HomeMy WebLinkAboutBuilding Permit Application ALLAPJI�ABLEI FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
q- n
D- Permit Number: V1
RECEIVEDBuilding Permit Application
Planning and Development Seivices SEP 2 9 2017
Building and Code Regulation DivWon PERIMITTING
!I Virginia Avenue,Fo
Q
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
■ ■ • . 1
n ■ F• t ■ ' q t"^�'�• v�s`•'�yt�t�� J �vV It;z7'�a�': u, x 4� �11�1 ,�tr,��SS(C' vl h'nsr�%�,3{� !G{4 1 Et�tia�i��a�lytlF(,7 P��Sa'�,d.�` .
Address;"-4 LI#33"19Td7AVIV,#T4
Legal Description;16=d
Site Plan Name: Block No.
Project
Setbacks Front Back: Right Sidet Left Side:
':';T. :T• ^T.i ,t';may: .Iyit:. rf•y",�.�a:;�..:.,F:1.T .n"^2^�,'x1.7.:K r;•'s+'7rGF4';'IN: F'�'-;,,y; ayvk s'r.;.%,1.:q!.
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
a..(r_"�:ir�'i t� �.----x.- -ry 'r- }.C" xFc'''f�,, 2 :��� It.,t•E;n:r'^'s�'f',n �'t;,.r.n„ ,�,.�" u..:.na\ ,�. rr,:7, t ,F.l.'. ssr.•:f;.;;' .:;1. ;_i; ..,u:. ;f
1-a�rL,a ,� ( 44' �' ,,4 r� 1L .Fq.3'Itf���s.v:y,.PJ,,:�'r,: �.:S.Lt:i„ .�;y:, 'I£.,:.d.9P:ld�:.,i :r�'t,A.rJI•'"'$•� .v o{.�,.,.1°��j',�Y�1'7.,,....«:},.�:.it:ty%r:,;�'d., U
I[Q. r. IE'U1 `��` �r�C� r•o n t�"7,y •a �� (F1:7��•Ipvr,.P{�.�;e�,:.Fs,...vr•:,:.��la :ll�,.{..r;�l G�p.Iy ^rS.v�.:xE;tiMV4 :,/qq ;SYh..�yu:rye:Sd,f���r!�':+',:5;,4.L.Y4�:4+f1 4yi1'sf�,:�i"h`7
Cp� e3i� x V ��•V� � 7,` �O �.{`1 ,��y�,,(F Y � � -}li .};� , ,l:rr���1.1�1� u t frs ',: 9, tc .$ r 4 !T, .1
��.1.� ; 4 w. '�"""^ R--��!u�,y-?,�ivlr-{�'rt,S"'^r': '•+'r�i°�.�:k°;�,l.ylwJ uI �'y�cr}?::C'W'q •8-< 7x�r. 7m .N'J �7y�r�i'.S�M\t Ea4�;����{t§;.c,�,�%�Sis-�ay��a p s'.`�.W. 'ti�'',
I.,�.'i�b�Gr.::l"l+.PtYa',e,(4',���, >,`�4::,'�����k.�Y,!N i!`��a:4�r,{sYsY,W{�.�.�J�z:;:`�'L�,:a}�1.;i�~'I`_�!L.'PNz;:!P1:S$y.•J'''\AeT.,^.r; �i ta���:'�s...�yk.,iSaPz� l„I1eN,{�f 3�dlrc.:,.!�f,Y^r..,j--}r0..1:.�.�*-use>S�,lt+.;.�!§a3;
•!¢_,:v„.ry•^*r�1.z.1." Aero �.v a�"' `^�\ � i -�� •,., ..y„�r ••,lcda:.- ,r —�'-atlYl7+Y:Y,-n.�: ..r,.4'�"�ry' ._�'4-•;�r�rz -T:ti:t a' _
ryY`-.4 i[ !."t ,),!�{•{ .. '.'y \hwYJ �/ �,;1� 7 1;�{::'.. •.YF f vt4ii.o :.{�r I.Y ..�h.Y....� °il
^'�V<;Pa.�`ectk¢• .r`v':,'::�.A.,`1.h.��.k��..vEttf'ec., ;r;t fr,-:•,dit,`'w.p'rr:�«;V i?%�1:.t'�.0;1,�^�S :'��i,•.^:n!'�2C«.+.�'iu�'.hrti...yr,:; ,Srr�,x•';-/:'li'•u..�r r„J,i/.CJ.Tt'.;}'7��.�' .'ka. ,-• � "^ .
'� �4 �,t ka t' iR.:- :�r:�' tri.''S�Y•i a� -�f�'C,-x'�Uy.<,5:}i)}:� tiit i..c�. - ..ts.:.�.J::67,.'._y�•7�';L'a•,.i' •r�'.�„-,'•.,.(
,v��tJ,�(Y_ dC?f�;i Iy� '� �y ippt � �.t;,}Y�,,� ��'!`d � $tl1l i4 sr�;YMLi'1.I,a�f'tV�,1?;+it,.\�t�ba6;��,,}t v6�+Y,.q,��stp��a rr ,N'�Ic�� �}"�''slti:;"•" ,�hi;y��rrt � x t[,rti� �'�+.r 4>;,k`r..
ft1r.4��p� � ��,ly�f�.�,1�'11{,i` 1 +• RZS ��,�4''i.. y,Y !'ri.y. �Vl\ •tN,FV xl�u,,Y i1s�, rl',�iiaJrhrr��'L.�i',1r.Y •�i lgrlt,#� {�r�y ti,ld,�i .�r '� 7! o
� u��w"�! 1'�x�:�.iu3:.9.3:xAo1.♦•:i:Y•�v .'�'•�"�'1i�c� +�ti�:G,L'r1r��.e.1.,�..�' I cr_1+rrv.1,�.,S,r_".S.I,�k,?.xr �u..C�a�<tfw�f:,i�l.:�:,:,Y'I. t-r `'�`,,.,L,n.:i�:`}t;:1.�,alf�..ah.:..,_ _C:If'�•y1�S1•J.t,�''�;n
■ . Building
,4tr',:rr��'Iy4,'� "?sk^t�: f�.� ��/''14'fst. +rITIZ t i�u. i� r i{i'r ` '{yp�(�y�^.Y{,t,yT�` ;f�{}�M7iMt'yr���`���,,YYY!]]]t3Nrs r r .tY•ZiG�ir.
" ,•l;J�} 4, 1g• 1(f' �N�vy,F:nf lkff��\'(�t If j� 'J�FJIi t .� D D r♦�' f- �yi17� VyyM l{a.� 4:9<a��M+'� �i�.� lZ ;�,=r
�J�^y9� � W��,yt, �}n11%C.t�:�`i P,i`iF'75� �aLH �" v�'! i�;_ t ITTT•••�w�rSkN l;w:�l:1,:5 ��!.L'�u RSv4�l�jgl
� rAS lL�:l':�i^�J
7rTy1's►'/.'
...,AMf...........
• •
•
�i=I -
NZIM IIIJAPK"
SEP-29-2017 FRI 09 51 AM CENTRAL SCHEDULING FAX No. 3212686138 P, 003
.,.'.7"h.:ir ^r,i T.�:.. *t l?•'.• c, .�.1;�_ .`Xta,• %.. , •• �'��•. � .M p. r'r '¢.'�. b•i, �� 5. ,^,
DESIGNER ENGINEER: �Not Applicable 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: ------.-_-- Zlp: Phone:
OWNER/CONTRACTOR AFFiDVIT;Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countv 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 fallowing 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 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.
Signature f 0 er/Lessee/Contractor as Agent for Owner Signature of Co ra or/License Holder
STATE OF ORIDA STATE OF Fi 0 IDA
COUNTY O CA L COUNTY OF-
The f oIng inst ent as acknowledg d before me The fj�Xgoing instr ent a ail nowledgpd--pefore me
thi day of ZO ,by this���day of 20"by
Y /e `
Name of pars n making statement Name offie)To
making statement
Personally Known OR Produced identification Personally Known 7`� OR Produced Identification
Type of identification Type of identification
Produced Produced
(Signature of Notary Public (;lor (signature of Notary Public-Stats , I rida')
� tlherine Kvinger Catherine Konge>r'
Commission N Commission Nr.�C Ion#PY172372
s OCF 213,2018 a ,., -Rxpires:OCf 282010% '•• Rormap rHRv
p� BONDSD 28,
rmr, InnORMANPTIARXUa �•npu.``• IST FLORIDA NOTARr IjZ
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIE=W REVIEW REVIEW REVIEW
DATE
RECEiVED
DATE
COMPLETED
Rev.8/2/17