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HomeMy WebLinkAbout7504 Lakeside Way Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: p -r 1 5(4Q51 Legal Description; IL 't 2— — L I Q 195 S*40- ISZ-g BUTS - 1-121p Property Tax ID#: I SCA —UO2- 2-7 —000-0 Lot No. Site Plan Name: t Block No. Project Name: �Q�e ly� oY \ Setbacks Front Back: Right Side; Left Side: I„sfalt Ue For Ike 5mdgz dQQ—'- Additional work to be pertormed under this permit—crieck all that appy: Mechanical _Gas Tank _Gas Piping _Shutters ✓Windows/Doors Electric _Plumbing _Sprinklers _Generator i Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 1 29q Utilities: —Sewer _Septic Building Height: Name kj),4 Wt (h Name: � F'rc4 SiA^ Address; Company: (vtrl E rase 04' &car( dha City: 'rXX* p1PXC-p— Sta e:—V- Address: 005 7oMahaw]( 'D,- Zip iZip Code: I Fax: N l A City: Indian Ge'" State: Phone No. yy q Zip Code: 32937 Fax: 3ZI-777- y23y E-Mail:_ A Phone No. 772 337-4N70 Fill in fee simple Title Holder on next page(if different E-Mail: Eck 55 aun ahoo ann from the Owner listed above) I State or County License: If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _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 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 are exempt from undergoing a fuh 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 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 attorney before comment work or recordin our Notice of Commencement. _1W - A=,w 4 s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FIL DA STATE OF FLORIDA COUNTY OF �YC� COUNTYOF Mf2JC1JfJ The lodoing instru was acknowledged efore me The for oing instru nt was acknowledged before me this da 20 JLby this day o 20 by \ U (Na er n ediIN a of rso in 1 ' y t o a o FI rida I u t ie- o f orida Perso ly P o ced Identification P o ly V, ro eed Identification Type of i u Typ fic o ed Commission No. Saar Commis No. �zVe" ea BROGKE571GE17 EXPIRES:JUne25,26f® •I f+ M�10hiAf15S10N0FF2 ThniNogryP� RFI Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS z z z q' y` e e o o e e o o a a N u3 N m Q h P 9 J u O � g 9 0 A 6 ze m S a ° a w� w C m IL FU�a MN.0 r a 3 m VC 0-2 " t�u�0 y m N�37LF,) gy z N 7 Ix 0 4 IIA Cl a z $ O IR 3 ° © C)ui so 8S °y Lu LJLLi w q d ` Q H O a L) uT zQ a J p 'a N L) �r D ® a N O O S='17 R Z CCZ77 m m. Z O r wIr y q o (q U = Cry LU Z U 5 � F Nim e C f W 10 ero, ? U4mm Z N IM a� u O m c p S (n Wo _ ) a 0. ❑ y U 7 �w U ` C a \\ \ f! � «¥ ! j2 ; 0 ) ; : ) ( $C } _! k f � \\ \ k � � } \ ( { ) ! d ! } \ \ k § ) § ) \ a � � � �