HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APWICABIINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: PermitNumber:
�® - V.
Ma
: =w-'�.�� r BUilding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: K-701,�ANlrELca LtV r� 14�
Legal Description: �= ��'�� tStfs.-S ~�': f aR�
rclC 7? Loot /0
Property Tax ID #: OZ' 01 I oO o Lot No.
Site Plan Name:�f� Block No.
Project Name: So. � -
�. tr
Setbacks Front 10'r*' Back: it Right Side: 7 Left Side:
DETAILED DESCRIPTION OF WORK:
A's 4e. (I S tfI be C_ 6(c. )- I-y4k. 4-0 S weoc 64
?&S
CONSTRUCTION INFORMATION:
Additional wor to e eorme un er t rs permit c ec
a apply:
Q Windows/Doors
❑ HVAC Gas Tank
Gas Piping
_ Shutters
Electric ❑ Plumbing
Sprinklers
Generator
F]Roof
Total Sq. Ft of Construction: 1
SFt. of First Floor:
Cost of Construction: $ �ZZOO
UtifitiescnSewerOSeptic
Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name I -a Ji-Zi"l-
Address: (74 b -r't,S,/C, r
City: Ft (1l~trz, State: R -
Zip Cade: 3��o°Z Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: i'L a 1i qac+ e`"Company: V'_4"4.3lL < LS e -c.
Address: 7-101d J�A 4,_,,oJ A, -t -
City: f" -5 - c�State:
Zip Code: 3 ! gS'3 Fax: -717-9 7 �d4
Phone No. ?71- 47a-Z3r$
E -Mail: ��C.
State or County License: C+QC' - d ys'a3_ _-
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLE
MENTAL CQNSTRUCTION LIEN LA
DESIGNER/ENGINEER INFRA
Name: Not Applicable
Address:
City:
Zip: Phone: State: _ _L
FEE IfVISI LE TITLE HOLDER:
Name:_Not Applicable
Address:
City:
Zip:
Phone:
RAORTGAGE C't3MPAlYy.
Name: _ _ Not Applicable
Address:
City:
Zip.Phone: State:
E1 ND NNG COMPANY:
Marne: —Not Applicable
Andress:
City:
Zip:
----��_ I —` --.-._---Phone:
# certify that no work or installation has commenced prior to the issuance
st. Lucie County makes no
which, in cnn G with ao representation that isgrantingpermit.
structure. Please consult wrthPy lu able H° Owners
As a permit will authorize the �y
Home Qwners Rssociat#on rules, bylaws or Q covenants
ed that build
subject rohib such
In Consideration of thegrantingC7wners Association and review your deed for any restrictions which may of this requested permit, i do hereby agree that # will, in all respects,
in accarc�ance with the appro�,ed
plans, the Florida Bu#idin y apply.
The following buildingg Codes and St. Lucie Cour perForrn the worx
aCcessor permit applications are exempt {ra,.n undergoin a fu€# � Arnendrnents_
y structures, swimrr,ing pools, fences, walls, si ns, screen rooms and a c ssflenCy review: room additions,
WARNING TO OWNER: Your failure to Record a I<latic+v csf co�sr�e�c��
r`% u5e5 t0 3►tOtliEF non-residential use
11 pi0VPrrle tS re year property. A meat May result in your paying ;eTere Y(3iice Of C�r�lfrler�cement rrrust be recorded aril Posted an the jobsite
the IfSt IpSpElctisOr€. If you intend to obtain financing consult �nrith lender a an g twwsc-for
o,r rneriei Mork or recording our Notice of Corn financing,
n ing, o
attorney before
3oa[ure of OstnerJLessee/Contractor as —Agent for
STATE OF FLORIDA,
COUNTY OF
e 99-9 ;nstrument was acknowledged�2fore me
rZ 201 'l by
i,°arne of Persen acknowledging )
Csona
e of (Votary Pulalic- t ida
Kaown Pr�€u d Cdentl� ip�r l Aentification Prod c�#�, . , _G` �'� C0iVMisS1 N
I'f'r'ir'3 iUgU5t1lJ1
Commission No. v f fC�thidaTlnrar.,c,;...•-�
Revised 07/15/20141
Contractor
STATE OF FLORIDA
The forgoing instrument was acknowledged before me
this I Oday of i'. y; ,. 20 % by
(Name of person acknowledging)
-4,
re of Notary Pub
_0�1'jci4tion F
mission NoA/;
KATZ
tr 04VX4
REVIEWS
FRONT
ZONING '
�
COUNTER
SUPERVISOR
REVIEW REVIEW ;
PLANS
REVIEW
VEGETAT€ON
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
—�–
—
COM PLETE
I
3.
MTIALS
From
FOUND P -K
NAIL/DISC� SAVANNAH STREET
50 R/W (IMPROVED)
I I
LOT 5
BLOCK 77
FOUND 1/2"
IRON ROD
NO I.D. N90WWOE
30.0'
0
W $ ' cor+C LOT 6
0 tD.t' BLOCK "n
0.
zW a
O -' Id F
d m r BUILDING
#5706
a 42.2'
34.9'
m _ �
� N
reL FOUND 1" N90'WOWE 125.OW
IRON PIPE
0
N LOT 7
BLOCK 77
i
_ BARTOW STREET
FOUND 5/8" 500 R/W (IMPROVED)
IRON ROD
M
PTC
01/30/2017 15=31 #'663 P_003
F.H.A REQ[TIREMENIS DIST.
SEPTIC TO HOUSE 7±
SEPTIC TO EAST PROP. LINE 26±
SEPTIC TO SOUTH PROP. UNE 15+
FOUND 5/8"
IRON ROD
NO. I.D.
5'11-116-H &A,Ce
cc
LOT 26
BLOCK 77
15 8
SETT 1/2"
IRON ROD
LB# 7893
--CONCSlH DIVE CROSSING PROPERTY
BOUNDARY ON WESTERLY SIDE OF LOT
-THERE ARE FENCES NEAR THE BOUNDARY
OF THE: PROPERTY
-PROPERTY SUPPLIED BY CITY WATER
PAGE 2 OF 2 PAGES
BOUNDARY SURVEY LB #7893
SURVEYORS CERTIFICATE vTARG�T��'w
I HEREaY CER77FY 7MT TH?$ BOUNDARY SURVEY +7 V� al ijEr{.�
ISA TRUE ANACORREC7REPRESENTA77ONOFA
SURVEY PREPARED UNDERMYDIRECTION
NOT VALID WWITHWT ANAUTNENTfCATED ELECTRONIC
SICW4TUREANDAUT4ENTIGI TED ELEGTWWX SEAL,
ORA RAISED fNW$SED SM AND SI-IN41VRE.
hao by CNN
Clyde M 11=C"FhcNev�,C_
�ij--� McNeal �5.o3TnW``
Pak: 2014.44.14 1420:40 -
(515NED)
CLYDE 0, AkNEAL, PROFESSXW4t SURVEYOR AND MAPPER Al28d4
SERVING ALL FLORIDA COUNTIES
8250 N, MILITARY TRAIL, SUITE 102
WEST PALM BEACH. FL 33407
PHONE (561) 640.4EDD
FACSMILE (561)840-4576
STATEWIDE PHONE (800)22&4807
STATEWIDE FACSIMILE (804) 7414576