HomeMy WebLinkAboutApplication 07/06/2016 12:04 7724663737 BOYLEAC PAGE 01
Ail E IN M MUST HE COUPLI M FOR ANn"TM To BE AMIR i:D go
Date:,_„� — Permit Number:
Building Permit Application
Pwauft w d tierekwnL-nt Serwkes -
auNa t and Cade Reguhrmn ori► /
233 Wrgk*Avenue,Fat Piece lel 344
Phone:(M)AW-1553 Fax:(ern)4Q-1578 Commercial Residential
PERMIT APPLICATION FOR: To Seiect from dropbox,dick anew at the and of tine
PROPOSED IMPROVEMENT LOCATION:
Address: 3
t4pl Description: i Lor
Prpperty Tax lD tr, 1'312-701 -QQ0 2 -QQQ1q Lot No'-
Site
o. ,Sita Plan Name:
Project Name:, UPMV)lA+,
W backs F Back; Riht Side- Lett Side-
DETAILED DFSgtIP11ON OF WORK:
ilUkt for like l - e. fanap-out- 9-5n, Seer Vitne.,
Fa, UY. W1 t f 10
CONSTRUCTION INFORMATION:
rm u r Is perm -checK a
WHVAc GnTank LiShutters n,Ui mow oklors
UElectric Q PlumbkV Sprinkiers 0 Generator Roof
Total Sq.R of Construction: Sq.Ft.of First Floor:
Cost of Construetkxi:$ .Od Utilities: sewer[]Septic Bullding Hei&:
OWNER/t.LSSEE: CONTRACTOR:
Name Name:
Address. Company: it N1
City:� , State:ft Address»
Zip Coder 1JL& City:5b& p1,olf_P state:,,
r
f one No.1*79 31R-f�251 Zip code: .l4CU._.S 1
E-Mail: Phone No." ;2r !All-4L4,1
R1 in tea lint Holler on next page(if different E-Mail: bn„ w t5 &-H~ fy
front the owvw psl:ed dow) Stwte or Cou4ty License: C&I 1. 121
N vaiw of o-strutiinn is$2500 or"MM a y4lCOMM Notke of rank nommimit is required.
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07/06/2016 12:04 7724663737 BOYLEAC PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN UAW INFORMATION:
am � �_ Not AWicable MdlrMAIE COMPANY: -.r Not Appikstble
Name: Name:
Address: Address:
State: City: State:
Zip: Phone: Zip: Phone`
FEE SNOU MIE HOLDER: Not Applicable 11001IN6 COMPANY: _Not Appikable
Name: Nom:
Address: Address:
Zip: Phone: Zip: Phone:
J oatlfy that no work ar
11, 11, tins a rmnen wd prior m the Immix oe of a permIL
P� tM��ilons� ��aavNtMhh ! om�t Ja
a�tsuch
structure. VOLF me Owners Anadedw olid mviaw Voir any restridim Mihitll may
to aansidwatlan of the v o-t rN of da reaueand penny 1 do hereby agnea that 1 will,In all aiMp ,hpoloveithowack
In ozordom with the apprwai pbnx.the Poride BWWft Codes and SL Lucie County Anwndm$wK
The foln e-1 buNc&g permit appllcatloers are ... from urWWgp irk a fcM a murrency nrAlaw.noon addRiom
accessory str bawwr ,swhm ft pools,fare wells, ,so an rooms and accessory uses to another rxweddereld Ilse
WARNING T0 0011 IM"ftw falm m ll e r n a Notke ofCarcntaccalnsent 91"resuR In your p■ylnt twice for
i is to yourp operty.A Notice of Commencemet'yt mt:.st be recorded and poftd on the Jobslte
first inspectlon.If you intend to obtain flnencinL annsuit with lender or an attorney befbm
work or recording vow Notice of Commencement.
x X
Sylnawre of SiSroure of CoretkctorAkanse tial
STcrp<I�N>cY�oFp�ut� srA�of FIORibA
oaN�irnr,oF
Tlee Loc before me lk eetis adoroeAa�ed before f na
daryof m b, elk .T, �, Morar
(Irene of person ) (Name of pelrsnn )
r
.t.�
wanatum
Of NobpPubk,State of Florida) ftnatum of
� Noary t oofFloida)
pw.onaft ak Known ORP klentiCla0a
dF Wl
MY OOMM 1 MY CQMM 0p
Com to .-. z �soy
ns (4071 163 ►
Revived 07ll5Wl4
RLvkeINS FRONT ZONMNG SUPERVIStOR PLANTS VEGETATION SEATUR LE MANGROVE
COUNTER ftMEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO MKE E
INITIALS