HomeMy WebLinkAboutBuilding Permit Application 03/07/2017 09:20 7724663737 BOYLEAC PAGE 01
ALLNFO ARW BE CO MPl.ETCp FOR APPUCATi`gM To K AGCEMD
Date: � Permit Number:
REE
F�
Building Permit Application MAR 0 12017
Pkr►4V and tJewloprnent Sen*es PERMITTING
Building and Code Repsrladon D)vtt w St. Luc' County, FL
2300 Wq**a Avenue,Fort Pierre FL 34982 /
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential Y
PERMIT APPLICATION FOR: To SekKI*0m dropbox, dick amow at a*tend of One
PROPOSED IMPROVEMENT LOCATION:
Address: �. 5
Legal Description: r r
Property Tax lD#: • " 0 ^Qt?. �_-QCK2-[ Lot No. �ZS
Site Plan Name- Block No.
Project Name:
Setbacks Front Rack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1.1
MS-Wt
a�. AU I.eAW< 3.5 to j ((0615m e vfw
a1ct
v�t
godct .* 14AU-D4(.,X30 enol r lander �odc1 . G X�, r�u v a
CON CTION INFORMA'T'ION:
AddItWhal work o mmnormed under thii perm =c all maL app*
HVAC Gas Tank Piping _Shutters Windows/Doors
Electric Q Plumbing OSprinklers 1.x.1 Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of first Floor.
Cost of Construction:$ VV• Q ,L_ UtilitiesSewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name:
Addre�sss: �' Company:
City- State,El, Address: 4
Zip Code:3A5-1., . __ Fax: IV City: 5t" C' ,,,
Phone W ?2.- a '" l-_ Zip Code: Fax:� _4�" rt.
E-Mail: W A _ -- Phone o. - '
Fill in fee simple Title Holder on rteitt pagee I if different E-Mail: GL
from the owner limed Wx we) State orr Caunty License (I i$
if vokee at aonsbructlon is$2500 or more,a R£CORM Notke of Is r*gWWad.
03/07/2017 09:20 7724663737 BOYLEAC PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGAERIV41GINEEIL Nat Applicable MORTSAW COMPANY: _Not Applkable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: zip: Phone:
FEE 5NAM TITLE HOLDER: _ .__Not Applicable BONDING COMPANY: NotApplicable
Name: Name:
Address: Address:
City: csew
Zip: Phone• Zip: Phone:
I mrtHyr that no work or it fthtion has eornmenced prior to the Issuance of a permit.
St.Lucie cotm nvdm no
dmt Is
will nuflKwize
uild
strstrt �nOw hers Association Vow deed�mnns ��sudE
In CmWderatlon of the pwdft of this mquested permit,I do hereby agree that I w111,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The fallowing bubdft permit applications are exempt front undergokrg a full concurrency review:room additions,
accessary structures,swimming pools„frncrs,walls,sleds,screen rooms and accossory uses to another nocrmsidentlal use
WARNING TO OWNER:Your fellers to Recad a Notice df nom►rtm al in lour p-gh twice lior
Improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection.If you Intend to obtain flna Kft consult with lender or an attorney before
commencing work or recording Egr Notice of Commem*rnent.
, s$
signature of Owner lessee of controm*w I lcerm
�co� ,�i� p� CCOUNTY ofE OF T"Ifil,
The going irr�y.J-adux�wledgad bdorra me ft ft k irgdv, r crrt rats sdmowkd-t before me
��� 20 W by 7
(Name of person admowied0 ) (Name of person ) ..
(Siignawre of state of Florida} ftneture of NS ate of Florlds)
Pd rsorw Personary taroewn OR Produced Melxttllleation
ypeNod TINE J CO LL Type
Notary Pu iC• ,aly if, CNRI I
Calm Commission,r 68 ' P Notary PubIIC•State of FI
ML
y Piro$14u�1Y�0 - OG 017
$br dtArouph 4000My Comm,Evokes Aup 21,2020
Revised 07/15/2014
REVIM FRONT WNING SUPERVWR PIANS VEGETATION SFA'MRTI.E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
fNIiIAlS