HomeMy WebLinkAboutBuilding Permit Application ALL " • MUST BE COMPLETED FOR APPLICATION
TO BE ACCEPTED
•. r.
ive
SII
• _
■ • Application
Planning and Development Services
Building • / CodeRegulationi
2300 VirginiaAvenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
''r"fETr"•tts j ti?o- _..i. *,i r F.{a ^- A j-y.' 4 �1i+,.
:-.b�..+n,.1.}.a""u..1.�w•.cn.':11,�f�,°7GW`:TLvL,11.,.nr.:r.S,-.?o4,.,,.,evrSu,+fn�x.iFf..v��t,.r.w,v7n[•,�f.„��,r„�r.2.Al11,II'-Lf uly:st'i/4r'_'a1 t`'}•�'`A^�%:,;...A`?..,x.C'C«j.a�,.,,,;.Se�1 trd7.n-e+I�}-,�:.<,:f!'y:>�'- ,r�€,.K.�7N.5•.:".,.1..,.7Lyl,1-t.3,t•+�_:#•�z�ti,'{{+J.�.t,.}f>I3-ii' h.KIlo4,y:�'fza..f•t+"�•t[J�i? nl7k�",.6f
rf,,':r.'zfirfn1�'{'{"dTwt}a,.atfltJft.,l?{)K ffrryma.t„�{f`�-ia�1.1r'.{Ia1'rrVS1'”tJ.}{.�»i�1tf�4t1 i�,..1�kr•,.f tl ar.t.r.`J!,tr•
:,� �f� ��4 �!� rtJ• 1. •a 211�r�x �U F.,':lA
l.L«# ,.ra dd rt S;e:aJ:1 ..Sb.0 ^r.G la.}�::=✓4a.Z!c- ,U,�l�,a_Nh lr...„;e r.lx:uFG.IaL.. ,. 1 Il.'+{ L" u.nd?r �i:u,�.• ,-sr
Address: A
Legal Description:.
Property 1 M*
Site Plan Name: Block •
Project
SetbacksB. i Side:
''t 1 r j�{'.•'{t, r,6•{•. fi rj }t' {;z 7 F 0 9(IR-.`°'�+,Ff t,
r,. •«},Y!(!r1 g(. m,kF.,•e. c r t, 1 }Sr{',: Cy ?z"l+"i��"1}i�"�at+,-P") fi b r'pFt;S 'r't..r s_nrrn 5•fdr{,�r"": 7.1. a:
}t•ts EJ t .•77;t->a•`�x. •-- 4 sFi, €, {•,r":7"-'d{.{'++7,: l.G3sr�L •�.rr.�ll... 2f.: . , a'C_3:#"+tr.T
t *'i,'��;'4.t,,n..�. .;,..x )zr ,., „ i,..,_,{p;� Ra c .i;.u,.t,V,vtl+ir�,. -„. .r,:: {\x(ti�i''1nu f .A•.tigfl {{S.,», -12:ttt .!- ,•. i .«{ yu.,.._„ 11Sr:_,:.
r�TR•'^.Y
�q � �{
{
r e�...r..?..,�,pl�.lx: tT.L76�:t;ti itr...0.tlt:7. �._t�a4�::t;+,•S.L.-,.,1rf.}.i�L.yaUG��l�ana�Sk_r.l�1_al.:v��S.:a1:..htli?`::.lS)1.-__-..�,.a6j�Gly{�1)a,t�..�....ulr d.-n_ML-I),«+:z�.J-'.?7'r..�Srhit......-n_c,.fr>cI IS.u.,_»..,.c,_,.i°t.- ,.-.:1i1,�11at ::x
1
'r.,.r„.
},t}.x�,.rrrr,{l� � .4�w[�.S_.A, yt�t,w..d.z,..at:-. ,,'}+..• � ! .,:S:fc: ..{}-�,,..1�..tTTlt,'xl—”— ,wn7„c x.a�., ,1:r,,1`?;f.u,,t.f.,. ,ft G lifI S.^= r rttJ:�'—.;.�,.:, *'� •J-.,
�.,u,ay k_•u;:i,7.`'•t�}.. ,�„• .r�„u �F�.3 u r fi",' �> �,,q�,.�,,..k},I..;i1,F,.zr�^�'v�n...1.,is f t�u�.,.:, ;{f��1�)J.r�Cn ..r>?,J ?J�C�`�' �f,
1I�d::.� 1•fJ_l�'/.., .
i�l. Mn�ea.[r�"'>�1:�) ° �•I�,;t s {�#kY.,c�l, � � ��•��:� �i7e,:•� �"`�,T��3'3Sfi`��};�z -.�i,. ��{1 �,. �.�-?..�• =x:f "'ti£!,'�tz:#�t`'t?}-...i<
..}.,.,,�,...,�,.u7r.�,4fr.1.�rl�d., �f,a..Lcr1.1..+,9,.,naz,J't,�ftr„al'„1,u�fil.il.,'t4"g:1µ11.„,7'.r�,'?F�1' •;'F'� l.l��ri,+lit f�?� v`ii� �GS�'�� l?-��4>a� Trct,�`'�,� fr-file, � ;Pii=.�'-'r}'� �T•�' C a�d��
y-. fi•_?1�Ju�11L1:.,!1 ,"11.r � .1„.,:..,d... ri,,,,d.,,r Yccr .,,.,3-S ,_._..�mt r1JG,, ,,,,-,hir...,r•a_..�_,r.5„r�k:�l't6�:,:;,. r l;,iti,,ro..G,.
i ■ ■ iShutters ■ Windows/Doors
TotalRoof
, Sq. ..
■ ■Se*ptic Building Height:
c. �,;i!v`^�J'P„;G fe W,})C'a7E"oft Mr{ h� •r #}r Jill<P y}�"iyyt'c'?.7'�{�.Y.'-'}j s,Y{at-T�irt- I. 7.',^'a i J 1 ,ti..?sf R;U wIS ':r a.}c•.^Tz` !e+^� }a,:..
!-« �1 n s.}y'.s: '/ A>.r t< '�F}.�.f:Ay..:.`�a 1x�1�1�1�'+ :}7%rr.7 }:1,z• .rp.;S1
x� �. }'{'4 ':t'f fit'111 fi' £T 6 kr.t,,. •",�{.,�,.5$ •S4q , d :euLY}::Z•;.YY.i;' 'rt, y {t„ .._vt ».t tx.r.`.'. .k: y._{�1rl• 1`�}-alai 7n .'.x� 'Tft•h�,3: ».v t^�:'"k1"-t .J*.t'5
,w. .r,t t�•r 3t, ,tq r 4 } ,xh,. ” :,i,fr..y: '12, ::rr a+.; ;f
3J�114!1)iR.., l'.'I)..?�rt..T,l}�YJ't. ,.,;rauS •^f a`'s.4f} t� u•%r, .,, lliylv�}.lt�ild
Code: 11 LIN MIA I I
Zip
1.
Fill in fee simple Title Holder on next page(if different,
from the Owner listed above)
If value of construction Is
r
• i ' /
0, or more,a RECORDED Notice of Commencement is required.
+ a
n
DESIGNER/ENGINEER:
Not Applicable iV ORTGA�� GtaiVtl�A�lY: i�at Applicable
Marne: -- - Name:
Add-ress:
Address:
City. City:
.
zip.- q
•....
i
zip: Phgt�e:
EE al /PE TITLE HOLDER; Not Applicable BONDING COMPANY, —Not Applicable 1
i Marne: i wnf::
Address: Address:
City.
phone;. .. Zip:
I certify that no.work pr installation has commenced prior to the issuance of a permit.
&t, e Countyy retakes no representation that is granting a permit will @uthgrixe the iprrrit holder to build the subject s>fi}z�ure
structure.iA.�lon lc t with
wlYh pfiteF�lp Hgttte ownerx Fs�gctatian rules,bylaws 91
pt ran ..Cp�renart�s that mRY re tr(et ar prohsbst such
/,�ttr fdpme C3wners Associattsan and reYipY•{your defid e arty r rl tspns w4�t tpY €2€�iY
in consider6tion of the granting of this requested permit,I dos hereby agree that i will,in all respect�,perform the work
in accordance with the approved plans,ttie Fiorlda Puilding Codes and St.Luefe county Amendments,
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,femes,walls,signs,screen roams and accessory uses to another ncm-rgsident(al use
WARNING TO OWNER;Your fiiat€'e to Record;t Noire QtCer; menegmertt mey resilplq in Vin ��a�grag twine for
irnprAvements to your pr opertyj A Notice of Cgrnmerrct mQnt rnt.:st be rec6rded and posted on the job;ite
before- first inspeCtibri. If yoo int:6nd to obtain financing,corssult with lender or an attorne before
rarnmencing work or recording your Notice of Carrzrt�enmment.
Signa Qs:j•t ,5Sa /, gartt i n ' n bstq'rj�! 'she C lsiRr
STAT�OF FLORIDA STATE OF FLPR
i he farQaing instrument was aGknak+rledged before me The fargoitig lnstrutnent Ftas acknpwiedged before me
this'd`�day of :J t 20 t�,7 ,by this 42J day pf �u 1 . ,.-..-�-r 20 by 1
(t ante o pas son acltrte+infledgin (l imoV pgrsan�Skno�vled in `}
_.�..,- .,ter--r-.. .�-.�.�.,---..,r..�Y..•r .�;.L
{5sgrtpture Q Nota! �?yhtiti-Ski€e jric igi� turezf 13it puli � t fib�ids l
1
Parsanally Known OR Produced idenxifipatign� Personally Knpwn�—�OR Produced►dentifi[atlon 1
Type of,Identification Prcrdu ed Type t7#ler+tifi+ratlgn Frgduced.,,
,-,
"""'Q - GENA LORENZ RU .
l
trot yr PuDbFC-9Ate of Florida HE1'RUF
' Comm(ss�on FF 057967 i %�,= Notary public 5 i
tate of Florida
,r My Comm.l<itpic'a eb 7: -
grig MY Comm.Expires Feb 7,2020
{ 41rv1 IEM FRfi�IyT z�;3NING 5UFVRVl$0R RIAI�i �f it�iA�l i i SEA eller rL l�",AiVixitt if
G 1iNzIR REVIEW REVIEW REVIEW RWIEW � REVIEW REVIF-W
COMPLETE
INITIALS