HomeMy WebLinkAboutBuilding Permit Application AW Vpddae,Wosr a:c is+ +► maFacs
Date- �- •f Permit Numb. 1 0 Q 031 5
RECEWED FEB 2 2 2016
Planning and DvvetrrirnW;tSerWbN
Building and'Ces*RegtdcVon f7Won ;
ZOO VirgNa Avenue,Fort Nene FL 34982
Phone:(772)462-ISS3 t=ax:{M).6a-1578 Commercial Residential
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Aropetty TWID#:L535 ~ t00 d OOM- — - tot No.�____---
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Marne: Suck No.
PrdrJect'Name: — - —
SOW* r-mint Bacir.�Right Side:�Left Side:
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it rrW.W under is perm --c qc a aper
[.:HVAC TIGasTank GasPiping _Shutters O Wlnd' ws/Doors
Electric rl Plumbing ❑Sprinklers O Generator E,Roof
Total Sq.Pt of Construction: Sq.Pt.of First Floor
cost of constructA,'-,Co$ A,'-,Co Utilities
5ewer USeptic Building Height:,r, .
i3atme Marne: Kim
Address: g Company 5AN!_iLKOulhbin
City: �A_(�a' State: Address: W9i
Zip Code: 2FTFax City: — Stdte: i,�
PhoneHq. } Zip Code: Far.7-
-a1
E-Nlall: Phone No. =
Fill In fee dit. e'•Fige Hader on'next page'(if different E-Mali: . Corn
tram the Owner CisttYd abo+re} State or*County nse: a15
If value,of coo 5VUcam WE 5-0 or Mwe,-a itECMIXD Notice of CommeheMent is required.
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D1:51IC wot Applica le MORfGAGC C�� R�,�otp�ficable�tame•
Name:
Address: Address-
Gity: .Mate: City: State:
Zip: Rhone: Zip: Phone;
i
FEE simptiTn'LE-Ho DER: of Applicable SON0440COMPl4*- VApplicable
Name: Narne-
Aiddr+ess: Address:
• Phone: Zip: T Phone:
I Certify that no work or'Instatlation has commenced prior to the issuance of a permit
St.Lr�L e',Cou • :makees�emo refl�tion that is aranting'a permit will authorize the errn'rt•holder to tndid-the subject ructure
witic sin itt vrltti a pl m iiorne�OwnergAs.soaatlon rules,bylaws or atm covermat►ts that msray tt ar pro lbit such
structure.P se consultwmth your Home Ownws Association and reviewyour tieed for any:restrictions wFiic may apply.
In congdetatlon of thegrantingofthis requested permit,I do hereby agree that I wail,in all respects,perform the work
in accordance with•the approved.pians,the Florida Building Godes and St.Lucie County Armerrdmnenm
The folldWng building permit applications ate exetnpt from undergoing a full concurrency review.room additions,
accessorystructures,swlmnrning'pools,fences,walks signs,screen rooms and accessory vis to another non-rerMentlal use
WA ING-8,0WAIM Your failure to Record,a Notice of Commemmmmit may rftLdt In your payiij twice for
improteiitents to yortr:property.A Notic?of Commencement must be recorded and posted an the jobsite
before the first; e0on.if you intend to obtain inRnCing,Consult with lender or an attorney before
commend work of recordkm your Notice of Com., cement. .
/ r Clnensg IgoI er
STATE OF FLO � STATE OF FL
CaIL�NW OF �A G�Ii.`� :6. . -- COUNTY t F � -
-fhefot�oinginstru a was acknowledged before rpe The'� ft-Instru nt W*noun before me
thls.� t dey of 20 LLby this_!_ daY of 2ti by
gpson
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(Name of n atlmavuTedi?in$) (Name ersoft aclamowl ging y
(Signature of Notary Public-State of Floride) (Signature of Rotary Put lir-State of florida)
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Persona€fy ..,..Z-nR,P,,ww.a,:. Personally Knowne*" Q�ProdltC 4WwMc9Type of Id P I! L A I� WW0 Type of Identlfi ,COmrmlSSi MY CommIssioN#FF904048 COMMI88 #FFW4046
9( }g Commission Na. expIR>"S �.2019
4mEitm348.o�b3. t " .0",{ ts�sv4oe�
Revised 07/15/2014
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