HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building PermitApplication
P=4 and Oe /IServices
BulldM4 I • CodeRegulation Division
is0 0"rginfa Avenue, • I
• . 462-1553 . Commercial
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Site ock No.
Project�ame: L,3 -)qnsen
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, Piping tters Windows/Doors
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Total . of Construction: Ft of First Flopir:
Cost of tonstruction: 1OSeptic
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ESIGNER ENGINEER: —Not ApplicableM RTGAGE:COMPANY: _Not'Applicable
Na e: N me:
Address: A ess:
City: State: City: : State:
zip: Zip: Phone:
FEE SIMPLE TITLE HOLDER: ^Not Applicable BONDING COM
:,Not Applicable
Name: Name_
Address: Address.
.
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 sub act structure
which is fry conflict with any applicable Nome owners Association rules,bylaws or and covenants that may restrict�r prohibit such
structure;Please consult with your Home Owners Association and review your deed for any restrictions which may;apply.
In cons.14&ation 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,strucfures,swimming pools,fences,wails,signs,screen rooms and accessary uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your pSying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on tyle jobsite
before the first inspection, If you intend to obtain financing,consult with lender or an attorney before
comme0cing work or recording our Notice of Commencement.
s
osig ture of Owner Lessee/Agent Signa sof ontractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF ��t. -iY1 COUNTY OF
The fargQing instr ent was acknowledged before me The forgoing instrument was acknowledged W6re me
this i day af.� k 20 S by this day a �E*�: ., 20 Imo'-�ti�
Jd
(Mame of person acknowledging (Name of person acknawl )
"A ISO —AA A f -1
A P�Oi
(Sig u; of Notary Public-itate of Florida} (S nature of Notary Publi -State of Florida)
PersonaII,+Known OR Produced identification Personally Known Oft Produced identification
Type of itltentification Produced �._ _ Type of Identification Produced
commission No. 's ' CHEL THOMAS Comml
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,f ��,� MIG E HONIA
EXf�l ��Maatoh 23�201 COMMISSIoM1I#Ff;99o79s
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Q OBBWe1fl� Ft riga ■ '�o��--;�, EXPIRESMarch 23,20.18
Revzse 07/1 evil 3W01ST mrtda"OtarAomee.co�tt:
REVIEws FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPL- >
INITIALS