HomeMy WebLinkAboutBuilding Permit Application Feb BZ 2816 17:49:35 Via Fax -> Vonage Page OOZ Of 884
.ALL APPLI.CAl3Ll:BN6=0 MUST BE COMPLi TED,FOR APPLICATION TO BE ACCEPTED...,.
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Date., -: • .` • ... .• • ... '•P�fmit•t�tirri.ber:• _
CINE D .
Building Permit Apolication . FEB 0 3.2016
Fianninq and Development Services
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Su riding and Code Recgularion Division :. :Lucie
ITTICountyn y
St.Lucie , FL •
2300 Virginia Avenue, Fart Pierce FL 34962
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Phone:(777)462-1553 Fax: (772)462-1578 Comrnerciaf
PERMIT APPLICATION FOR' To Select from dro box, click arrow at the end of line l�
Address: r} � r4�>
Le al Des riptim . . �°. .. t>>:
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Property Tax ill#:
Lot No.
Site Plan Name: Block No.
Project Name: �.
Setbacks Front back: Right Side: ••" 1eft Side:. .'
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e rrne �Linder iPISpermi -c�e a appjy: . .... • • .
VAC OGas.Tank DGasPiping _Shutters Windows/Doors
Electric Q Plumbirlg llSprinkli�rs Generator
Tatai.Sq::Ft.af Construction: "w S .Ft, of First•..Floor,
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Gait of Canstriaction_ r.
wer:' �pfcUtilities: Se , 5 ` i • 1uiidin Height;ht: '
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Phone No._w M�.�����.�r _ �.��' � 1�_ _ Zip Code: ����� ��,_ Fax:
E-Mail:._._ Phone No. -2-762 - �.`"..,.,. '-Z)
Fill in fee simple Title Holder on next page(if different E-Meii:•:.n 6A
from the Owner listed above) State or County License: 0A.C. W X79
.
it value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Feb 02 Z916 17:51:55 Via Fax —> Vonage Page 883 Of 984
NEWtit 1.ME
DESIGNER/ENGINEER: _Not Applicable ; MORTGAGE COMPANY. ' NU Applicable
Dame: ; Name: T :
Address: ; Address:
City: Stat@:. M. I CIty state,
Zip:__ Phone: zip.:.,. . P•honc.
FEE SIMPLE TITLE HOLDER: Not App11C�l I BONDING COMPANY., Not Applicable
Name: Name:
Address: Address:
City: — ...._.,�,_ �.,..,,.,. City., _—
Zip: Phone: mW u Zip: Phone-
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I certify thttt'f7 .ork:or'iEiStailation has cornmq'rtced prior to.
the.;rssLianct~ 'perrftit.: : .. .:
St.Lucie Counttr makes no representation that is granting a RIrma will authoriA:t'1:Ye`�per•mii holder,to.build tiie s0ject structure
which is in con iir;t with a.ny applicabin Horne Owriers Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please•comwIt with your Home owners Associatlaa,and review ypUr deet}for.-any restrictions which may apply,
In consider of the granting of this requ�sit d,„permit,i'tlt7 hereby agree.th'at l,�+ill;in all respects,perform the work
in accordance with the approved'Plans,the Florida Building Codes arid St,,Lucie County Arnendmenfsr
The following building permit applications are exempt from undergoing a;futf coneurrencyxbview:room additions,
accessory structures,swimming;poois,fences,walls, igns,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 Por
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite:'
before the first inspection. IfYOU intend to obtain financing,consult with lender or an attorney before
commencing wpA<or record' our Notice of Commencement..
r net/Lessee(Age, natu. r recuse Holder
STATE OF FLORA] Sr E 0.. :RI
COUNTY OF C i CO1�NTY OF
The for oing instru was acknowledge before rue 'rii'e.fo gds?rt' .1'nsi:r'umei1'C:was•at nowledged•faefore me
this day of a a by• th'is a rlay;ti e ', `'"' 'i' by
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(Natfie of person acknowledge g) (Name of person acknowledge'f:)
w
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x%11 a1 mIllAujill, i n u 7 f._ aaza
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Signature of Notary Public-State of FI elmsalSSil�Pd�C.yB. (Signature of Notary`Pubilcr-State of Floridan � I .
Ap
Personafly Known.._,? QR Produdt7. i6tloR g� ' 'r'sv.rtally iCnayr[i;:: ;. C)H Prc�du eci:l rite n
w �� 1" e`o$'Idertt'ifictioriProductd'' '. wpm .b
Type of identification t�raducei:l _ — YP •
ttFCi953 yn a e d 4FF:t®533 p�
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Commission No. 5 �
.` �e� rdro�� ;•chow Commission No,..
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P.c:vised 07/15/201.4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER .REVIEW REVIEW REVIEW 'REVIEW REVIEW REVIEW
DATE —
CO M P LF,TE
INITIALS