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HomeMy WebLinkAboutScan 2017-11-16 08.47.47ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ` 1- Permit Number: gat Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 452-1578 Commercial Residential i! PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lime PROPOSED IMPROVEMENT LOCATION: Address: 9'-gr3 _ - - -G r -e cC, pcjM Z)r-, _ . _..- Legal Description: Gra-, r ,,� lnAO<i .e S a_i� 2,� L oTS Z C,,A Property Tax ID ##: _ _ obi l i�-f - � 3,- Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: f CONSTRUCTION INFORMATION: Additional work to e e orme under this permit - c ec a appy: ®HVAC M Gas Tank ©Gas PipingOGenerator Shutters Windows/Doers Electric Plumbing OSprinklers ISI Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: � Sq. l=t. of First Floor: Utilities:11Sewer 171 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Lt4 n,-, d'_ ac�r4 e.rS� dame: Address: �F�F �a. reC_­ City: State: Zi �� p Code: � Fax: LlJ1 Phone No. 72 3,A ^ ' Company: WM_-Inc , Address:`-�1r-e,(,- �J7 City: �- ems. State: - Zip Code; 3l b 0- Fax: i'lJlii� Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different froth the Owner listed above) E -Mail: 1 -✓Me- Q- .2 State or County License: A,2 IT value of construction is 15Z5uu or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ^ Not Applicable Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY- Not Applicable Name: Address: City: 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 County 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 Howie 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 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 commencing work or recording your Notice of Commencement. Rev. 8/2/17 Signature of Owner/ L oras caner n RfffFFattQr License Holder t STATE OF FLORI S E OF FLORIDA COUNTY OF COUNTY OiFc.; The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisday of 41oveN ti-e� 20-0 by this PL/fIday of lVove -fir- 20 0b Name of person making statement Name of person making statement Personally Known ✓ OR Produced identification Personally Known >*"— OR Produced Identification Type of Identification Type of Identification Produced Produced (Si ature of Notary P .� 0-Y ���yrilY (Si : ature of Notary Publi S a w4 i ,J•<JASON tit RAULEASON Commission No. NWwYAAW� State of Florida , : a¢ Commission No. :• Mai �� AAULFIiSQk y P Cenrmlisicti # FF 965546 :a State of Florida MY COMM. Expires Feb 26. 2020 11 my CCq�;sem +a' FF yg55 nom, 46 .2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 L4L4 as Ar( ---6C, a�'O' - rM D,-. EI.F. CAL RaM DIAGRAM NOT TO SCALE *Use for Temporary Construction Power Pole and Single Family Service Change Only For a" other electrieal applicaftm apply Florida Buihlmg Cvde 1073-5 Weanad I. W-mng; Semces; Fwdus & Branch Circuits; Over Cmeit Protection; Gm Vrumg Meds & dais; GFQ 2_ moment 3- Special OC ies 4- Fmrgency Systems 5. Cammunicafion Systems 6, Law Volwge 7. Load Calealatiaw s- Desig Flood Elevation 4* t:/2 J ■ Ft 7.7 �� 1k I, 1j i- Size sereice, LAEio 2 GanducWr Sizes_ 0 CU p ALUM 3. a. Meier Marr = 0b. Meter Can Ch#: ME CL Grounding Elcchvdc CavAuctor Sires Q #6 Q #4- 0 #2 Q Otha 6MW Flet r `r Test Reqdred CONSTi<+tUMON TYPE: T \bbI&b]dg farmsll3s- Rises PLMt.tlttc Ruv_ 5/29!12 Residential ❑ Mobile Rome ® New inn E] Old ikon T \bbI&b]dg farmsll3s- Rises PLMt.tlttc Ruv_ 5/29!12