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INDIAN RIVER COUNTY/CITY OF VERO BEACH <br />BUILDING DIVISION <br />1801 27th Street, Vero Beach, FL 32960 772 266-1260 <br />(No Fee) <br />Verification of Exemption Affidavit for Nonresidential Farm Building <br />Note: This exemption is applicable only for property with Agricultural Classifications determined or as <br />applied by the Indian River County Property Appraiser. <br />This is to certify that I, am exempt from the requirements <br />for a Building Permit under Florida Statutes 553.73(10) (c), Florida Building Code 101.2, Indian River County <br />Ordinance 401.14. The proposed construction, as depicted on the attached site plan is to be a nonresidential <br />farm building on a farm. <br />Property Owners Name: <br />Address of Property: <br />Mailing Address: <br />Phone Number: <br />Legal Description: <br />Parcel #: <br />Specific Directions to Job Site: <br />*Contractor: DBA: <br />License Number: <br />Address: <br />Email: <br />Block: Lot: <br />Name: <br />Comp Card Number: <br />City/State/Zip Code: <br />Phone: <br />Fax: Cell: <br />Type of Structure: <br />Use of Structure: <br />Use of Site: <br />Zoning District: Future Land Use: Flood Zone: Map #: <br />Setbacks: North Side Proposed: South Side Proposed: <br />East Side Proposed: West Side Proposed: <br />Additional permits may be required from other governmental entities. <br />Sub- Contractor Information: <br />Electrical Contractor: <br />DBA: License Holders Name: <br />State License Number: Comp Card Number: <br />Plumbing Contractor: <br />DBA: License Holders Name:. <br />State License Number: Comp Card Number: <br />Mechanical Contractor: <br />DBA: License Holders Name: <br />State License Number: Comp Card Number: <br />3 <br />166 <br />