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HomeMy WebLinkAboutBuilding Permit Application To: Page 2 of 4 2016-09-21 16:08:36(GMT) 17726733383 From: Maritza Ramirez-Carpenter A PpLlCA1l F`B.NFL;iif195T BE:;C •IV16?i_E61D.`F OB:AP EC.A �I€ N P SE-A CC.EP1rrl date ✓ Permit Number. ( ' �lj� �. . . .RECEIVED. P{agnrpg and Qe.•velopmentServices SEP 21 2016 9uticiiper and Code Re jit(ariob D' is>oii . 23GOVirginia Avenim fort Pierce.FL:34982. Phone :(772)'46ZA553 :Fax:( 72)4'62-1578 : Cost Merdal Residential PERMITT APPLICATION FOR:- To Select froth &optacix,:.click arrnw at the e.gd.ef line. T d.dress:. J, jai n,i Legal DeserEption:: -bv �� i. : t I a i< a G s i wt Propen Ta.x.IQ#:. Lbt NQ Site Plan games ock.N0.. Project-.Name.,. . St�acics F,ro[�t Bat fc Right Side:: ". _._ :Lef.0 Sidi; H, '•! . r �-i i::� ��t'1 `...�� ��1����' /'95���1�# � - 1�r }tz -j z• `"'._ +.zp i__. � _. � '^r t sy {r r` Y..-rte ^.{ - . APO 1Tt0.112 Wor.:to ,e er Drina ur►..e.".:t Fs p2rrrs.it.—c. ec<a apply: HVAC Gas Tank Gas piping _Shutters Windows/Doers Electric. : Plumbing.: 5.prinklers. Generator Roof. Total Sq.Ft of Construction S Ft.of First Floor Cost of Construction: 1' - Utilities: Sender Septic Building F#eight: Na me !Name: �3 Ad�ire�s.Vit: 1 ( t � F -i 'i ,��� f d — Com ny State: -Andress; ��-�: Z..ip.Code: 3C i � Fax* City "t Ic' ip Code . 3 Fax:,l _. ':,no N ' E Mail: Phone No. f .:- , ' 2-:Z.; Fil.Lin fees le'Taale.Ht�lder�t�rse�at;page Of different .-Mail: t 1��� ��,1d�4�,F��_ �,��. ���,�1,�.����` t c-'At/7 frpm..tb e.OW. merAste€�. above). ,State or C.aunty License <' ;_ 14, i 6f:�ralue.fl.cQnstruction;is$ 5P4:or mare,aRECORi)E 'Plotiie of CoM.rren emen is required.: To: Page 3 of 4 2016-09-21 16:08:36(GMT) 17726733383 From: Maritza Ramirez-Carpenter � 1`dr^F..L.. T �F SQ-T 'U. 0'.i9T1Z �J���'rE rf ���Rt1� ✓ a w D1'ESirCNEROlEN.81I LEER. Not Applicable' �flQ.� AG ..:CO-M ANY N.Ot.Applicable . Nam e:' Nlme: i —� Ae#dress Address: City:. SCale City:: State i dip: Phone: Zip: Phone:. F SEf LE " C E�l�I E _Not'A.pplicable BONDING deli . . EpAN Not Applicable Name: Name, i I . Address: Adc.r?$S i:Zip: Phone. Li Phone .. ... - .. !e?rtify that nc>work arinstaliation fleas cnernnenced prior to tl�e'issraarace pit a permit_. St.Lucie fountr�makes no representation thatis:granting':a perrrrit will.autlroriee.the permit ttoldr:r'tu buiid-the subjectstructure which is:n Lortflict witli'.an�'applica�ble Horse Owners-Associatio i.ruies.bylaws or and covena.tits that may restrict or prohebit such' . structrare.Please consuit:witi�your I tome Owner..s Assaciaiari aerci.revie+u your deed for any restrictions i9�frech play apply..: In consideration:cof the.granting cif this requested,hermit,l dp hereby.agree*hat.Z wiil,in a.ii.respects,perfoun tha'work in accordance with.the approved:Pjans,:the 1orjda Building Codes and St.Lucie County Amendments:.' ihe.f©ll�wing bu permit applications are:exernpt fro ra.under;gaing'a full concurrency rev ietiu: o©rn additions, accessory st.ructures ;swimming pools,fences,.vralls,.signs.!screen rooms.anrl,acceSsnrjr uses#o,anazher non-resicientral.use ... WARN INGTO-C�U4fE 4 P €►trr fai@itre mwd:a.4�otlte bif�o rnn a<iar�aettt r..ay esialt:i �c�€r_payi g: ►ice for Irnpeovernents to yopr propertyy.A Notice of Comrner e. lent'rit�st:.be rec.,. ed artd postei�'ori" e jobs�te. before the forst'n '.coon.E.yo.Li..int did o.Ql�tain finaa�cing,consult.4vit ,!'rider or..an attorne .:I�efore earitmericin wor rye tardtri :. o Nc�ti:ce of Corrril^ierlcerxr�nt. ; .'`' f - . _Signature of Slwnerf.Lessec/A Bret l'Signa :re of Contractor l ns&Ho),, 6i• ig ur pgg•gqq1��6655-��R I C gig ./� g-9E��y8p�{� r, STAT—f-CSF li'6.?J!iL'IDA' STATEOF 3-Y�OR-IteA �$�ONTY OF " xs OUNT1f Ql .... � �... i .. Tire fti� oing.iristrurnent'wa�acknowledged before me The fo Ging instrument was atkrrawi?daed:.tJefore ine #hisday.pf 1 r." zr, �:. this day.,of e ' 20 (G fJ .tel�A Y t 77 Pil .*Lnr.Ss'" "5 "1 '�..✓�-.. c.�,,.,.Er' �'U.@r�"i -'s Y ✓[�'.�...�y,' .. f ✓�"'_ *-..., 1..� �.,,"� ,,i;:,mr .. �ila.me nr persi�ri acknowledgir�g:) (larr3e;of person ackncrw edgrri.g l ,¢)E, ' (Sigpature.of hlotary.:Pubiic-State of Florida,)... (Signature of:NotaryPubb,c State of Florida) Personally Known y OR(rodrrcecl ldert,L'ificatiort Personally Known ��1#tip 4f1HATLL TOO of.ic3entrfiration Produced Type of Identification p.roou .Yp tAf C� siSti�F S N,ay.'r �yrou,; Comirrissiori.NQ }''qx• et 19 .(orrimissipn No. " � iatA at Rl�s�RT: Yb.^nte+vwa Me+4r..t Luer I EVIEaNS ' FRONT ZCfhII iG ; WPERVISOR FLANS VEGETA€ION ..�SEATU€tTLE. MANGROVE COUNTER. REVIEW i ' REVIEW. .. 1. FEV.EW- RMEW REVIEW RCVi[itl; _ DATE a GCaMPLE'l'E .. INITIALS