No preview available
HomeMy WebLinkAboutBuilding Permit Application a� Nov 06 2017 10:21 AM NP Fax page 3 i LL APPLI BLE NFO'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r j Date: Perin it Number:'�� « 11 1# Building Permit Application Ii Planning an Development Services 8uilding an Cadel�egulatian Division 2300 Virginfil rAvejuel,FortPierce Ft 34982 Phone:(77 )462.1553 Fax:(772)452-1578 Commercial Rest ential ERMIT A PUbATiON*FOR: To Select from dra bex, click arrow at the end.of line dress: d S• LJ c f In w t U =11 L gal Descri ion: 36 lV© ,a rn ivig ea r Q '&c V Y S',; e 3-3AO E41� Sec W ., s- P-te45 }' L,. eo Dg14 w J?0J 1 .� P aperty lax ID 1l:1 !�f _ 3 "d(�D ) "D DD,� Lot No. S e Plan Na e: �q Block No. E P olect Nath !1!i tbacks F ont Back: Right Side: Left Side: p •Y MUMMM 'E a N5 e ca y-.e 3 iotv jq, r-, jpf s e w► t-Z G1�r 1 a AlQ N E Y tai 8 V C-A Aw te+. �✓ s" �i W 131�P1 �# o S.3 1515l ition wi irktg : e Cle ormed uncler tints perm -c ec a appy: 14 1 HVAC ; ; Gas Tank []Gas Piping Shutters i � Windows/Doors ' Electric I Plumbing E]Sprinklers Generator Roof Roof pitch T tat Sq.Ft o Construction: SQ. Ft.of First Floor: St of Const LIC0n:$ (pad, p` utilities: Sewer USeptic }I Building Height: N me is o,-- e,-.5 e, Name: o a4 jy 61'WAe S A dress: Plo:q sstl P,111�0,;A 5 t Company: 9 a'r uoyyllra CI r^ r,," State: Address: !S Si,' eY era v- Zip Code: 3 ! t1 Fax: .,12 City: el e.rGe. 1��1i State: l P one No. ` SIS Zip Code: 3 S PQ 1111 Fax: .2, a CG'l3 E-Mail: t'tr Phone No. dt Fil in fee sim le Title Holder on next page(if different E-Mail: Cr n; rb C a ou a vh 3i a fr m the Owr er Its.Od above) State or County License: 'Po If slue of cons ruttibn is$2500 or more,a RECORDED Notice of Commencement is required. L alue �I1lI 4I if i) Nov 06 2017 10:22AM HP Fax page 4 A f DES GNER EN INEO: x Not Applicable "1! x PP 'MORTGAGE COMPANY Not A icable Na e' I ' � Name: PP Add ess: Address: 'I City State: City: IG?I Sta e: Zip: —!,hone: Zip: Phond l FEE SIMPLE TITLE FOLDER: x Not Applicable BONDING COMPANY: Ill X Not Appl cable Name: Name: Add ess: Address: II City City: Zip: hone: Zip: Phone'II �I I� I ce ify that no ork or:installation has commenced prior to the issuance of a permit.. St.L cie Counttyy akes rio representation that is granting a permit will authorize the permit hoI br to build the subject s ructure whit is in confll wlth any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure. Please onst{It with your Home Owners Association and review your deed for any restiictions which may apply. In consideration f the jgranting of this requested permit,I do hereby agree that I will,in all respects,perform the work in ac ordance wi thelapproved plans,the Florida Building Codes and St.Lucie County Amendin, nts. The Ilowing building�ermit applications are exempt from undergoing a full concurrency review:room additions, acce sory structu es,swimming pools,fences,walls,signs,screen rooms and accessory uses to;'mother non-residential use WA tNING TO WINER: Your failure to Record a Notice of Commencement may result in your paying twice for impovementiork to your property.A Notice of Commencement must be recorded:and posted on the j bsite before the firinspection. If you intend to obtain financing, consult with lender'or an attorney before commencing `r recording our Notice of Commencement. I� at/ 4-ILMI ` 4 s Siature of O Wer/;Lessee/Agent Signature of Contractor/Licerise Holder STA rE OF FLO 11DA STATE OF FLORIDA d I CO NTYOF Si dile• COUNTYOF �L.vGc- The orpoing ins umeitt was acknowledged before.me The forgoing instrument wast II cknowledged before m this day of n v.(—b u 20 -12-by this ; ' day of �Vo✓ecn b� 202 by �I 1 �o(.cj �. ��P vY��S �a of 1✓• !;eslv) -S (Nan ie of person cknolyledging) (Name of person acknowledging) I (Sigf iature of Not ary Public-St to f UoCLda (Signature of Notary Public-State of Florida) YPQ PATRICIAA.GARY N ,IIT Personally Know OR .n l if5tf4ll9ialic-St,@,of f 35 ally Known PrMwd Identftim .GARYON Type of Identifica ion produced t R� f Identification Produ' 'tf�`P �'� Notary Public-State of Florida ,E oµoc Commi sloe N FF 13 580 ° My Comm,Exi ices Oct 1.3,201112 b % ��0� " ' o Isslo # FF 133580 Com fission No. [33 �f '( erred 1luough National Not yGY�l1i1 fission No. $ it=;Y, Bonded tough atlonal Notary Assn ,III I Re 'sed 07/1 /2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION,!:''I SEA TURTLE M NGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DAT LtINIT PLETE I LS I it IP II �I