HomeMy WebLinkAboutBuilding Permit Application 1 ; ' t1 •/ ' 1 1 1 1 1 1 • '1
c fir •:s��,,,.,_,;;,.
' I
•
^^i!' ':t'i tii'�fTi �k' ',tf'SG rsSF^w�S%F�i..SS'�J.•• :4aP'iyf ai'C���{�r,�,�,r,�ri,'t+:7,.�=r;Ci�'�gfS{11ut6,+•'��i..Wi" `i,+•'."}'i11:Nt'Sy.,si''�. ;i'�"'.k���3�a"'a�;•}rr'/}r."'iii�.7.,yi/�ymw�•.`Tr,��,r;l:;trg;f;2
•�G ■.+. .., n ` f .o. �% ,,;�Ge'�����r i1�'4 EI �j � 1 F�3nfSf 7J1�C�(��.• l+�YriY•ri� p bryi �� �$'q s�f aI}➢�'� y}+"'�S�}�+��4�3, tl�r''�'J�C A,e�t'�.j4."�r4�1.ST-'.'1+r'r�Y
��+ � �)�n �r� 1'�., }'",��?y' ".ai.���+,"'�:ill=:�f%�•��'�?�i ��:it `� �•° �`�i'����siY�jpj�llbA ' �F{�rv�i4<y�.l}�3� s.a,,hof`��tu'�:L���4x}?� ti �r?k;',1�1��rsJ�+'t�7� ;�,�:I
4M M1506511ral Mal To"Ro q,
Legal Description:
..- 1Lot No.
BlockSite Plan Name: .
Project Name,
Setbacks �ront Back: Right Side- Left Side:
,.i,''r"jt, r-y- ,. •R:atrC,.la" y.:l' a` p; " •v,S , "'�"aYv., -4�•;F�K+y�"r"' ^}:.Y £N arr.,'t.. •'Su ir",r,'S��•t;}r,. cjx�
,`i„�t1 ,J1A ;� hYCy r_�i,,Y���p`•^y�,�. 4iiY{S.:IY�,,.., r�r 7.' T bit{��, h'�L''3 •f�
h �4,si•I<� t�S�cRr� 71L�45 E4 +�yb����P^,P1C ?. ";5'=;�;i YShf<rstlSr,c;<,n '6a4htfs rii�srHC.,�r� s1 .iF'�r'.ni4y „
�� 3 <" .+ \ r�`I•� ��S `P 11Cf9� ,}^ .r. ��1(;t�4 it ,��bt {{ tr, ��4 vY"I 1 vC^ {i d� z ��y Jri, !. �i;`ra��
,tet`' .cF.'j1 :..s..`>' ti '�"4 '� ^ sA�,���',�h7;N+•�,'R`o?r;4�'`- �� ,,I� �� � '� l��ik�.u�i��1rSY�� '�f.:�''. ��t!����k. .t, i�i`� " f-' n f>Yo+'�.,,
1
—_csr -nT:,.y;�. ..a,^,.T^-.c. ...�^ sm.w:oil•�,:'C;,.."r,....:i"..:�..,7,^. .�...r..�:7G»}:^p r..,yf':,r"r- 3;2'r t"di - s
gegslx'o�iil'7
ir'>>.r r +,L��c:l�. '4,,�._.t ;L33-li ..r'�:"c;.l•>i�r h'2a•r�i�1."� rl..+�:o} w.7 r �y� '�'ur ,.�� •*q• vR;, �A �
yai.� �:�"a--c a c�. ey '�? ''�:IY'r lrS ��'}i-IJ$�"�'..;%�'ltiJ'�yl:r 4;��x,A."fL'r'b``r�• -�� ��3-� SFr, r 'C��^ `�., 4.�y�,
?onri�`,`t'r7�
3� f s ..?`_U:•`�'?� .,' ( r�Ge r' �1�i.rata k +r 2 v w,;e oue!v)L.xL ' Fl x tk ��s3 r
••■
onal workto be D2rtormed underthis •• 1�'.1 ..•
IIHVACf Bas Piping ■—Sh ers ■Windows/Doors
Total ■ Ft■ ■ • t of Fir5t Floor;
El
• • Co ■ - -t
..'rY dExiwr'�. �i�' rt ''rte ,�ew. T '"'� �� Y' - .�i�t' •..r -��u- ,.. 1.!- ,'�T''T" ,{�'J';.Y,q
Narne
�j }l���P¢A7 n"�hl.' v�.�9,��.!i14�S''�j��:�''G.��i�yv:f.�1},Y,cS.h W.ilV'.'^:'�.�i�.,ct'N :ti�;_�yE "°i� r'c � �"s�c-L�.:L'.�rrryi�ti,m.,}�,� �'i. .r�•r'�,�9,t��`�r���•:�..T•3k�'��c,,2�,tk'��T�
G'3fU' -;Y,,�.c c...�Y:c�:n.u°1i�c�.,w 2 s rn.. 1 s •5r.•� - {, ,I.o��1�:1G•r�.��' a �,�Jf�},Sy�T� ,�.iJ ,� ..� k�,"'� .�.,,t`t` ,i^��.1: J.,, �"r
,� �{�•p�' t�jJ t ! t; (�p,I ,�!�,, %,- 7 YSS, a` .t r`�����,+ y , ��)�� ,�a rr�. ,-r �? �L t�%,�rn� Mr�n.,+
j.'�Ya�a'c.�'v:�:^TIa9k:`I''�.V•i+.'',�dau�/::��'.u.�lr'.dY�J'r1'd:�il��°i&k71�;.�+.''J7.C;�7hiS�i�i,rJ�y.l+4`��,�i,' �n;L iLt7i.'f^n °,yrrt�+r .^ujhrL ''k G3,�'�}�.a���7J�r'�t'ti:��L"�'ir.'S1-0r-�:h,ifyStGlci:^..� �¢iCtaS:St.3iL'
` �� / �► 1 •
Zip code. !/rn
Phone No. CI 0
simpleFill in fee Holder 1 - . �.IJ r �jMEj
.
rorn the • 1 1 i
1 11 • . • ■
AUG-28-2017 MON 11 17 AM CENTRAL SCHEDULING FAX No, 3212686138 P, 003
1 ° l�f M LT
VXN� DIM MR..i
DESIGNER/ENGINEER: _Not.Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone: Zip: phone:
FEE SIMPLE TITLEHOLDER., —Mot 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'perrnit.
St.Lucie County makes no representation that is granting arerm[t will authorize the permit holder to build thf!subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws orand covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for anyrestrictions 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.exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to ariother 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.
Slgna reX Owner/Agent/Lessee Signature of 6f tr or/License Holder
STATE OF FLORIDA - , ( � STATE OF FLOR DA
COUNTY OF ��✓_��v�^' COUNTY OF ��•J . _�
Thoing In ment was acknowledged before me The forgoing Instrument was acknowledgefore me
this day of ��� , 2t� 14 by this` day of 20_q by
(Name of person acknowledging) (Name of person acknowledging)
LAP-
(Signature'of Notary Public-state of I Ida) (signature of Notary Public-State of io Ida)
.Personally Known OR Produced Identification� Personally,Known/ 4 CIIZ Produced Identification
Type of Identification Produced •" r r'''. Type of identification Produced
F
LCoaimisSIon#FF47237 ( `( -1 .�,� ' : sC on#FF17,2372
Commission No. - IresOCr 2g 201 Commission No.
�t
}.•• r —� •a ares:tlCT28;.201
HOND$D THRU �rr BoNDSO THtiC� ,-
llmn, `�•` Rut r4C2TARY,Lt �Ali
ad IST FLOWDA NOTAR1^=
1Zevxsed 07/1512014 T•
REVIEWS FRONT ZONING SUPERViSOR PLANS V>GETATiON SEA TURTLE MAN6110VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS