HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ Permit Number
Building Permit Application
P!ommmg and Deveiopmenz: erricen
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 3495_ /
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential ✓
PERMIT APPLICATION FOR:
Address: 2511 Nid HoUT16tcy Ln
Legal Description: Aa&aar I L4jG Plat No 1 WT 13 �Qe 3951-163q --
Property Tax ID#: y436-G01- 0013—000.0 Lot No. 13
Site Plan Name: _ Block No.
Project Name: 'Danwa I $Jh.)"{2. Terri Remnnik __ __
Setbacks Front Back: Right Side: Left Side:
rnS�a.11 Ike 6- Ike 9nm0e doors 18x7 # Sx7
Additional work to be performed under tis permit—check all that appy:
Mechanical _Gas Tank _Gas Piping _Shutters ✓Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:S Utilities: _Sewer _Septic Building Height:
Name 7)an SChmettl Name:_
Address:_ t rise a&rw4,}^�bU
City: Qalat City State: FI Address: 1108 Tbmahauk D�
Zip Code:_ q"O Fax_ .. A Cityrdiw &,. State: Fr
Phone No. 2y$- 992-3000 Zip Code: 32437 Fax: 3LI-777- 4Z34
E-Mail: Ni A Phone No. 772 337-41170
_
Fill in fee simple Title Holder on next page I if different E Mail:
from the Owner listed above) State or County License: (1
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEM T,'L- STRUCTIO L`�E—W*
- " _ wu�
RESIGNER/ENGINEER: N .t i i ii:..;, io MORTGAGE COMPANY: Not Applicahla
Name: -- -— Name: —
Address: Address:
City- _ _ State: City:_ State:
Lip: s Phone. - - - Zip: -- Phone'—
FEE SIMPLE TITLE HOLDER: _Not Applicable 1 BONDING COMPANY- _Not Applicable
Name: Name:
Address: Address: -
City: City: -- - - - - --
Zip: Phone: Zip- phone- -
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.Lucre County Amendments
The fnC.owing building permit applications are exempt from undergoing a full concurrency review room additions,
a t_rres,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
W ARNI NG TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
oer -ments to your property.A Notice of Commencement must be recorded and posted on the robsite
iure the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or retarding rVOur Notice of Commencement.
5
kawl-
5igratur�-of Owner'Les;ep/Ar-. Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIQA
COUNTY OF k COUNTY OF o -�
The` r oi0�in5'ru eit was acknowledged efore me The for o{ng instrumei t was acknowledged before me
his
this 'dav by tdav� _ � �20 lab,
ics
al n edging) {Na o rson a t ed X11
i
e.c e orida I of rlorida I
aI Kn ern R Pr ced Identification so ilow Produced Identification
yo- ou n TVp f ced
aRooKs 3DGE-P —
x _
ommis i My �5iOM+FFpgq Cnmmis t
EIRES aluie25,20f5 .............
.....
if mndedThmNrtaYPuhicUnd�tr. y ROOKESZIGET!
�t• - -
f,.., J' EXPIRES
Rz�7se�i 0`/1;/301 f y,M ion FbJdne2,
d!d Thru taryPu45c r,., �r.
REVIEWS l FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INl T'IAI_S --- - -
m �
p 3 R -
z
-
n
OZ
�� ❑ O �I m +�U •�_ r.J A yl t Nqi
m _ Im Nn
_ n a F = y�. p m 3 Z Z,
44 r
yr m m � Ta
Sp
y � Y
c 2 2 Z Z 21 2 Z Z Z Z Z K �.
G~
E. SMITH, vLERK OF THE CIRCUIT COLM'2 - SAjj:,: -UC71 '-,RUNTY
Fl:--- 4-3238c;-' OR BOOR 4012 PAGE 2401, Recorded 06/27/-'017 1,1:22:29
IM
— ',
�P-,, IT rukl(b�a�77� 0A Nmu.
rTNLRALrisCRIPTIoN 11F MVA0
oq:TREE i,usm--1 111119 LLSSEE W—M-�FOR TIll j,I 'IV
Dxw,, Ln, R)lm
U S C� i&st-
--s Mmgani-Preclsiin Door Salc.e at Stith Fl*lic!a
7221 F-e-01 H n -2.L r79 FL B34 'h,r,,, -.441M
Ar— • L-1 1,CILIL,.14;-1,1 FYO—q- -z-, "Il J111 r,-1,
W 7.;
a
Yll
f I Lhk. ,�X -71EiZ TO
Wl- -4
...........
A3'h.,f,
71.4
-TwfLL
L
TyT
SAMANTHA MELLEN
i—-A
C.;UOdr 26,2-02j 1"r,.C