HomeMy WebLinkAboutBuilding Permit Applicationy
TALL APPLICABLE INFO MUSt BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! Al — � Permit Number:
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Building Permit AppliCatiolll
Pfanninrg and flevel6prnent,Services
Building and Code Regulorran D"Vision
2300 Virgin iuAvgnue, Port Pierce Ft 34992
Phone: (772) 462-1553 Fax: (772) 462-1579 COrrimercial �,..�. Residential v'
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:t
Legal desCription: _ Ifs: ��j� �...��7 -7-• i�i�c�l
Property Tax I #: L r.. 7 �"�,+ �._,._ �, l :.� r ._ Lot No.
Site plan Nam _ - - ----- - Block No,
Project Narrre: „� „�„ �_
Setbacks Front Sack: Right Side_ left Side:
I've e.l7y►rkQ,r' rvc,�
Additional work to ft grformtrj t
EIFVAc Gas Tank
CElectric Plumbing
Total Sri. Ft of Construction:
S n.,
Cost of Construction: $ .._�.�+�❑
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Sas Piping Shutters
sprinklers 11 Generator
S Ft, of First Floor: _
— Litiilties.OSewrer Dseptic
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Address: ) l `� �i�1 X4'1 �� �1v�c �4 I Company:
Cite: ray" D 44 'rk c,1^ _ - - State;1� � Address;
Zip Cade: Fax:. .r City; +1el_
Phone No.;Zip cod71
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E -Mail: ^_ Phone No,� i
Fill in fee simple'ritle Holder an next pag& ( if different E -Mail: W W'vj , r
from the 0w oer listed ebovej State or County License;
If value of cons-trurxion is MIX or more, a RECORDED Notice of Commencement is required.
4: 55,15-5441 f'. y ' n
Windows/Doors
Roof
Building Height:__
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DESIGNER ENGINEER, ,d..,..
Not Applicable iceo
MOa1GA6E COMPANY: -___...
Not Applicable
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FEE SIMPLE, TITLE HC]l.pER.
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BOND 11W COMPANY:
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I certify that no work or installation has commenced prior to the Issuarice of a permit.
St. Rude County makes no represer7tatlon that is ranting a ppermit will autho'ixe the permit holderto build the subject structure
which Is in confticP with any applicable Mame 0wer5 Assocla OA rules, bylaws or and covenants that may restrict dr prohibit su,M
structure, Plaose consult wrch your hone Owners Assodation and review your deed for any restrictions which may apply.
In consideration of the granting of this requestea permit, I do hereby agree that i will, In aft respects, perform the work
In accordanw with the approved plans, the Florida Puiiding Godes and 51. Lucie County Amendments.
The follow:ng building- permit applications are exempt from undargcing a fall concurrency review; room additions,
accessory structures, swlmrmnig, penis, fences, Walls, signs, 5wreen rooms and accessctrJ uses to another noo-eeslderttiel use
WARNING; TO OWN FR.' Your failure to R*cord a Not! cc of Cornmancernent mmy result in your paying twice fof
Improvement's to your property. A Notice of Corn rr (mcerntmt mast be recorded and posted on the jobsite
before the first inspection. If yoi intend to obtain financing, consult with lender or an atturnoy hefore
cornmen ing work or recording your Notica of Commencemerit.
5ignaturty of Owner/ Lessee/Agent Wnea4tu'e of Contractor/ License Holder
STATEFI Pm
cCOUNTYY to
The {ar o4ng ins +rent res ack� awletlg *fare rr�e
tnls� . day of �f1� Y
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(Nara oFpuson acknowledging )
C� .16naiura fNotaryPublic-State ofFloh6a)
PivibftAlly KnOwn � QR. Prod"!cord IdOntificallon
Type of WentIfIcation
QPr'oduced, J ��
Cor'nrnismcm N4� U �.J��`
STATE OF FE
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COUNTY Of -
The
fTh largoing It,irtr ent was cknowledg before me
this day of 111120� by
I A1.1 (1-
fNarne Of pa'son acknowledging }
tgnature f Notary Public, Stare of Florida)
rersunaily Known , 0R Produced identification
Type of Identification Prodaced
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. 'E MY COnM - Expires Mar 2 2017
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SEA TURTLE MANGAOV ~_
REVIEW REVIEW
CRY P 1, TAYLO E. WAILES _
State of Florida -
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MY Comm. Expires Mar 25, 2017 _
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;"r, Commission # EE 855341
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-800 Through NLtional Notary Assn,
REVIEWS FRONT
ZO NG SUPERVISOR ! PLANS I VEGETATION
COUNTER
REVIEW I REVIEW i R VIEW REVIEW
COMPLETE
IlVfl'IRLS
4 db
a� "♦co`c'a",. TAYLOR T.. WAIL♦
i notary rwitc • ati1+3 It gide
. 'E MY COnM - Expires Mar 2 2017
' r t' Commit8i0R # I'.E e52 41
SEA TURTLE MANGAOV ~_
REVIEW REVIEW