HomeMy WebLinkAboutBuilding Permit Application 06/20/2016 12:26 7724663737 BOYLEAC PAGE 01
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Date: Permit Number:
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Building Permit Applt $lon U 2 0 2016
PltsttrhWtuWOt!s mtkrwm PERfv11TTi,,gG
uAft and C,odaReaUkftnD tt 5t. Lucie County, FL
2300 WWA10Awnue,Fort Pki ce Ft 349#2
Phone:(77Z)462-1553 Fait:(772)462-lS78 Commercial� Residential
PERMIT APPLICATION FOR: To Select fiom dropbox,click arae at Ithe and of line
PROPOSED IMPROVEMENT!LOCATION: : t::;,
Address: r
Legal nescription: 111101 -PUL-A�.�� 0I k 4{' �0 i" 112
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Property Tax ID#: lq Q•(XJ 1 Q (7QQ t N�.
Site Pian Name: ftek no.
Project Name: (.4 leobb
Setbacks Front Bank: Right Side: Lett Side:
DETAILED DESCRIPTION,OF WORK:
vt r �w--� a.5 iDn , 04,9 Seg., l�indx �6
MNSTRUCTION INFORMATION: r
WOM To Triedun er perm – e a app .
HWAC ankPip q U Shutters E]Wndowsiowrs
08ectric Q Plumbing Sprinklers liGenerator Roof
Total Sq.ft of Construction: Ft.of First Floor:
Gast of Canstruttlon:$ �[00.0o utilities: „J Sewer Sic B�iQ+�ing FBeai :
OWNER/LESSEE: CONTRACTOR:
Name Name:
Address: la- company;
to
qty; iT(� - Q` ;� ±� S State: Atldress: 03
v,,�(, rl
Zip code: 3 18 Fax:lys* . _ E _ Smote -
Phone No.1 JA f 2bl t RtA ia Zip Code: -4C6A Fes: A-*W -M,3T
E-Mail: VIA Phone N0,111 Al-
fin in fee*no*Tick Molder on r tt page(if d i ferertk F-Mall: �����, •n
front the Owner lhUd almme) State or County License;
111 ti"of em"a than k$am or mar%8 PACOMW"WW of c0{IIIIIIInt7Mr1�9f41tb .
06/20/2016 12:26 7724663737 BOYLEAC PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Demm"Vimomm _•Not Applicable Moffrea E SAT Not makable
Name: Name: ,
Address: state: City: ate:
MIX.. Phone: zip: — -
FEE smM TME MOM _Not Applicable SONDIM COWAM.
Name: Nerve=
Address: Addrem
Zip Phone: -
I m tY ewt no work or triMbdon leas wffffmmd prkww the iswanoe of a permlL
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For�h�w>8i llo++�Ow As�xiatlaon sndre�ir�wyow my o*e� � suds
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In accordance with Nee approved plsres,the N "Buldh 8 Codes snd Ugla Coueedy w
The faslloe t bul teq pond QPPOciidm Are from urA"VbV a fug rte:low
aeaassory speaet+u M 3**ff qt pools,fenas,walls,xlgos,scram rooms aid accesmy usesto ann*ar we
WARNING TO OWNM Tour f&lrna to ftcwd a Notloe of kl l for
im to your A Notice of Commencement must be rded aM pmWd on the jobske
the first inspe��you intend to obtain firtwcft t:onsult IR I knder or aro aummi ate
commend work or recOrdinil vour Notice of Commencement.
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STAVE OF STA'T'E OF RC��I
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