HomeMy WebLinkAboutBuilding Permit Application To: Page 3 of 5 2015-10-29 16:01:16(GMT) 17726733383 From: Maritza Ramirez-Carpenter
AII.APP:L:ICASI.F-INFO ilAi°iPhfPt,�TED. P...AI�FLs 7R4?�: ®::�.i ACCEPTED
CJ :.
OCT 2.94015
9
Plonning and Development Services
Bugdlncg vnd.Code:Reguldtio.n Division
23Q0't!irginicr:Aypnue.Fart.Pieice FL 349$2... � � � � ^. ��.� •.
K.o;np:17744 z- �s� Fax; 777)!i67- 5Tt3 CGirY1➢11eCC;1 Residential: f'
P R 11iT:�1PPLlCATION:i"OR: .:...
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Address .. . ' 18. �. � .
Legal Description:
Prot ert T x.lD#: 3( 5� t2h..
Site.Plas?.N.arne..; Block:i�ic�.. :L!
Project Name,:
Fa ont Bac.k:.^__��_____:Right Side.. Le€t'.Side:
: .$etbacks .
✓a. ki --;'.NS.2�"rp-.:.': ��+ -°t L'fS°Uf ".•...fa,-"::,�;. '--s.-"" :, G: r k - Y•ra°iL %4} LJ �„M'!.,i.: ut �i
.. f•(.•�. E...�L i" b" ��'e..-`'1. oaf _ W�G�jGr �A= ��°•r'S � �""'i'.•,[u.
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tiona wor toe..orme un.er t.�s permit c ec. a tat a
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�Mect�ani.cai __Cas.Tank. Pas.Ppina� �Shcstte.rs. :.. • .'. 1Ninc€owsJDobrs..
Plectrict Plumbing _Sprinklers. ' Generator Roof
Total.Sq.Tt of Construction: Sq.Ft.:v:F Pirst Floor:
Cost of Constructiorp.:$. Utilities: _Sewer _Septic' Buiid.irig A.eight:
Wm " >' a4
i19aPY1e: #
Address: 1 T2'.11 s.-jam ��c�Eir. �"�V'. Company fflldll fl
City: L State, Add ress: �� +I t 'x trP_.�r'
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Zip.Code.: f - fax: City; r -. -- - - State: rt`
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Pha e.No. - 7� ZIp Cade: '::!Y-A Fax: {
.&Mai : in.-cVfK IX,,(,C:4d`1'I Phone.No :537 ���-�-
Fill in fee.si .�1e fiti ol. er on.rs xt pgge.(if different: � I-i�laii�) �' (riel�;��"1� I i�41116
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*om-the Owner Iisted..above) I State Ur.County:Wcense
if.value of Construction is 2500 or more,a RECORDED Notice of Cornmen.cement is Tgqu ired.
To: Page 4 of 5 2015-10-29 16:01:16(GMT) 17726733383 From: Maritza Ramirez-Carpenter
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�1l��spli�abe' 'MORTGAGE CO iOt;4p�l�sCal3t `..:.•
Name.: - Name,
, d.dfL'SS: i4d.G,treSS:
r _ ._ ._ _ .., _ T
City: State: _r_:._ :.
..City ��� �_
Zip. Phone
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.. ....:............. .
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FEE SIMPLE TITLE-HOLDER' $ .Gat t pplicabie.. . i �i t�# � I A R : fot.f? pitiable
Name: dame:
d cess. Address°
city �i -
, .
t
Y.
Zip;. Rhane;. Zip Phone _
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@fal9lE /C 3NTRACTOR AFFIDVIT:A P:licatic2n_is.heret�y msde.ta.obtain a.perTr;=..t.to..,dp.the.wrork and instaliation.as,9!I !sated...
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lCertify that na.udork Cr.instaila6 pn fres cornrnenced priar.to the:issuanC6.0: i permit.
St.Lurie CountyY makes racy represehtatian.that is granting.a permit Will autoarize ttie permit.holder to'truslci the sub�ect:5tructure
dvhich is:in.to.ntltct with any applicable H6me 0-irners Association rules,bylaws•or ane 6Venarit<s•that:may:restnct 6rproh1biVslgch
structure.PEease consult wrath your Home Q*hers.Associat ori,acid review your.deed for any restrictions which may:.apply_
1qconsideration.0t.ttre granting:of.this.requc s ed;permit;3 do:hereby:agriye that:f.wlill,:irz.all respects,per.foim the wcork
in accprdance with.the appraued pians,,the Florida Siiildi rid Lades and St. Ade County Amendments.
The foliowing bojlding permit�ppiiCatibm are exempt fr6m undergping a frill concurrency review:ro ars additions,
accesserystructu.i es;swimming pools,fe,ii:es;tualls;signs,screen robins and accessor y i�ses.taanother ri'n-residential use.
. .
WARNINQ.TO.,O NERa.yom.,�..failure to Record aWl6tice of..Com tencement.may result:in.ylring twice
improvE e.nts tri.
your r prc pea y.A Notice.of 6inm�ricernerit:rrii�st be`recorded al�d.p®sted an the.jobsite. ..
before first inspectlon:.3f yoreintend to,obtain financing;conit.with lende er.�r�attorr3ey befbrecommen ork o e srdin y lir E�satice of Ccimmeneerrie t.. f
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Si n ture_af Owrierf . .ntJ.l e s2ef4antractor Sig a r zpf. rant ar .,s:.s`Fipider.
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STATg OF-FLORIDA
STATE.OF FLORIDA
i3F.. dOUNTY
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ThE for otgg.irrstr. ..e t. as ackni wledged efor.P.rate. .. t.:The,fAt oicig,iiastc t.teras..acknowr ad ed,hcfore me
t4�is day of , by, this '�O day pf ° fps' ,zQ by
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Name af:person.ackno+n(ledgiri }. .iriaine.of person aCkno�viedgir�g
2 1
-fa ��.. :? ..' mob• .. ..!
4Sl riatucecif.�lota Public-atate:ofFiririda}.
(Signatur'eof.NotaryPeab.l'c-estateoFFlorida,.} {...R.... . iV
.Personally Knainrn ra i�r t ifi Fersanally.:Kricswri:..:
+ e:of.Iderit+ftcatior iypeofldrret�ticatiori . .� :,. .-.
E' yp A4Y C2rAfs1115S7QPV tr F23�B4B tJfY CQt 119i5StQ�1 n E 230'846
i Produced Pr oduCed
i w X}?iRG5 May 9 ,2it��J' s`,ra,P•, }(�1R ti3ay.14.2G1S
xl,s(v ••SC vua Con. I — 7 vi..: .f ,Aa SM vk.6 CMS
Commisslori.E`lo. Commission
REVIEW-15. FRONT..:: ZONING G i:S.QP.ERVISO.R-. PLANS. ! 'l 3ETATION. , SFAS€�RTLE. ..i`iVf�IJ+IC�FI�VE.
+GCilJl�iTl P REVI.EW... REVIEiN REVIEW ' `REVIEW i' 9?E1iEEW REVIEW
DATE
RECEIVED. __• �
COMPLETED'
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