HomeMy WebLinkAboutBuilding Permit ApplicationPermit Number:
141ding Permit Applicatign*
Planning and Development Services
Building and Code Regulation Division'
2300 Virginia Avenue, Fort Pierce FL 34982 •,�
Shone: (JJ2) 462-1551 Fax: (772)AJ6�1W C- I I T�
I PERMIT APPLICATION FOR.
Address: 310 Ohyc- A
Descripti
Property Tax ID #:
14"Ja"41R.
Project Name: _
31+1 Cl .- SIG 001� S�Q
L�
<J Lot
Setbacks Front — Back: — Right Side:— Left
Additional worK to ne perrormed under tnis permit– cnecK an that apply: � 0 •
Mechanical _ Gas Tank Gas Pi in r5hutters Windows/Doors
E ect{ ric 1� P um ing _ prin ers _ Gem nerator _Roo
Toil Sq. Ft ;,ns ruc ion: Ftlft Flo- -
� i
Cost of Construction: $ ilities: Sewer _Septic Building Height:
11111
4
WNER/LESSEE:
CONTRACTOR:
Name I.C.KAX—j_1(\ C4 - 1111111111101 --_1_
Name: i1�,l.,V`-j6n i`7• Cl fXA*e
Company T ttAGl%'6t i T1Un bv,i
t
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Address l0 ®l ry r U
City: tate: _�
Zip Code: �tS;Z, Fal..-
Phone No.
E -Mail i
Address: Lal Sf�-04+\ N; k
C..-.�i !f� ' exp Lir°
City: �Sf ULA -c' State:
Zip Code: Fax:
Phone No
Fill in fee simple Title Holder on next page if differen�
from the Owner listed aboveM
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E -Mail hyV3 I i✓lc����`i�'t..C,
State or County License C VG ) 4Q
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8"3S 40
2500 or more a RECORDED Notice of Commencement is re uired 111
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c thatn r r ll en rior t he i ua#oWrizereitoWerm
erm. •
St. Cucle County makes no representation that Is granting a perm) will it holdrto build th�ject structule
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
tructure.�ease consult with your Home Owners Association and review your deed for any repicts,
tions which may apply. •
n consideration of the granting of this requested permit, I do hereby agree that I will, in all resp for t k
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Rhe following building permit applications are exempt from undergoing a full concurrency review: room additions,
1a_c_cessory structures, swimming ools, f nces, wails, si ns, screen rooms and accessory uses to another non-residential use*
WARNING TO OWNER: You0fail to RA Notif f C mence t mpretlt in } u;' iR Actfor
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsit%
before the first inspection. If you intend to obtain financing, consult with lender or an attorne before
commencin.R wcark or recordiniz vour Notice of Commencements;' •s
• ,i%e'`r� _ ._. rte=-'
Signature of Owner/
ntractor ,
STATE OF FL ,
COUNTY OF I
The f r oing instru ent was acknowledged before me
this day of 12b
(Name of erson #acknowledd ing)
ms// v1�'" •
(Signature a Public- S= Florida
Personally Knowniitifiestierr—
Type of Idti "' `� MICHAEL GERHAR
Produced MY COMMISSION # FF230846
EXPIRES May '14.2019
Commission No."""? ' ' ri.,KIa" x.rt,K,
• •
of
der
STATE OF FLOA
COUNTY OF
The forgoing instrument was acknow a ge afore me
th d� Aph 20 (7 by
•fes
( ame of person acknowledging, )) -
(Signature of Notary Public- State of Florida )
Personally Know OR Produced Identification
Type of Identific tiga""Aw. MICHAEL
Produced • • t3ERNART
+.
IISSION # FF
23p848
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49
SEATURTL
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16100a
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City- State:
City: State: i�
• Phone•
Phone:
Name
Name:
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city:
City:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c thatn r r ll en rior t he i ua#oWrizereitoWerm
erm. •
St. Cucle County makes no representation that Is granting a perm) will it holdrto build th�ject structule
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
tructure.�ease consult with your Home Owners Association and review your deed for any repicts,
tions which may apply. •
n consideration of the granting of this requested permit, I do hereby agree that I will, in all resp for t k
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Rhe following building permit applications are exempt from undergoing a full concurrency review: room additions,
1a_c_cessory structures, swimming ools, f nces, wails, si ns, screen rooms and accessory uses to another non-residential use*
WARNING TO OWNER: You0fail to RA Notif f C mence t mpretlt in } u;' iR Actfor
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsit%
before the first inspection. If you intend to obtain financing, consult with lender or an attorne before
commencin.R wcark or recordiniz vour Notice of Commencements;' •s
• ,i%e'`r� _ ._. rte=-'
Signature of Owner/
ntractor ,
STATE OF FL ,
COUNTY OF I
The f r oing instru ent was acknowledged before me
this day of 12b
(Name of erson #acknowledd ing)
ms// v1�'" •
(Signature a Public- S= Florida
Personally Knowniitifiestierr—
Type of Idti "' `� MICHAEL GERHAR
Produced MY COMMISSION # FF230846
EXPIRES May '14.2019
Commission No."""? ' ' ri.,KIa" x.rt,K,
• •
of
der
STATE OF FLOA
COUNTY OF
The forgoing instrument was acknow a ge afore me
th d� Aph 20 (7 by
•fes
( ame of person acknowledging, )) -
(Signature of Notary Public- State of Florida )
Personally Know OR Produced Identification
Type of Identific tiga""Aw. MICHAEL
Produced • • t3ERNART
+.
IISSION # FF
23p848
Commission" o. , ?�� EXPIRES MaA-%Alg
_TT KfallolaySVf.".• cow '
•
REVIEWS
FRONT
COUNTER•
ZONING
REVIEWO
SUPERVISOR
•REVIEWr♦
PLANS
REVIEW*
VEGETATION
GREVIEW M
49
SEATURTL
*REVIEW
MANGROVE
•REVIEWr
DATRE EIIVVEDVW
16100a
a
, •
,
DATE—
COMPLETE
ev. 7/2014
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