HomeMy WebLinkAboutKabler Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
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:
I
Address: 1-P It'C� L ?JY `7�6`1
Legal Description:
-
Property
Block No.
Site Plan flame:
Project Name: oo
Setbacks Front Back: Right Side: Left Side:
In I tilLe t ti �Y .2 �
-Additional wor to De pertormed under t is permit—cheCK aff that apply:
Shutters ✓Windows/Doors
_Mechanical —Gas Tank _Gas Piping _ —
_Electric _Plumbing —Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ •0 Utilities: —Sewer —Septic Building Height:
Name:
7Ad
e_�1y
ress: 44225?7T Company: (�'IM I;* '(-Lse
City: �' _T— State: I Address: i 108 -Tomcil'awi��
Zip Code: /Fax: i� I � I City: Znd« �a��� Qea�ti sate:
i Phone No. r
C� 1 _CI`i� ! I Zip Code: 3Z937 Fax: 3Z1- 7?'7 �fZ3�(
Phone No. 772-337-4470
E-Mail
Fill in fee simple Title Holder on next page (if different E-Mail: acunrla
from the Owner listed above) State or County License:
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required
' '� .;`�� '^_� £+^2 ...•��',. "_'a.�p^SJ' ..._ •��...� fir ~' �f�S.�-L+� �-N�: T.Y'` :�
DE516NER/ENGINEER: _Not Applicable r 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 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 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
commencing work or recording our Notice of Commencement.
A Alto&ill.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
ORI
COUNTY OF cord COUNTY
The fog oing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this da - 20 -by this 10 d 20 by
U-rS Luks
( e n dgi g} ( o rs ac d
t oWVyc- to of Florida) n r o o i to of FloridaPers Iroduced Identification Pe y no OR Produced Identification
Type o Type i oduced
Commission No. ",9'6% gRQO " Commission No.
*` et_ MYCOMMISSIOf!#FF244655 a�, MYOOMMl4u�a1(if #FF2446`aFi
.�:
%;a?gQ BondedThruNotayPubli,6ndemdters „p'' a iv&-dThruNDtayPub:iUnderwriters
Revised 07/15/�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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