HomeMy WebLinkAboutBuilding Permit Application � �1
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ALL APPLICABLE ! MUST BE COMPLETED FOR APPLICATIONBE ACCEPTED
1510- 01�70
i Date: Permit Number:
Building PermitApplication
Planning r t Development Services
Blidd
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r r • Code Regulation Division
f/ Virginia Avenue,Fort
t • r A Commercial Residential
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1fi�'�kRs,�55 xryF'�'�5 -f r LL few F f r^ 5� 1t�et •�7�
Address: $610 OLEANDER AVE FORT PIERCE FL 34982
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Description:
Property •#: 3403-502-0294-000-4 Lot No.
GROVESite Plan Name, 8LIN • i Block •
ProjectName: 'iVE MONTESSORI
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Electric Plumbing ElSprinklers 11 Generator
Roof
Total Sq.Ft of Construction: Sq,Ft.of First Floor-
Cost of Construction:s 4610.00 Utilities,liSewerFlSeptic Building Height:
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GROVENaMeSUN i •R
Address:5610 OLEANDER AVE
Company: NISAIR AIR CON131TIONING
#` tate: Address: 11
• Code: 34982 Fax: City: FORT PIERCE
Phone • '1 Zi8'
a ••�
I E-Mail:
772-460-8115
Phone N .
t
Fill in fee simple Title Holder on next page If different E-Mail: NSIMMONSONIWIR.COM
from the c #, •�
• above) aCounty
if value of•r $2500 or more, RECORDED Notice ommencement Is required.
10/08/2015 17:39 7724689745 NISAIR PAGE 02/03
PDSESIGRNERNGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:-- _ Name: —
Address, - Address:
City: State., City —State:
Zip: Phone: Zip: phone-
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: —Not Applicable
Name:_ -- _ Name:
Address: Address:
City: Ci
Zip: Phone: zip: Phone:
I certlfy 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 dome 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.Florlda 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
commencina work or recording our Notice of Commencement.
- s
_Signature of Owner/Lessee/Agent Signatu of Con4— or/License Holder
STATE OF FLORIDA STATE F FLORIDA
COUNTYOF COON OF Br-WrIE
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this_day of_ 20 --by this a day of °SOBER 20 _by
PHILIP N1aA JR
(Name of person acknowledging) (Nam f person acknowi )
I
{Signature of Notary Public-State of Florida) (Signature ofP , c-State of Florida)
Personally Known OR Produced Identification Personally Known x OR Produced Identiflcatlon
Type of Identification Produced Type of Identification Produced. -- .
Commission No. _ {Seal) Commission N M.PWLEL
188}ON!
E7(P1RES Octobar2,2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS