HomeMy WebLinkAboutBuilding Permit ApplicationDate:
Permit Number:
Manning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Foe Pierce FL 349021
Phone- (772) 462-1553 l=ax: (772) 462-1578 4orr,merd a i esident a.i
PERM! T, APP AICA TION FOR: T c Select fi-orn drepbox, click arrow 2t the end of line
{ , ROPOSi D HAPROVEINIENI T LOCATION-.
Address:
E egai Description:
ProperyTa1 D #: 70$ COW O Lot N€�.
Site Plan Name: /✓ Block i\id.
Project Name:
Setbacks Prom Back: Right Side: Left Side:
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Name: /
Adrlitidna v!rorK to be ioeri'orme under
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this permit- ched.
a[ appy:
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Cas Tank,
Cas Piping
� Shutters
WindowsfDoors
UElectric I l Plumbing
71-4SprinklersL
i Generator
FIRoof
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Tota Sq. r't or Construction:
SQ. F"C. of First Floor:
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Building Height: o
OWNE-fRAESSEE:
CON i RACTOR" :
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Name: /
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Cemper�y: T
City: Yr- ;: State: Ej-
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fip Code. -5� Lax
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Zip Code: 3Y 9 �0 Fax: - ? /!/-/-s
Phone No. 77 %.2 ` a
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State or County License: (4�0 4�
If value 04 ca.'struction is $2500 or more, a RECURRED NOtiee of Commencement is required.
1. cUPPI EMF--NTA'L',.ONS g RUCTION LIEN LAW lN;'ORMIAi ION:
IESi(ISM E
Name:_
Address:,
Cite:
Zip:
`phone:
Not.
State:
S EE OMPLE Tri E HOLDER: _ Not Applicable
Name: _
Address:
City: T
Zip:
Phone:
MORTGAGE COIMPAWSY, Not Applicable
Name:
Address -
City: --- State:
Zip: Phbne:
BONDING COMPANY,
Name:
Address:
City:
Zip: Phone:
I cerrif ;t that no work or installation has commenced prior to the issuance of a permit.
_Nott Appiicable
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners :association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approvers plans, the Florida Building Godes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, vfalls, signs, screen rooms and accessory uses to another non-residential use
a?A- RMMG TO IAJNE R- -Yo it f-aiimvc t;-_ 1jecosd aiWcice of Comm encem, ent may rest -ft in ijour paying twice for
improvements to your property. A Notice of Commencement- must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult 4ivith lender or an attorney before
comni-tencina work or recoyflii�a_ vour i+ Fo4lce.o;rComnlencernent. ,/ r '4
— Signature of Owner/ Lessee/
STAT2OlaFLORIDA
CGUINT15 OF
The forgoing instrument was acknowledged efore me
tills day of ✓ 1JI 20 %by
lqti�w Aoo/u /
(iiame of person
Public -fie of
Personally Knowri J C OR P-radTced identskation
Type of Identification P ced
Commission No. W qI
°iry CHRIS WOODRERRY
CommissiQn # FF 908943
Expires August 12, 2019
-Revised0 711 � °++�`,• BWad Thr Tmy Fain Pnavrwi 806-3 7019
T A uE 0 F 7- WiA11
COUIPA-V OF
The for oing instrip[prit was acknowledged before me
this 2/ ' day of J114 -r , 20 by
t. to A71����%
(dame of person acicnowS ding)
(Signature of Notary
Personally Known
Type of Identifica
cation
Commission h1o. / (Seai)
L,>7xf5 WOCagEw+.
Commrs5iort # FF
Expires Auorrc, , 0 9ge943
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