HomeMy WebLinkAboutBuilding Permit Application 1 I 1 1 I 1 •t 1 � � �� � II IIS
ALL APPLIl • MUST BE COMPLETED FOR APPLICATION / BE ACCEPTED
Date: • •go�
� � t .,
i • 1 f •
Planning and Der■ NOV 12017
Phone:Building and Code RegulationlIDIA51I
2300 Virginia Avenue,Fort Pierce FL 34982 P
alptment
PHIP
• . Commercial • _
I.
lt
PERMIT " " • FOR:
4tc'1u'' >. 'a '.lk+ 7'U• v y,.-1 S r* w 'Sf�. „7• ri` �r,- q� ,'r 'k" ' '1Y'F'�S`
p • ■ a r t ,:.��� 1 }1, V1�k, �r%r � T 1� ',��,� �',�Y 1��Y s �; ,y,� r },�f�trtity
,vt 1 r-,,
i•• * R ► r�M� t �•
Legal Descriptionawwn W\
r
PropertyTax1 1 • Lot No,
Site Plan Name: Block No.
• _
ct Name:
SetbacksFrontSide, Side:ft
�PY.3J��L�ul,,W'h:,,�.�`t1�fyl�it'�'4t'•.'i.�.G'Iff�iQt�V ry"ucZa�.�.��x:#.U,,s�,an1rt.arM�1e:J'r,,1+:��•''�,Q�.3�.F4"r:�/1"�4ta5� .Mx'e C�oA....FF:wv,�i�•w�'.�}ry..-T.Y:fi,.,�51�.},iY'�1':>,da:.G�+;.`"t.•f..7j'�•Ui'c"ut'y.:��:J'.<iEf.1C,i+Y'�'dy•F'i,�,�3,a.+�]��.:3..,x�r.,fi`l�t.Y,'.�,��f4if�.,7�,rca�iyt..},..�jr�i,-�",Ypl�jiV,;ry/�r.'':1fJ�it4,CRtrSr..eter;.,�r..i...,..:n5�1,.14v,;
iT ,1,1,{�,��il':4rlr,,,i#a�-f,^.i�Z'1lgY,�'�?fay�.{Y•�:1....(�.+t(.•�:.+f��n..5(,`r1"i4i"at-?yG��till.tlS�yn'Ity.„7�J.�rrt:pYK,,,fS�qhS`,x:b.f�•i,r-!."�_c�;"o�<Y'r;:.'y�ve,:"yfr�ra!q�JL-;y"•'.y:o`k..}_Y�q"ti,ht��-tYs"Y�.J.t1.�.dr1'�1;Yd3';p,
SL�.rnAf�.1!7
<;v,,,'t�•v','.4
1
;•nt. :i 7. _ �.:1'?^�.,.i�•:. .z,- x i u ¢.,_4- r.'" .�.•..R�' A Y:�rt<'r '.>`,,4�'�_.,er 1'N r%'' x• ?';�j L i
.C)- f:+t.; •�;ti;''t,1_�I..`��"'}•:9�7eli.A G�r�1.'1.t�s�k:Ji� -,f. 7i7:K:J1.J:\�, .�l,�.C�';+�Y',ti:.off:G!r'�f.,'•t'i .,Ap[j c> t[ .0�'1y..:3°-l.'.1/�..f t•.lYri�ti.' 'Y}�C:6';J�:!f�:''yrlGa•G�od4•'..
:� 1,•a'S.�,J'�T� ,:•:.-�y�.°t• etr t ���"ua••+k,e;,.No!'>;lx�'r� ,Fs t. :,v;:'�'A+•f: wS•,:Y- u'7C• y'� }k�z. n •.b., rr},. !. �,:'}�'g;,.
4�
" a5r.,y ��ts .?gsi' r°t7+ r
ay��r . .•,a�i't1i'N',,�'c.f-•};,,��,p �.. M� r
r'd'va �3J„ cu)� zua.,{ti.:.c.,c::.cA .1`'°,�6h,c,+.<Gu.,nuwS7�ustaG.S'p"d1Y:'.1 �,1.L•.:'ish. :ln,,,:; ,.aYarf,,,.r�,d.tia,,.c, Zsz^vv•�,�U�LL''�t.,:s.i k.c, a.. bun;:.a�E'..7._.•3c..,_ a`ii G?lu�. ,�:,i
Additional • • •• •• . •■ • permit— 1. •■
ElectricIIHVA Gas Tank -[]Gas Piping Shutters Windows/Doors
■ Plumbing E]Sprinklers ■ Generator Roof Roofpitch
Total Sq.Ft of Construction: S Ft of First Floor:
• . • • •� ■ Septic
- y-,.." 5�' pf •;y q 1y,vF sy r�:�. ,,'.Ui41f'i�'i tidtij�;d't 3_y"a'dit`�..' �T�'P�
(� 4 . ¢(-,�„',�'Yi•=}`Yl" ..., �rCtk FNt,yr�'A}7?� Ytr�lf��C.nK?1. t7 ° A IJD1$�°. �Ar1F•-�^i .s4'S� "•i! + �tr'f'.�n �.:;,1.
� 0 5",�Map��ggra 1W -%•'�_"��,�ji�4yi.] ,11�//'m"y y�ei� t.. , .4.' a 4 ,!^71kQ'�u'4;}7 j��f'r fy K d K� �` �,.` r_,}��1r,•�,,.L �J.i�r
. v..f t•1 _� rN%�;P:�.2R'�YxY�a��w X1'4 it 4,{f1�i5��. t S irtv!)iy Ss�tfLWirSr�1�•i�i.�.�f. '�t �.�i c.L..V„.�.�x1w;:t;..x��r3•`fir r�il�Y,q i.nrti,l,klu'V:'�?%:N2�c"%.rfil::.r1Lg P;3
..- fit„+ ► �� � - �
• *j I. WO1 ..
NOV-01-2017 WED 07 56 AM CENTRAL SCHEDULING FAX No. 3212686138 P- 003/004
'•r � y ?•� .•d ..� .,;.^' ' z ,K:o , �,i' l^'r.t a. ^d.N� 4•v. 1 ,�� 1•• ^i/f r r-
��..i�. dra":�7. a`.�.�ti�.ro �r�rii5"v d'1''Fu,t .d S'�?•iP'' �' a Yl' :$.
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: Zip: 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 Counter makes no representation that is granting aHAermit will authorize the permit holder to build the subject str pture
which is in conflict with any applicable Homeowners Associatlon rules,bylaws or and covenants that may restrict or prohlblt 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,l do hereby agree that I will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Cades and St.Lucie County Amendments.
The following 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 be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with-lender or an attorney before
commend work or recording our Notice of Commencement.
Signaturef O ner/Lessee/Contractor as Agent for Owner Signature of Co ractor/License Molder
STATE OP FLORIDA` [ + C.� sTATE
OFORiDA � �`
COUNTY OF �1- `/�`\ 4�
The forgoing instri4ment was acknowledged before me The forgoing instru ent was acknowledged before me
this day of ? 20_by this_�_day of V Mf 20AI by
iia e'01 f-p- P'pber�
Name of per n making statement Name of perso making statement
Personally Known OR Produced identification Personally Known OR Produced Identification
Type of Identification Type of identification
Produced Produced
(Signature of Notary Pub -Sta aF,lor (Signature of Notary Public-St �,, orida}
��t�hertna Konger ;;r"•s.
Catherine Konge>r
C onflFl=172372 �;�= 100I'F17Z37
Commission N Commission No. °C� OGT 2B,
• = ZB,2018 # Expires: 2018
THRU , HONDSdTHRU
�'• •"�� ImPW1IDANOTAA%LLC N� •`� 15T$BONDED OTARiGLI,C
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/7/17
I•