HomeMy WebLinkAboutBuilding Permit Application 05/23/2017 14:57 7724663737 BOYLEAC PAGE 01
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.• Permit Number:
� - I
Building Permit Application
pipnning and Qewtopment Services
Building and Cade Regulation M*ion /
73d0 Virginia Avenue,Fart Pierre FL 34982
Phone:(772)462-1555 Fax:(772)462-1578 Commercial�_ Residential
PERMIT APPLICATION FOR: To Select from dropbOX, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 55 ye. w. I' i tfee
Legal Description: 1:�ObYlll/� /�/ �1�.Y151 �k• l I _„
PropertVTax IDfi � � •Z"UOt -00� ^^ _-- Lot
No.
Site Plan Name: Block No.
Project Name:
Setbacks Front _ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
ilU� �f U�i' —
W Ifh Im Keay
n MadelISN _oao-y3�, Ce.ruhc lir Karaller Modi*✓1# C�x�S-a o 4
CONST,RUCTION INFORMATION:
AildgiltYnal wo 0 app
HVAC GasTank - []Gas Piping Shutters Q Windows/Doors
ElectricPlumbing OSprinklers Generator Root
Total Sq.Ft of Construction: Ft,of Hirst Floor:
q
I
Cost of Construction:S ��,0d UtilitiesSewer 0Septic Building Height:
OWN€RAFSS€E: CONTRACTOR:
Name I Name:
Company: l
n
Address: `
City: State: Address: .
Zip Code, 3�Iq 5 Fax: N Ist Clty:__ '�i 2 _..-.. __state: tu
Phone No. -31 Zip Code: 34A5 Fax: = b'l
F-Mali• Phone No-I •-
Fill In fee simple Title Holder an next page(If dHferent E-Mail:
from the ower listed above) State or County License:
.if villus of altlbt+ucuon is$Z500 or more,a RECORDED HatIm of CommommeM is requkad-
I
05/23/2017 14:57 7724663737 BOYLEAC PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ENGINEER: —Not Applicable MORTGAW COMPANY: —Not Applicable
Name: Name.•
Address: Address:
City: State: City: State: ,
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLIMIt: i Not Applicable BONDING COMPANY: Nat Applicable
Name: Name:
Addre w. Address:
arty:
Zip: Phone: Pp.--Phone:
I rf►tlfy that no work or tnstallatlan has commen<xd prior to the Iswance of a permit.
Hh "roeiv. 6
e consult wi�your Nome f)wners Association and reuisw your any resni�ts whkh mey a�pht. �
h1 corssideratl+nrs of the gran#Ing of this requested pemsit.I da hereby agree tfiaR I will,M all respect
s,perhxm the work
In nowdance wit the approved plans,the Flodda Building Codes and St.Lucie County Amendments.
The following building pem►ft applications are exempt from undergoing a full concunency reviirw.room addkioM
achy st irudw'es,swimming pools,fent ale'walls,signs,screen roams and aaxssmy ism to another non-residential use
WARNING TO OMER:Your fMiur+e to Record a Notke of Coaunenoatlnerrt may result M your paying twke for
improvements to your property.A Notice of Commencement must he recorded ind posted on the jobslte
p
before the first ins ectlon.If you Intend to obtain financing,consult with lender or an attorney before
commencing-work or recording our Notice of Commencement
Spaufe of tiMmer cure of Confraftr on#e Ifolder
STATE OF p STATE OF F
COUNTY Ot� y, - l'rjP%1 / COUNTY OMC'. 8L
The ent was adrnawl
The to tent was arlmowiedged before me edged beForre me
this t ay� . 2o by r - Of
-zo-arMt
{dame of person adasaWkWng} Name of Person girsg) .
IMA,6
{signature of Nota =OR
of Flodda) Mature of Nota Stats of Florida}
Personally Known duced idef~on Personally Known
Type of id�enttft P All 'tape of id ... ,CiiEEIRTItlr J.CONN(
CHRISTINE J. #IOtffy Public-Stitt of FtaiOi
C�xnmissloh Na Notary f qi Stats o!Flaldr Commission�, commista"40 017639
Commfsrbn r OB Of1�io My Comm.Expires Aug 21,2024
My Comm.Expires Aull 2#,2020 4481is
{I01ldId11k0UQh
Revised 07115
RIEVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATt1RILE MANGItOVE
COUNTER REVIEW REVIEW REVIEW REVIEW RE EW REMM
DA'Ttr
COMPLETE
INU14S
05/23/2017 14:57 7724663737 BOYLEAC PAGE 03
IRM NMRGY CONSERVATION CODS
Mandatory DUCt hWpeC dob Certiffm lou of RVA.0 Ct oup-oat
(Far m wMn pm of r*dwd wW1w NVAC wm, hw bar tsphK*d Pudou 2mA7-LI&Fs 55 )
OWN-. Contr etvr rrarne: Nr CMR
Str+setAddmu: surbd'Mtians e E
cw
1 caf ft that 1 hma kopatbd the duct vork ass mbted with HVAC tmlt retsmoo by the peewit
above end ::wkh the requit+eeKeeens of Sectlan t .rl.7.�mi MOM"below.d,the sedRtle:3 duto hover been wswled esin3 good martk ar
apprauwd WWWfiknt-
o Ducts m l6a"d*Wn am rod spam.(SeWon IMA-71 EMOOM 1)
4 The lWnb ar saams ore:rlrem*ar AW with fabdc and nunk(Se COM tiMAJI.1
on - Nile2)
o mem wao tiosted(sm below)and repelm wwe-nM*as rwomry T(3+cdan
.-203 ?.1.1 s wap&"3)
i
PrWW Nit: Mt4' a�
canerae g uosn,a •
►LIe�.. CAfi.��l 8�8 C�
I arrtlti.d�have bean#sn* �dlstrltteetloae s�ertt(s)ee�e�eeewd�the.peeinit broad abdeve at
a women dvhwomw of 25 P+Mo*IMIG In.w.C.}