HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number:
PermitBuilding Application
2017MAR 10
Planning aDevelopment
Building and Code Regulation Division
00 Virginia
•2-1578 Commercial Residential
PERMIT
. 1 • ■ a
ToSelect fromdropbox, click arrow • of
Aa „tA,::- ,Sa;�.�^.-:x,-,::^,.ur «i.n,,45�F"r�,"�':r'^w�,"' ..;'"'.,�yi.�yreo - a:�: v ,3H3 `it 1-rti +..i?;,�a,�"LF'Syt;;i"FCR7 ac,T�' ,z7 .,.,^ +-.�.�"a?e'`r'?.5?�4 �i,�'"''•r�� �;�:'S.•�:�.�
PropertyTaxlD#: Lot No
Sit
FLi' S:;r""-'QTc- ..a_rr.•�..:Friw-,y`..r�. µu'4}F« .w• .ti,�.¢.' ,�,�' �+•« {i,1,- _hF h 4•�,�;,. + '�.Y wr�,tib'�"t"o4�t"c;.;,�� u .<�� "1{ 1 f� �r y.,�,,.. ''�•�4.,.,�,•w�,d;;•i„• �M. ��r,Jr`
,v�!•.S+ Su e, ? ";:.t:ir n a ;rA;�R .yr' r e:,,r.F4?tr.W,yy,pit �, G M.a..�,5 ,, �,. c r,�.Y<'�M.! ;.r,•a.„C,uM r..; F r:+ ,, .:f' `c rl ✓,,.
�� ,s, :4.: �..�'b 1".-. (.`�,�, F,�},<>t en�,,L-r r.?"?••. ,rs'.e4,k }e J.6� a� �,� r.( �. w,> h r y "�, 7 •}'•h,.�rJ'1 �*}�+ �;��
a"�•-.,;;t::a 'iy>ir�). v ” 1 r:�rn: s r 1 .r�„C t t� ,e :i r- n '�'.'i c!lr}nS f-,t_„4 '!, x..u,3_ 'F SLC'i``-'�
v^'�S?�>s�tir;. _.�:� �.. :�t:?k��.-.:,;-:��.�:�+:Grr µ�::s-A�c.�':�:ix.rr•.w_.'fari�_���ii�M�'C,1�'w.:9,..�.�.._`3,"..,.�,.MS,^;.;.r,~exJ._ _ r:�_ ,�!�r�---_�_-a_�,_:rv,.�.,.�t.:,_,.M_rw
- • ' r
Project Name:
Setbacks Front Back: Right Side: Left Side:
y++4^ ;:.:w.,�3..v.�;=i•=, 4. 1 .: '..T3_.':4n0 'ILZt .u'r,,.. ,?"”" .:r^[..,!Paa r>,a S .;zi '^:.',n24-i :;'?sI4T;:yrr.•I:g ,P, .f�a.G
�;&..nx., '�=y'��d5•ti'„•J.”" <i X•.r�r,^,.w,.r.-"ie�^.,:k•.r..k';!'- - "r _:4 ,,.7'u' :L.f'yJ"T„L ,�%v::'`!;,t.':d,M `[. �vr. .,sl^?'1'r�:;:,,,cj":..Krr. r.r 't !r'-,�'
�vV{?:l, "'�: ..=�+. ..y,:+.-•r,« -,4., ,�., �. :✓:,_r�i;..r.,...,, .-�.'•'^`-�x%.- :a.,.,J`"• -,h..�._1�.,.i�.%. :,N,'?a.•a::Su•.
.: .,n r•rnu•,,t,�'�.,.
r,V_.:'1:,- :•i':' ,�' ,I ::.. �N:.i .�•� .�x r.„.yy.r;�.;... Li;.” �'tix`1.�.•. >T:� .S s.�,.j.:d� ,•..�. ..,�.>:M'1'. .p'�:�ef 2t�
''•,-1,.i;«..._ ..:�'-^r., .:�..a"i:..=.rr;:.�_��� - - :,l- .+C.. ..1... :�;'r��,.,,?, tit9,`" D.. ..�,, a�Y,..,tvr,...,
:,..._::�.,,,., :v«,.....e.: „wr"-..........n:,.,-,.^n ,w G,.,,,,.. ,".,..,., ,:,,...,,: ,r n..e,a ,.... . .,.., ,r.. .,.f...v.i�._.,..:... ,:{{±lobe. 9an•a"y ::dr, l,r._. ..r.' •.a.,v ,7,
_E. :1:• �:tea:: ',Z }" •„Jt ,.S.s�,-r•"�'::- :-�:.`:s�n�._.,7n,o ,Fn?"i&, c'4,..:•3- -r',�4e�U,,-:�:'-+,:"' � rt A> 7 r :a. .h.., 'FS d�-,+.,.w.:t
"•n��a"-P='{.�"ar,;a„".�i`. id�y':'.N•�:$1; h em'a'.1-e„F;:. •wu(.�a...,,SnnvE.e'+.=::i^ZSS,: _;�1`y.^; ,t�"'"ra`.:t< ,?;„�a.::•;;t�r'• - 'j ro.l J .u,.:��n r ,.�:,.f�- c s:y`a2.
wwir��.sn•:, :ax+xa;r• ..:b..4'�'rs�.'.k�.lt7�v�$?:e.AAs..,n..1�_'.sr,:�3+r^iz--_�.6=.�-''.sc;3:aa•xwa•_��.:tasz.,n»�.w'W'>�":-iL>r__+=_ —__,3_, i..._ �.,;.f:�,. .,.C'.«...�..,,.c...: ..:1...,_ -'i<�T'S",ti ....C.S.------
TM+-ur-cy""G:� .rinrr,•. '+;;'Y.u:%C:r`><'';rc•;.rk:*•�xi.�,+�-�.zrT:,�='m+��nK:,r,� ::ct - .r,} ^v^_
•P rM ;,R,r,.-+r;:rr:a:rrr^' - .1:-+.. � ,ie to trv. ^^t:F"i r 7. ,�nr=.l'r.f.. X5.7.,;1 .�€Y:.
a .`•„z•S" ",,5'. :,1 wT:+., x.G t r rrov�:,w:a,^ c....S ;!Y ..5�".Iv: _„!:;�<�: r.h•. .r. .�•+... .'x �,n }, ^".:,Qi,r�'-'.'.r�i'
:`r"S e •G:rs. "�'Lt+ ._,. .:•��;;,,^n,�,,, :.a ,s .•.r'r:w�;,+•••."v ,,,�.,,, �c;�:. 4+S•..,°,".... .S", �1 ,z. •,u, .z�•F c-�2�• t..1:
. ....... ... ... ,L ., _�.. ..._. .tis ., V h "+h �::..r��r..r. •,"- _._•-rr<:, .,. ( .un: ,u i..f3. •:i. ern .� .wr:e-«-1i a.5., ..^t:.
. .,.•$-J- .;`.w,s`.,.i.,.a.,_ ....,.",...n...,,.,..,M..Y,.r7.*,..J,,,�", ,..o-w..:�...�,.r5h..nAt`_.. ...1t.r:::>.1�.'>3:,��^v t:i.-.�a..a.9.....l..G}...a,.,r,�..lq ..J1`J{. C,n fir,• 2�r.r:a.ne .•S� �S?de•`,`w .tic
G •,6.'•." �,",. :.:.,: -,n:, ..�;v�._��, -,,.�„M.•.,.ro4•- ,./M ",;c ..� �'h. <,i'i.iT" r;:
r..;cys" ,lr :.:f>:- {Y::%u,-. �C;,� 7.b .,rfic•:Ia.�•:x^:'-" ;tx'r - •'r.'. 'r��.. 1F't' �::'� :�^� :,r`?x`. .,c •..h,,•_.. .'{e�'.,.,-.,•..3�,;:,:-, ^ar. 'aa•
Ys.;' ._vY ro= .�� v N7;"_"r a.,.•, yr ,s=S,'""•'r>;• _,_�� � i.£ --va....k rti: ,•,L- �.. Ze ew
=i*=r: .-.rr-.�e�'•c:� ____ `1"= .,eo�2;_..r:�':�`V:^�-�• -,.C'�..�,r�.,1�a,v:f.r 'itm,.�•k:.nrn....s5« .,G.:•. ..;,�,5,.1..,•i .�:;??n.ti -a..�7�n<.'.x^:•+l�cu.'wxr.t,a_n, .J...,,"__ __.2.1./r,.a...Jc�
t! oil work to be Performed under
• a ■ Gas []Gas • ■in L]Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: 5 Ft of First Floor,
'*r..: ,n!:^ :^^^.7�_^^..xf-'T^�:;:•rrc:�&d7-1•`�m i'Yc's,r:w�:c r,."o: -"v�'��ik-Y,.s,,:E•S^:,:;r-Y.gC�.'ri'.�rY�T<c;;r,:�?:t-;-:'j-e`°,,:w.��`<"'?k:�
>3.•%x rw,...yF.;>„'»,^'W,,, t :i•tScT i:' �wF';o f'^t-:
t"
.1' ,,.,`.n.�;Ygggg a;;<. �Fer" riv ., 7Y n.'>ti. ...k%lr.'d:C,..a,r-.,,,..,:e-n�t� r.-1':• ,rra r�.vlrzs ';r r
r` - ,,',•Arr,., .F.•»,;•ti{.. .,,,,, •i -. wGS.G,.•11,@}` k.• (l�ii,;:b.r:xs„ r•.a .n.*f hk''„x':;C:. ,n,t aG,e r,�.,'.`.?'xn`'',l. Wt"rs eYY.•,y,`, e.-1,r. L.`Lf("4 ,�..,wr..rC=µ i °r�rjw
�.{ - ,Y,_4h. ,•,ti�,N,.. •-�c`rv.L, ,•a},..'t._•y 5tiyi,.._ �.".5„?`,�r. ixa. :,i'-.,Nv.t.•.r,�r. .,\.�.'.i ,C_ .,.J,-..7, �d�"o. ::,:3xr'•W Y:•.�^'•..:.:.,rf/,•'1",P.. ....':• 4 rr':
.MPS'.:"'..5. M},,,c.,• >r.:.' a:o ,.r !k`'.,tv tea, •Ue.'2"1,W =•x.•• ..r r, .:�...k.. t..?iY,r:.`H.-.k RAI
..`v,'':'•_G:i;+a w.^„_
Na a., :C• .b-,.�..•., ..r :�:...�`,.rt.::-, ,a, •^,fi-,o•. "„r•>. „.x<, - y.✓.,. •Lv
�. ”,
.•,e:r
y...'^.. :r -�e«,,,h.•;,•x.:,�,.:,•-�-:•:.•':sYnwJ;w21:M,���'�k;�;;'1�.Yi.�r:;.,,.a..rR ,.R•r+un....W]dxa Jva,-e.,Y�«is`a�st«»•v.,r.Y.:,�;,w�/:esti _ "?,y}; :S+ic:: ...Y.:.. _'i�":
t A �
Address: f-0,17 Eddlea)wd
PmLe-
Zip ' ..
r -
.. • ki y r'
arjLzILIAilli ►from the �i
Fill in feEVsimple Tftle Holder on next page(if different
•
if value of constructio 11 ]RECORDED Notice of 4 canient Is required.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:. ._- Name:
Address: Address:
City: State: City: State:
Zip: . ... ...... --Phone: .. - - - Zip: Phone:
PEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 the permit 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,I do hereby agree that l 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:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-resldential 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 attomey before
commencing work or record' your Notice of Commencement.
�r s
_Signatu ner/is ee/Agent Sig71E
on# ctar/Ucense Holder
STAT ARIDA STLORIL7A .
COUNTY OF Lu c COUNTY OF .29t c i
The forizoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this jD_day of. .awch 20 LL-by this f Q day of Mdu-&I. • 20 .by
Je Grossyrt-n n )e G yo S-_,"tD r,
(Name of person ac nowledging) (Name of persona owledging)
i��,
Al} iiL C:r Y7Z Ldp�L_F.�1.9Gt�t.�C
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known v/ OR Produced Identificatlon
Type of Identification Produced _ Type of identification Produced
Commission No,AFQOg Commission No,FFD e -
1STINA A_LO__U__D_sF, KRiSTiNA L LOUDEAS CK ` `.�! � i*` MYCOMMi8s222 ',i - EXPIRES Revised 07/15/2014 _ EXPIRES August 7.2017.r (407)398.0153 R0rcd4tNo
400 3880153 RoridallolaryServke.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS