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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- --/ Zip Code:a�L4g Sri Fax: q. to W – 'ti l Phone No. q (-Oct - 1�a— E -Mail: c -l( � State or County► License: '�lA-C.1 i5� 1 3 U if J iqm i. i� Ni�IiNJ� CUA ��1GB�YIIC�Off9 6� ����� fide W"�®CfI�D � f����I���® i�r�t6�� L�f� G�'®B9flllnlPlCellleb�a �� iPL�j�dG(�(�,