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Building Permit Application
To: Page 2 of 4 2016-03-03 15:40:29(GMT) 17726733383 From: Maritza Ramirez-Carpenter A!&i P 19 .�E:4 FG3:a�d95�;HE E LE D• APPi CATION 0—�E ACCEPTED „,: '::,•,:. :.':::: ^... ,.......:::'.. :. 1 :Date - Z C 1(v Pererrt ! ber l , .. . .°. .. ° . � � MAR�0 3 ?.01� • : -. , ..•. :: .. ENPr1TffC Planning:and:DeverQpment:Szrvices .. ...:: .. ... .............:.:::.::...,.. P:... ... u#d)rig.and.Code.RegulatdorrDyfv ,ian. St. Lurie County,;FL. X300 V�rginia.Auenue,Fort XerceFL 3; 982. Pf ane;..77.2)X62 55', i ax: (.72)462-157 .. • .. Ca? CgIeT ..:._�____ . P: RfttiIT:A+PPL6�A'3ION �t2 Legal Descri dost: a 'S e)—+ t ..'Property Tax.ii #... :' �`" r CPI - .Lot No. Site Plars Name:. :..._ ...• . ... .:....:.. islo.ck No.::.. . Project dame: g Setksacks F.ranfi Back._ � t2i irtSid..e:. Left$jde: - ,...r-ice,:. ,`�.�.� �.. � •dli- •. �� �r 'SM v. tli f- -J -h.- .i, r�^s'. x s •d. u'int'.f 5N ,3,+,. 1150 ittona wor tole pe orrne iint is:permiz—c ec :a $i:at aAP b' _ Mechanical.'.":. ::.`: 'o dans�a.nk. .. .... .::� has Piping.:. . : .;` '�Skitstiers. : W'sndows,.pg9rs; .. ., ...... .. .. . :... Electric P.iur-:ihiing. Sprinklers, Generator' +Roof. T tal$q.�t of Coststruction:._ �_ Sq.'Ft.of First Moor: ... . Cost:of..Constructiori'.$: ..� Utilities: __Sewer :. _Seoti� 6ui(dirg F# ight 7irw-:i!' '"fr'C Nc,•'_,Fv ,a+ dams AI i 1. Nam4: I Rddrsss S `7 , Cs�f1 � �� T7 company ''+,iL � City: .,�� .}: �x:.a s`�,� .. . .. Sate:�d dt+�d ress $�� �•-,,.�a-�• _�'C��� T�,��-�__-�: � Zipcode: Fax: .. city.: ,. _..: 1 . _ State:... Ishdne ici: — = a `d f � i ziP..Cod~s � Fax: . E-lYlail Phone:NO .. y Fi61 ist,f ee..�iraaAle.B atie lder ra,.rae .p�&.f if differ,pjt:... le-Mail,,1) tact?t ti c' s d Y . fr¢�m the Ownis r:llsted -abQV!J � State;or Co.untV license �. I If value of construction its 2500 or more,a RECORDED Notice of Commencement is required. To: Page 3 of 4 2016-03-03 15:40:29(GMT) 17726733383 From: Maritza Ramirez-Carpenter k by )ESl 3E .Ei 9dil a. " S�Itlt'AY i ElCabie... tlV�,d 76?�d4m1 E: Q9FY PAM-.- f�1QC ���OCiC�W{e.' Name, Marne. Address: Address: ! Cit Stye: City: 'State:" .Z, Phone :. . .' dip: ':. ho:: •..•'. . FEE.SiMPLETME,HOLDER. l�at AppiiC6 60 ®d.K C N : ��IVcstApp6ji~a:bii?,.. .....i Name: Name, . Address: Address: Cit- Zip:.�. .� Phone: :1''h.. ::. o dip:.•_-- -..---- ne: -OWNER/CO$ €A �'s eFl 9 P� r,appl,cation is.tiereby ma. e.to obtain.a.permit to.do thR.woric and'islstait ti n as indicates,: , .. :!certl4y:that»o'waek br 1 nsia,iats4ri has cgrssrncncad pnor.tp'ti,e issuance.of a parrnit ...,, ......,:,...• ....: St:Lurie:County makes no rspresentatlori ihat:is.grarsting a:permit.will.authorize the brmit holder:to.bu'ild the suoject.structure tt ii :which is in con lice with any,applicabig.!-come:bwners.A-ctociat:ion:rales,.:bvlaws.or.an 'covenants that may.restrict or,prohibit's.u.ch' strycture.Fiease,certsu6t wilh your Hume�w ers,;ticsaciation,and,'reyiew:yotar.cEeed For any;restrlctians wtiich:rl�a�r apply. In consideration-'of th :Lrartting or:this reqg.ested perrr it,3:da tiereby:agree that t;will;.irs all.respects;perForrt,:fhe-work.: .in•accordance With the.approved plans,the Ficidd Bull ing�ooes:and StA.Ucie County Amend ents, T.he following buiiing.permit applications are exempt frosn.Undergoing a:full concu.,rency review:.roam aditipns, , accessory sl ruef ures;.:swimming gaols;fences;+Mall,;signs;.screen:moms and:aecess4ry uses to:ancsthernon-residential use.. WARNING.'FO' NE .. biar -Not.1ce-of. � su8f arl.yoa�r.pairag.triCe'far" mprovements to your�prop.el y:.:A Notic.e6f Corrrmence.ment..must:be recorded.'and'posted on..the.jabsite- :`... iaefore the-first-lnspectiprt.�fype l ontera:d-.to.pbtiin fii-iancir9,g,consult.'w.ith iegder:fir an..attorn ey befcire. corxtrnerfein vv rk or recordirr o r i�lotice of Commence:megt.. .. .-.,. ..r .. _, .V L'� K, � ' .... .. .. 5igrtatu.re.af:Cwnerl:A er! .:LesseElCortrac;or. S•iigoature.ofi:Cantractor/Li . sehs�ldei ' STATEbIPAORID ; w .._.... . : :STATE-DF.FLORIDA rlte.fsargcifig insbru+ en.t liras acKpc�viri dged: fo[e;r�e, ihe:fcsrgoing;instrument was :.. thi� (Name of person acknowledging) Game of person acknourledgirlg,}.• �. (Signature of. eta..ty.Pubfle.-Stat:e'af Fiorida;) (Signature of:iVatary.P,;E?f c-5� te':ofi Fiord ) .:.. .... . . :_....- : . . ..:.: f � :. :.Personaily.Known... ORProdueed:]dentificatiort _ P..ersonally:Known # • ..�R:P..roduce�ildenti�cation.. . Type omen i..isi n. ,,. , ., .... Ji of lie is ..^ .---- Axcrdticed .�. :. . Produce i ,�. .. �`► coMt4 Tri$ q aQ ftS$iQ e Y.' -•�. . FF 3t1 .'t.d,. ,•'. EXPIRE tu4a #_ 4s nroq,.' piR S.A3aY 14.2a3 orn271iSS1Gn 1ar37 'e >... �`'. r �•: rrl1i155, :VD•. Q r 3e-.�iva cur!'. �•Fh»KtANwaSeam I. �.0 - REITIE�VS .-FR.QNT...: . .'ZCt�11f1p. S PERlIISC R: .''-PLANS- VEGETATION., .SEA TURTLE NIA.t�EGRiJVE, CO.i NTF.R RFVI>W ':. REV18W-- REVIEW -REVIEW:- REVIEW- REVIEW DATE :. RECEIVED.. . L)A G COMPLETEI?