HomeMy WebLinkAboutBuilding Permit Application ALLAPPLI L_LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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RE�El'.'-D JUN 0 7 7016
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Building Permit Application
Planning aw, Development Services
Building and We Regulation DivIsion
2300 WrginAvenue,Port Pierce FL,34982
Pho462-1553 Pax,(772)462-1578 Commercial Residential
P�PLICATJON FOR: To Select from dropbox, click arrow at the end of line
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Legal Descrip L-N&
PropertyTax Lot No*"
Site Plan Na Block
Project Name LN,�U_
Setbacks 11 •nt Back: RIg4t Side-, L.6ft Side-
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Shutters WindoWs/Doors
DElectric Plumbing Sprinklers Generator Roof
Total Sq. i nstruction: Sa.Ft.of First Floor:
o ,C• of Cons �ctlon:$ Utties:0 ewer 0
st S Septic Building Height-
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Address:
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Zip Code: Fax:
i Phone No., k4 Co I -
E-Mail:
Fill in fee sIMP&
Title Holder on next page(if different
listed above)
ion is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER'E GINEER; _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: •` 1i Name:
Address: Address:
City: State City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE I Tl l;HOLDER: Riot Applicable BONDING COMPANY: Not Applicaible
Name: Name:
Address: !i Address:
City: City:
Zip: Phone: Zip: Phone:
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I certify that ric work or installation has commenced prior to the issuance of a permit.
St.Lucie Counh makes no representation that is granting a permit 21 authorize the permit holds to build the subject structure
which Is In con ct with any applicable Home Owners Association rules,bylaws or andcovenantsthat may retrlct or prohibit such
structure.Pleas consult with your Home owners Association and review your deed for any restrictions whic9 may apply.
In consideratioof the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
In accordance th the approved plans,the Florida Building Godes and St.Lucie County Amendments.
The following b Tiding permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pogls,fences,walls,signs,screen rooms and accessory uses to another nun-residential use.
WARNING I OWNER:Your failure to Record a Notice of commencement may result in your paying twice fpr
imp ovemen s to your property.A Notice of Commeticenilent must be recorded and posted on the jobtite
Def a the fi t inspection, If.you ntend to obtain financirig,consult wit lender or an a torney before”
co n encin din r Notice of Commene ent.
Sig at a of V _ Ag ssee Sig re o Co tra ce Se Hold
,
STAT OFF RID STA E OF O
COU (� COU OF �,,_ C A
The for oing i rument was acknowledged efore me The forgoing inst nt wapa knowledged before me
this�day i--m�a �, 20 L y this„-day of �, �,20_l&y
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{Name erso acknowle g} {Name of pe n acknowledgin }
gnature of ry Public-State of Florida) ure of otary Public State of Florida}
Perof lly Kno,i tion Pr uc �
A'—Personally
Id nt Hcatlo ?, �YA�'°ro�duce'�c 'l'�e`n'Ni�icRUS
""a,, SLi I K+ a JERALYNNE RUSSELL
Type �' �� Notify Public•Stats at F or'sda
N Lary Puolic•State of Florio ` My comrt>; s Jul22s 2017
commission N •' 01 mmisslon No.
v fih �.Wires JulJui 22. h,BOIf ,.• commission o l F 038392
•9e � GpmmlSslan#FF-38392 +'++++�'
Revised 07/ 5/2414
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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