HomeMy WebLinkAboutBuilding Permit Application5t, Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in can ict with any pplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult vriti 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 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 sire exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to iI, a, Riatelge @q C omfflg racillment am@V result UH youv 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, nonsuit with lender or an attorney before
commencing work or recording your Notice of Comme.ncernent,
SI re Of owner/ Lessee/Agent
SME OF FLORIDA
The forgoing instrument was acknowledged before me
this _ff_ day of M'y 20
zo
(Dame of person acknowledging) a
(Signature of Notary public State of Florida }
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. r4h=1,._ (Seal 90 YJIM
1
Revised 07/15/2014
s
Signature~df Contractor/License Holder
ZYW CE OF FLORIDA
COUNTY OF � � �- Ac
The forgoing instrument was acknowledged before arae
this I l day of �"'+ V .20 177 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida j
Personally Known OR Produced Identification
Type of Identification Produced
■1 1w IIS ■rl 0 ■ W un 111 hi V
ommission No. MIKE MARTINNotrirjl - Ona 001
(E Public - etas 01 l
Comm>ii=Ian ! FF 210959 ' •= CommI FF 21095#
My Comm. II
My Comm. E*nt AW a, 'y A� fy���.'
gpidtinpiljil9ldoleiili "Asn eorwwthraigliilq giFllot+ilr
REVIEWS FRONT ZONING
COUNTER REVIEW
0ATE
COMPLETE
INOTIALS f
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
iCON,1 ` UM LAUD @ MF
oc
'
Not ALc�piicable
DROM�CAGE CO�v�f�Qi�9ya
� Not Applicable
Name.
d�Ues o
.'
Address°
State.°
clty-
State:
Zip: Phor9e:
i : Phone:
PEE SIMPLE TITLE HOLDER: _ Not AppHcable
SCHOO G COPUIPARYg
Not AP01mbie ,
Name:
Name:
Address:
Address:
Cit °
City:
°
Zip: -
Phone:
dip: Rhone:
:i
certify that no work or installation has commenced prior to the issuance of a permit.
5t, Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in can ict with any pplicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult vriti 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 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 sire exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to iI, a, Riatelge @q C omfflg racillment am@V result UH youv 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, nonsuit with lender or an attorney before
commencing work or recording your Notice of Comme.ncernent,
SI re Of owner/ Lessee/Agent
SME OF FLORIDA
The forgoing instrument was acknowledged before me
this _ff_ day of M'y 20
zo
(Dame of person acknowledging) a
(Signature of Notary public State of Florida }
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. r4h=1,._ (Seal 90 YJIM
1
Revised 07/15/2014
s
Signature~df Contractor/License Holder
ZYW CE OF FLORIDA
COUNTY OF � � �- Ac
The forgoing instrument was acknowledged before arae
this I l day of �"'+ V .20 177 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida j
Personally Known OR Produced Identification
Type of Identification Produced
■1 1w IIS ■rl 0 ■ W un 111 hi V
ommission No. MIKE MARTINNotrirjl - Ona 001
(E Public - etas 01 l
Comm>ii=Ian ! FF 210959 ' •= CommI FF 21095#
My Comm. II
My Comm. E*nt AW a, 'y A� fy���.'
gpidtinpiljil9ldoleiili "Asn eorwwthraigliilq giFllot+ilr
REVIEWS FRONT ZONING
COUNTER REVIEW
0ATE
COMPLETE
INOTIALS f
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
1E d rue MUST ON COMPUMD FOR APPO P�,YB®J4 To tiff ACCEFVED
permit Number:
Date:
punning and Development Services
Building and Code Regulation Dlvisiarn
2300 Virginia► Avenue, Fort fierce FL U9,92
I, Phone: (772) 462-ISS3 Fast: (772) 462-3578 CammercW Res!dena 0
PERMIT APPLICATION FOR: To 8gl@C tj front drapb , clack arrow at Mo and cif ilne
Address:
Legal Description:
Property Talc ID �: � � �X 3`i I � . Lot No.
Site Plan Name:
Block No.
Project Flame:
Setbacks Front Sack: Right Side: Left Side:
CONSTRUCTION INFORMATOON:
Aagitionai work to om i2ertoemed under tills permit— check all apply:
E1HVAC Gas Tank Das Piping Shutters
Electric Plumbing 05prinkleps U1 (Generator
Total Sq. Ft of Construction: Sol. R. of First Floor:
Cost of Construction: J, 3175`z Utilities: Seger 'Septic
O�'vi C`
NE LE,SSEEo
1142�me
Address: 'i 21(5
City: _ . C c e.: Rate.G
— .
Zip Code; Fax:
E -Mail:
Fill on fee SIMP28 Tide HoOder an n@nt pans Q of different
Iffam the 0eP 16ned abo ovQ
Windows/Doors
Roofs
Building Height:
CONTRACTOR -
Dame: X4,
Company: LIA�e
Address: '3?
City: - i" ca {` C 00 State-
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Zip Code:a�L4g Sri Fax: q. to W – 'ti l
Phone No. q (-Oct - 1�a—
E -Mail: c -l(
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State or County► License: '�lA-C.1 i5� 1 3 U if J
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