HomeMy WebLinkAboutBuilding Permit Application Permit Number-
'-D FEB 2 4 2016.
RECE1'.
Plannln#one DevsIOPn e=Servi=
BuiIWO �rnd'l ode Rrgvlation i7�Vtslon /
rg�hFQAvattulvFortAlerceFt34482 R�SiC�i'il��a��;/
Phone:(77?)462-3553 Fax:(M)42-3578 commercial
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Address: (Du a v
LOO e�pilon:�" [h ,S •p ho rr n
�tlYl l ac O;O nd O YV)ft e- (,(-Aq
Lot No.
l�r?Y: Bkack No. _
$ke Pian(dame,
• Pr+o}+�Ct'NBrr�•
Setbacks front 8k:: _Right Side: Left Side:
I Ism
,I
� c ,o .
NO—anM- P
m - ec a app
IML714VAC Gas Tank Piping _Shutters n Windows/Doors
Electric Plumbing EjSprinklers EIGenerator Roof
Total Sq.Pt-of Construction: __ Ft.of Fira Floor.�]or.
Costof Construction•$ A i c �Pb Eltilities Sewer 11Septic Building Height:
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Name Name•
Add! ass: hJO 1 JIWI Comparry e i
� State: Address: I �
Zip Code: 0(,0,91--D Fax: _ C"O. `I t n✓ State:_Ej,
Phone No. -O:5 -5 G O ` -7 lt:j .Zip Code: ZLM�L_ Fax:'710
E-Mail:
Phone No. Ilk(_
Fill In fee sTmpld 7.1de-Holder an'next page'(If different E-Mail: Arndd,(w rn
fecom therowner Usted'above) State orL nse:
if value bf constre ctkm Is$7500 or more,a RECOMM Notice of Co6mmr'icement Is required.
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DES ' R:• T N6tAppiicable MOK14AGE CC►MPAW. Not Applicable
'Name: , Name:
Address: Address:
City. State: cd , State:
r:
Zip: pitafae: Zip: Phone:
FEE$tI111Pi:E TITLE trli'1LCrER: _-VAlot Applicable BOND€O COMPAWt. _,_ ot`Applicable
Name: Name:
Address: Address:
City: Clty-
M
Zip:-._.- __--Phone: Zip. Phone:
I certitythat no work or°insWiation has commenced prior•to the issuance of a permit.
St.Lurie-Couttt�r,mai�-no rel pmkntatlon that is granting a permit will authorize'the ermit holder,:totutfd the su)jject s�trucwre
which Is.Fn.tortiFlctwtm aaX•a feWe Home C'>wmersAsssacWlon rules,bylaws or an cotrenants at-may restrict or prohibit such
structure.Please consult vAth your Home-Owners Association and review yourdeW for any restrictions vfiich may apply.
In consideration of the granting of this requested permk 2 do hereby agree that i will,in all respects,perform the work
In accordarim*M-the appraved.plans,the Florida Building Codes and St Lucie County Amendments.
The followlrig briridlr-g permit spplkations are exeYnpt from undergoing a full eoncurTency review:room additions,
accessory structures,swimming,pools,fences,walls,signs,screen rooms and accessory uses to another non-reWdential use
11 A- ttXG•"�OH1Iil`fER:Vbur failure too Record a Natice of Commence rnrerit maty r�esulc I n your peylrig tvAce for;
i . rovem.et�to.yogi:pt�rerty.A Notice of Corr mencement•must be recorded and posted on the jobsite
b�e the firsUntpeedon.-if you intend to obtain finandn&consult with(ender or an attorney before
commer�cinl work or'recording'your Notice of Commencement.
4 SSWAgent ;.•.,;;F a:�. or Litense bolder
der
FI,Q A � S?ATf OF FLORID
COUNTY OF ( t1' - COUNW.OF
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The Ing in5i before me ' The tng•insttu�?a was awl before me
thisday bf 2+Q hP' th�day of T" ( aY
(Name ison aeknawiedgi g) (Mame of erson acknowledging) '
(Signature of Notary Puklto-Se of Hprid (signature of NotaryPublic-State of plorida) .•.
Personally Known OR Produced Iddritification:i Personalty Known ''�` R Produced Ident'�atlon
Type of Idem` Type of Id�iticatlon Prod'
CR SIAL.A U EDO AL A QUEVEQO
commis on d.. 4 rest 9oa049 commission Ivo. = MY iSStoN#FF
EXPMS.kdy 31,2699 ' wary j,p� L"*ES JOY 31,20t9
Revised 07/15/2014
REVEEWS FRONT ZONIIrtG SUPERVISOR PLANS 'VEGETATION SEA TURTLE MANGROVE
C OUFr M REVIEW REVIEW - REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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