HomeMy WebLinkAboutKenny PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Building Permit Application
Planning end Development Services
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982 Residential J
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR:
Address:
Legal Description:�X�n l �► t ��IGS�
Property Tax ID #:2) - �2- L� Lot No. G
Block No. 1J1A
Site Plan Name:
Project Name:
--l'- F-,^-+ Rack: Right Side: Left Side:
wsnaowsiuuu+, ✓
_Mechanical _Gas Tank _Gas Piping _ Shutters —
Electric _ Plumbing , Sprinklers _ Generator —
Roof
Total Sq. Ft of Construction': In
Cost of Construction: $ 2 �Iq5• 00
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height:
Name 1 !,. 1 " ILI
Address ' kcr,
City: �L�%�G� State: FL
Zip Code: p Fax:
Phone No.
E -Mail:
i,
'I Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: `- i
Prc<.Sri
Company: (3 lyl i;fAf. ise 2 i(<ucail
Address: 1(08 7omahaf")k Di
j City: State:
Zip Code: 3Zg37 Fax: 3z1- 777- gZ344
Phone No- 772 3D'7 -,q11-70
E -Mail: l� va��t�
State or County License:'?�� t
I f value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
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
commenping work or recordiAgMour Notice of Commencement_
Signature of Owner) Lessee/Agent
STATE OF FLORJQAA CdV
COUNTY OF UfN
The for in _
this av of
Type
Commission
Revised 07/15/201
edged before me
20 aby
ofkforida )
Prokfuced Identification
MY COMMISSION # FF244655
XPIRES- IwG26 LST?
BondedThruNotarvpuhltrii.A— ,:b
re oaf Contractor/LicenTe Holder
STATE OF FLORIDA
COUNTY OF
The forgoing in24
str t was acknowledged before me
this0T 20 -a by
i \
I Comm
da)
RpOduced Identification
_ BROOKEOW) -
MY COMMISSION # PF244655
FXPIRES:June 25,2019
REVIEWS i FRONT
I ZONING ;SUPERVISOR
' PLANS
� VEGETATION
DESIGNER/ENGINEER: —
Not Applicable
I REVIEW REVIEW
MORTGAGE COMPANY: _
Not Applicable
Name:
DATE
Name:
Address:
COMPLETE
Address.-
ddress:City_
i
INITIALS
I
i
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
iFEE
Name:
i Name:
Address:
Address:
1 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
commenping work or recordiAgMour Notice of Commencement_
Signature of Owner) Lessee/Agent
STATE OF FLORJQAA CdV
COUNTY OF UfN
The for in _
this av of
Type
Commission
Revised 07/15/201
edged before me
20 aby
ofkforida )
Prokfuced Identification
MY COMMISSION # FF244655
XPIRES- IwG26 LST?
BondedThruNotarvpuhltrii.A— ,:b
re oaf Contractor/LicenTe Holder
STATE OF FLORIDA
COUNTY OF
The forgoing in24
str t was acknowledged before me
this0T 20 -a by
i \
I Comm
da)
RpOduced Identification
_ BROOKEOW) -
MY COMMISSION # PF244655
FXPIRES:June 25,2019
REVIEWS i FRONT
I ZONING ;SUPERVISOR
' PLANS
� VEGETATION
j SEA TURTLE i MANGROVE
COUNTER
I REVIEW REVIEW
REVIEW
I REVIEW
I REVIEW i REVIEW
DATE
COMPLETE
i
INITIALS
I
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