HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:111 1-1 �L�q
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2360 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial II Residential X
PERMIT APPLICATION FOR: Generator
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PRC+POSED IMPROVEMENT LQCATIQN 'x
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Address: 3-7q5 Sneed &7L'd
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Legal Description: HOWArj'<S tWen (PSs(y-1) LDk 2 and 29 3' 38%�% 17. 90 F7- uF (90'�f OF
SE 04 C )ly-LeSSAD R)w Df&Ieed Rd ()-2gq AC, LOK 1253 ; 6 2 D 3031 -)8104
Property Tax ID#: -,;4;Q S -80Q-- DDD3- ODD-3 Lot No.
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Site Plan Name: C 2 �OWY1Sh; ?vSs �(�i►�p,P 38o5I Block No.
Project Name:
Setbacks Front Back: Right Side: Left Sidi:
�D'E�TAILED�DESCRI,PTION30F,WORK �� �� �� ,� 'r: I�l� - ,rig
, U�✓�. �rA VICE God,40JC&7' �J7�r� /\/CLw'
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CONSI"RUCTION IlN;FORMATIC!N
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Additional work toe e orme un der t is permit-check a app y: I I
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OHVAC �GasTank E]GasPiping _Shutters ;J Windows/Doors
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Electric El Plumbing Sprinklers Generator LLJ Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:! I I'
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Cost of Construction:$ 'rw. Utilities: _Sewer Septic ,Building Height:
O;VUNER/LESSEE }COT
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RACTOR j, , `1
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Name M iM O fA WPS+ Name:
F .
f7S �2rnaon
Address: 3795 SY o Roaa Company:;Jm'S )ecf';z TW�aYP.-
Cnd�,
City: Vul�- yi ehC6 State:FL Address: )LDIP IIS&1I 1I00MU-e.
Zip Code: 34 q LI S Fax: City: T V 'ed'G2 1.11 i State: L
Phone No._l_ J `77a H10-7- 1-2 ?,D Zip Code: 3411 g�- l Fax:
E-Mail: Phone No. 771;
Fill in fee simple Title Holder on next page(if different E-Mail: 'CA e A@ ao)i .001m
from the Owner listed above) State or County License: 4" OqE(&-7 )EC 7300-1203
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPP�EIUIENTAL CONSTRl1CTlC?N L(E[ULAW'INF'QRMAT(UN, a. .. �eE `� � '
N*•.'+>„r'... xt�? � , �>,..� ,$�•° .,. ,,.... ,..vn;-, 9t.f, „�., sMl�, ...@ :. .. �a„ ar
DESIGN ER/ENG INEER: Not Applicable MORTGAGE COMPANY `Not Applicable
Name: 1 A Name: N i
Address: Address:
City: State: City: II ! ! State:
Zip: Phone: Zip: IPhone!-l 1
FEE SIMPLE TITLE HOLDER: Not t Applicable BONDING COP' NY: 1 _Not Applicable
Name: Al J A ~ ' Name: /V
Address: Address:
City: City:
Zip: Phone: Zip: Phone:F I
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I certify that no work or installationhas commenced prior to the issuance of a permit. ;' I
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 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 respee'ts, 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 reviewa�room!additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to ati°other non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement mail resul'ttjin your paying twice for
improvements to your property. A Notice of Commencement must be recorded a.. posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
mencing ork or recording our Notice of Commen en
Signato weer/Agent/Lessee re o Contrac or/Licens,e'Holder
ATE OF FLORIDA ESTATE OF FLORID
COUNTY OF .��s n�, Q /' COUNTY OF �I
The forgoing instru t was acknowledged before me The forgoing instr Int was acknowledged before me
this 41—day of 20 by this 11 day of I. 12 by
(Name of pe on ack owledging) (Name of p rson acknlowledgi'`g}
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( l,j
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(Sign atur Notary Public-State of Flori ture of Notary Plublic-Sta; of Ilorida)
Personally Known OR Produced Identification' Personally Known I O Produced Identification~`
Type of identification Produced Type of Identification Produced,, I
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Commission No. (Seal) Commission No. II �il i (Seal)
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Revised 07/15/2014 ('
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION �!'' SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS }