HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:AD_ 31- `! r Permit Number:
RECEIVED
Building Permit Application OCT 3 2017
Planning and Development Services
Building and Code Regulation Division PERM11' 14G
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie C nty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 3494
Legal Description:
lici
Property Tax ID#: Caf _ tIL —ar_ CM� �j Lot No.
Site Plan Name: Block o.
Project Name:6
Setbacks Front Back: Right Side: Left Side:
. ra
E
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"Ica � 00- aUA_ wn� "Y,e Elm me- 1L�
Mitioal work to be ne Orme un er t is perm t—c ec a - appy:
HVAC Gas Tank E]Gas Piping _Shutters a Windows/Door
11 Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Constructian: . S Ft.of First Floor:_
Cost of Construction:$ S%W•QQ Utilities:0 Sewer 0 Septic_^ Building Height:
C�hfty e&
Name 96 Name:
Address: Company: �rcwt)
City: State:FF Address:
Zip Code: 972 Fax: City: nn ipleC4 Sta e:_u
Phone No. Zip Code: a�sFax:
E-Mail: Phone No_ 11
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
RECEIVED 02/09/2015 09:56PM
I
RECEIVED 02/18/2011 03:43
i
DESI
GNE NGIN it: Not Applicable MORT"GE COMPANY: —Not Appll0bl le
Name- Name:
Address: Address:
State: I
Zip; none ZZip Phone:, 1 _
FEE SIMPtA 17T1.1 oLDEK: Not Applicable BONDING COMPANY: Not Applicat le
Name, Name,
Address: Address-
City: Git1r-
lip: Phone: rib; Phone:
OWNER/CO ff plicatfon is hereby made to ahtain a pOrmR w dba tha work and lnsmilk Son as i intrad.
I certffy that ni work ar,rnstaflation has cmrseneed prior to the issuance of a permit.
(uric Coun ma orepre�cRs�tion that IS grar>Z1ng a pepldtwill 8 hnrtre tfie ermit holder to build the¢upjett 9tru ute
which b in Ct V �rt�yr'a�pp3lCahle Home Were AsrAmtion rules,gows or anc aovenantsmat mfr reStrill or prohlbl such
structwa,Pleas cOrieu =your HORte ownBrs Associat on and review y{lur deed any rogtflM0 6 v5hlch ma►y ap*l
In p7nsfdp artha no
of thls rkquested permit I do hereby sgree1het I will,In all gasper tb,perform the work' .
in=wrdance Iththea proved plans,the%64RuifdingCbdes and 9t.UtcieCounty Ammndments.
The followingIrkof
ng p it applicgtione are ebempt from undergoing a full concurrency reviaw;room eddlbons, l
;imp$ory csrs,sw mming pools,feces,wells,simm,screen rnbtm and accessoryuses to another non-red&ntlal use
WARNIN dWN R:Your firilure to Record a Nonce of Commencement may result In vow pnyfttwite fo
imp rovemeo your pproperty.A Notice of commencement must be recorded and posWd on the jubsite
before thens ctlori.if you intend to obtnln financing,consult with lender or an attorney be bre
commendrKording youcNotice of Comma cement.
signature er/Le metcantracwr as Agentfbr Owner Signature of corktrac:tor/license Nobler
STATT OFF CRID SI`ATE OF FLORIDA
coulyi r CnuNTY OF r .
t
ay ing I tr t acknowledged before me The Ing In Was adknowfade.d bdnra me rro day 20 by thly dy of iso b 0 r
� � m
a o of 'ant ma mmanw rson mating stawment ku v
roliy OR Produced identl icatl6n OR PrQuiumd Identikmc ort
w ys cation 'type of Identificatlort
o ro PraducW F d
d: zx J p
i)
( " awU LI&Orve blic�5fs t'e tw r-forida) {Signature of ry ifubllc-state of Florida l
Comnissionui. ow) EornrnW0onNoktlsZNRz— (Seal) `F
HIM FRO 4T ZONING 5UPERVISOR PIANS VriGETATION 5EAlTURT49 MANGR�VE
cour ITER REVIEW REVIEW RMEW RFVIEW REVIEW R€VI
PAT
REC IVSD
DAT
Colk PLETCD
Rev. 17