
I .: non-residential use
I es,walls,signs,screen roosts and accessory us6sto another
accessorystructures,swimming poo s,m nc j
WAR14ING TO OWNER:Y*ur:bilu e to Reckir a Notice of Commencement m teiult In your paying twice for
improvements to your property.. Notice o'Commencement must b,9.irecorded and posted ontheljobsite
before the first inspection..If you ntend tiq obtain financing,consultiv�.ith lehoer or an attorney before
commencing work dr reco:rding v)ur Notice of Commencement.
" asses/Agent Oro, .40.00 Pcens;F Holder
STATE OF FLO D STATE OF F
COUNTY OF- , COUNTY.OF
The In Instrtftnent was a&nowledge The ing I s:r ant! S ask ow g re:me
re W5 20
this flo &OF io thisj
4-LL day of day'
(Noma of person apknowl.00ging) (Name of rsoi lackn 'r Iedging)
(Signature of Notary Pubic-Stato Of Florida) (Signattire of k6tary F i H tote of Florida
Personally Know I*"jq go Personally Kni
Aft Type of Ident t cMytWMMISSION#FF904046
Type of ldentlfl i EXpIRES July 31,2019
,Mp da 1 1 2019
.E
Commission No. ke Commission I oiW FWHaN [LIA(figat—
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
CO/Z@ 39Vcf N31WMId V60TZ69ZLL OT:ET STOZ/8T/80