HomeMy WebLinkAboutBuilding Permit Application All APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4 �+
Date Permit;Number:
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
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PERMIT APPLICATION FOR:
PR(7PC?SEDF INOACIVEMENT LC►CATIC?N:`
s�5 s �•fq 6-t,
Address•
Legal Description:
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Property Tax ID#: A90 �o 1, mr)j -11 D^a Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIRTION' ;OF WORK`
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C(7NSTRUCTIONINEORiVIATIONeii _4 Jill
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Add itiona wor to� a per Orme under this permit-check that appy:
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_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ISOD.,00 Utilities: _Sewer _Septic Building Height:
OU1/N ER/LESSEE m a _ PnA
CONTRACI"C?R. u <� s
Name �N��� Name: 14 f
AddrGT. Company:_ ..hw � a
City: I '� �X . :Address:
State: .ja
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Zip Code: �-�S.l,,,:. Fax:// _ . ,. City'.',•�I:.�.�: ,- ., ' �.:,:-.ra�; ;,� State: -61
Phone No.�D: -7 L to !R?, Zip Code: 3 � ;.•1-FtiSf'""..
E-Mail: PhoneNo .���' tq'�'1�� r
Fill in fee simple Title Holder on next page (if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
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SIJ�PPLEI�lIEN7'AL CC�}NSTRCIGTIfJ°N HIEN LAUII I'N'F(�!Rl1�1,�1'['®N:
DESIGNERJENGiNEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name: i
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:roam additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording, our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent,for Owner Si nature of Contractor/License Holder
!('4e
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF COUNTY OF 'o
Thef' rgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day oftr, 20q by this 5 day of
3. . �—
20J.2 by
` V n,'iamCIA. \
(Name of person acknowledging) (Name of person acknowledging)
ignature of Notary Public-qpte of Florida) (Signature of Notary Public- to of Florida )
Personally Known~� OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Commission No. gNir+rrp ���rN�TP��r "�1 �
��(i } Commission No .��` �a. 1rASMAHNq
r,+ •' LASH • •°iarY Public..Stale of.
• S Notary P AHNA'INrRA$4 •' MY Comm.Ex ire Florida
omm• Aire eo/Ftorida I ��'',a1FI%,I ommission'#,FF1 7249
REVIEWS FR �.,,ai `2'tQ �QQ+miss nS' 1 'OSOR8 PLANS V,_ & `� i't09JRiI rMAIV ROVE
COUN ry REVIEW REVIEW ERE JEW
DATE
RECEIVED
DATE
COMPLETED
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am encirg at the a„rr..ast oong cf SmUon 28,7trmdiip 35 S th,
Rmp 40 East,St T-"* Canty,Flmd3,throne nmirg in a Nxtherly 1
;I dira3im alag file Section]ire a distame of 40 feet,thane_Tnhv
OV in at lnshaly directim alag a lire pEaallel to the Sathedy line of ' (�
Section 28,a fl stare of 46 feet,thmre n:nirg in a Nxthaly din3tm -'rj
along tie Exterly right-cf4.ay lire of llarlef Wal a cbst m of 747.70
feet which is est kdi_dEd as the paint of bapmirrg,thane nmtrg in
a Nxtterly dbia bm along the Bmte ly rift-c f-ey lire of Hwlcy '
Rsd a dicta re of 192.56 feet,thane nmirg in an Poly direction _--
alag a lire p3mllel to the fly lire of Sactim 28 a distmm of --—_--- - _- _ - --- - - - - - - - - -
oo' 750.77 feet,thane runirg in a Sx�ly Rina+rm alag a_lire-parallel _-_--- -- ----- - -- - -- - -----
- --- - :-to-the-asbExly lire-of the Sar�gmrb3 of the Sadinest dotter of
Sectim 2B a dEst m of�192ll.�561 feet,thm m r ming in a W-b-ly
m
di +rn 9alQlire iy a re p ral1p] to the SathE ly lire c€SBcbm 2B a
v8 IA;darp of 750.28 feet to the pant of 1srlrirg.Also 1¢nw as Tract 11 v� 4, Surveyor's Notes; -, -- - - - - -_ -
ard the Nxth 86.28 feet of T7 t-12,Haalry Pores,an usandad-
Siafivisim.Iffi tliae&an ttet certain parcd of lad aaAeed bD fl 1. Lands shown hereon were not abstracted
33 St.r„-;P Cbun y in Official Road B3*619,Page 2681. -0 �o?f for rights of ways and/or easements of
\� record.
j2. Legal description supplied by client.
- 1 l3. Flood zone A6, Panel #120285 0190 B.
+y j 4. Bearings assumed for calculations.
is
I HEREBY
BEDCERTIFY THAT
IS THE ATN[ CORRECT Or SURVEY
OOrMTRZ HEREON
.o; XCLAUGHLIN LAND SURVEYING INC.
KNOWLEDGE AND BELIEF AS SURVEYED UNDER MY DIRECTIOl I FURTHER
CERTIFY THAT THIS SURVEY MEETS,THE MINIMUM TECHNIC: . STANDARDS
ortqaqe Corp. FOR LAND SURVEYING IN THE STATE OF FLORIDA (CHAPTE 21HH-6'
le Company P.A.C.) PURSUANT TO SECTION 411,2.027, FLORIDA STAID '.S. SUBJECT
Martha L. Ragan TO THE QUALIFICATIONS NOTED HEREON.
�� � 314 St. James-Boulevard
MICHAEL(P. MCLAUGHLIIH r Ft. Pierce., Florida 34982
.ru.m.P..n..um IYittl ra. PROFESSIONAL LAND SURVEYOR 465-0250
Uw SML i ori Lt"I&MriiS v.1� FLORIDA REGISTRATION NO. 2960
r.Uva ra r..v..Urtuarrr.U.ua w
r.0 tura...f us=t.CUTIff"19M.
.t..crr.*. DATE: y-/4-9/ /'_ �a' DWN• BY: .
SCALE: �rl.P.� JOH NO. �8 99/ _