HomeMy WebLinkAboutBuilding Permit Application BLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTED
- � a
t��:-Y•�•`•• ��tL'y�YYFt6 R'r7 W,:�{'Gw:`6}gY'
1. 0 R I L. Building Permit Application AUG
' i r • i
Development
• • • • ,:ode RegulationDivision •
IJ rAvenue,Fort Pierce FL 34982 St. Lucie Coun
462-1553 Fax-(772)462-1578 Commercial Residential
• Ir • ! • �• • dropbox, click
arrow ♦�
at the end of �
'�'3`�`�alit i`!F'K •. tki H' JS: 8• M s� �1}�c¢- 't<. �s}i� ;W".J 1 %�;^� I� FN. ..fid S',�� t.so- s�Si's•`�;•� tax�'ar*a{f•i1,. ".
wii• e" i}�� t.4 ���',"ffi,5.:} i rs 1 rJ¢ � rht 'i
6.3f �Sb �iwi A ttiziE t T9tSit €s .3u ?�$ lc.; ����,, ,i� I tas•� l���.z 'Q { i {
kA1�r���i4 �!' k,„II f i{
i
------------------
e, Block No.
Back. Right Side; Left Side:
4 tbFra. •'�.s1 w."n�
, I '^t c" SF[q�:��skY`.-� k iw.'{4i��t'5:}r�a ` 1�Fyt,:d'l.(F"-{_yAf, C.yT'�T•'-.�4 tiF...�.FF"tt1�Ij,e�eJ.€i�'raFf�,t±''I�J�7f,�:.}u;+S'F,!�,=...�bAf.•Cy{yRN�q�etti•9Fu Tr a=_N.'- F .;ey$.Y�yp�Y�,�'�tFl};,�?',�.^,'��y'S}S'�y"£��i,�1_aj•'est"i rt•1y•sr4 PENN,
E,'LLft. NN :F
.g
�
T n
ri•d
1{
S
€ �.. ;x• 1 .'F. '°' tT'"f L .n `i�`e �".a�=~,:, ii s =�r^i,.,r•; , RI •r+� �Se,..F,�rlcFvr�r.. ,yam 7,%41 ;=£', :c
PAxi ae'S # € B S#1 r nsr�RtA'. E' sT �{ i= yaps c�rNw ., nS �I
f•L tLf1111,1511".2"31-
-1
�;N, •i •a 6., ; jot, f T •'.41'. Y
�d Qy3 u a ar S €:L� ■
11'v'1t6¢Y' 1}`15ti"�,�5�-� t5 C1
4IIf$faMrf .J s•• +c_„A a. 2�.:hF €CS.s_ Fu y7a�o#�'�ll-)l. �ae:.�•t `: `J�+�j��.{�.LY_.:5��,;�� -.a„1t�`;ee�: _kl`��Gi3, _. .Ed�1••'='E;
eck ia. apply:
Plumbing DSprinklers Generator Roof
SqFt.of First Floor;
-_Ictloh:$ Utilities:0 Sewer 0 Septic Building Height:
€ T r*q(,riA”fa o y r � S yF ;'y, q �{' � s J ty I` aI1 w 'y' E�1^ i�&eik
�Q Sim' 1 a u°F'f1 a•(S::rywkY, 1},�'i et' 1 "�',�-1-�'ii� ,#� ' Ntli �;j�y u,,h'+f Ai , pas�ij 1, r Int
Jslf,#`;,� teaima�tzi #j.: .d� t`s .s 4 iE rWszs. n3? 3 gfii;if its 3. .a i 5 " $Si5'� 3��.:S�i- ��`.��'"'�fY.
+t f•- r
r
• • d
1 1 • • M i
page 4
Aug 23 2017 12:27PM HP Fax
tElGNER NGINEER: NotApplicable MORTGAGE COMPANY: ____Not Appiic ble
e: Name•
ress: Address:
State• City; State Phone Zip: Phone:
EE SIMPLETITLE HOLDER: _Not Applicable BONDING COMPANY: �NotAppli ie
ame• Name:
ddress: Address:
ity: City:
p: Phone: Zip: Phone:
Q NER/CQ TRACTOR AFFIDVIT:Application Is hereby made to obtain a permit to do the work and installation as dicated.
1 rtify that n . ork or installation has commenced prior to the issuance of a permlL
St.' cle Coup make no representation that is granting a permit will authorize the permit holder to build the subject� re
cit is in con with any applicable Home Owners Association rules,bylaws or and covenants that may nes4 tct or prohi t such
str cture.Plea consult with your Home Owners Association and review your deed for any restrictions which may apply,
I n nsideratia of the granting of this requested permit,l do,hereby agree that i will,in all respects,perform the work
I ccordance th the approved plans,the Florida Building Codes and 5t.Lucie County Amendments. [t
Th following b ilding permit applications are exempt from undergoing a full concurrency review:room additions,
ac sory stru res,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
W NING T OWNER:Your failure to Record a Notice of Commencement may result In your paying twice f
im rovemen to your property.A Notice of Commencement must be recorded and posted on the job e
be ore the fi t inspection,if you intend to obtain financing,consult with tender Oran attorney before
co mencin ork or recordin our Notice of Commencement.
nature of!� er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
ATE OF RlDA STATE OF FLORIDA
UNTY d S` u t- �. COUNTY OF Sf L .0 e i
forgoing I ment was nowledged before me The forgoing instrument was a nowledged before me
tt q day 2012 by . this 21 day of A tt�oty s� 2aJ� by
!
r` a Y)
Nam person making statement Name of person making statement
P nally Kn n / OR Produced Identification Personally Known�r OR Produced identification
T 'of Ijentil ation Type of Identification
P duced 3 3 0 Produced �'� _ ! O
PATRICIA A.GARYON
GARYO I
�•• u is• tate of q tore of Ca#b£ ifi��ct 13,2M
{ natureaf taryPublic = .[ � Comm.Expires Oct 1 201s ' ,� °Y�;�' Commission# FF 133580
C
mission Ni. .;F°� ��l`4•`{ a j°mmissfan#FF 133 880 fission N i�ondetl 7t�roughN A�j� aryAssn.
8ond�dThrough Nation"MNo! Assn.
EWS FRONT ZONING - SUPERVISOR PLANS VEGETATION SEA TURTLE MANG+ V£
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI
D
R ElVEO l
D E
CX I
PLETED
Rev. (2117
i
}