HomeMy WebLinkAboutBuilding Permit Application 12/21/2017 03: 41 7724663737 BOYLE PAGE 01
ALC APPLICABLE IN Ll
BE COMPLETED FOR APPLICATION To BE ACCEPTED c7
Date: I Permit Number:
S -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34992 /
Phone. (772)462.1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line a
PROPOSED IMPROVEMENT LOCATION:
Address: SuL h vtr L*l & W4 o3
Legal Description: iaA Ly r` `ArA_ q03
Property Tax ID#: - QC6'7-- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
U10,fir U4 . NILUJ �RU LQ a-�h � �� 5���. /�/� w, skl�
1�-RAtI 4?J4AII A rZ f T2HVMTAt
CONSTRUCTION INFORMATION:
i i a work a orme under this perms -ac ec�Tc a appy:
CONSTRUCTION
Gas Tank aGas Piping _Shutters !]Windows/Doors
Electric Plumbing E]Sprinklers FI Generator Roof
Total Sq. Ft of Construction: Ft.of First Floor:
Cost of Construction:$ �"1 t� 0� Utilities:Li Sewer U Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name—(VA- M ,(j,,,J41 I(W Name_ W
Address: Company_
City: ?Tf, U05t6-- State: Addres ; 5
Zip Code: a&4 (yQ Fax: City: Op1[..cfy' _ state:
Phone No. Zip Code: 3 44 51 _ Fax:"7"7- -44 (o 37. 7
E-Mail: Phone No. `�`��'�x/t'4(4 1
Fill in fee simple Teti!Holder on next page(If different E-Mail-bo iTG �eOryi
from the Owner listed ebovo State or Co� � r Ch ) � 18
) ty License: G
If Value of construction Is S25M or more,a RECORDED Notice o1 Commencement Is required. _
12/21/2017 03: 41 7724663737 BOYLE PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS EN6iNEER: Not Applicable HOMAGE COMPANY: Not Applicable
Name: Name:
Address: Address.
City: State: Chy: State:
Zip: Phone: Zip: Phone
FEE SIMPLE TITIF HOLDER: �Not Applicable BANDING COMPANY: Not Applicable
Name: Name:
Address- Address:
City:
may.
Zip:_ Phone: Zip: Phone-
I centfy that no work or installation has commenced prior to the Issuance of a permit,
S�.Lt�de CAwnty makes no represe�pn that Is uanwtg a permit will a orixe the pprmit holder to build the subject S usure
ich Is in conflict with aHyl a ---- b a Home Owner Association rules,byfws or and covrnants that may re%Wct or prohlbn stay,
structure_Please consult with your Home Owners Association and review your deed for any reAdcttons which fray 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 apRroved plans,the Florida Building Cedes 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,wafts,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fagure to Record a Nptke of conmwncementmay res a In your p��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 our Notice of Commencement
Signature of Owner/Agent/Lessee SWQture of Contr-actw/lAcertse Hoider
STATE OF FLORIDA ( ,i j n FLORIDA
�NTM
COUNTY OF_ , !�k C�
The forgoing Instrument was acknowledged before me The forgoing in mens was admovaledged before me
this 5t-dxr of Ds'�dacLl? ._ zo b �►�2 '''ten a► ivy'by
(Name of person,acknowled ng) Mame of person acknowledge )
r
(Signature of Notary tic a of Florida (Signature of Notary tate of Florida)
Personally K PersonaNy OR Produced Identiflcatlon
Type of Ide Type of Id
Mohry►link•Slate of Flouda b Nal4ry Public-tt*
Commissl Ccmmgillon N(SGSJI7A39 Commissio ON
COMM1W MY Erplres cup 21,2020 Ion#lit7
My Comm.Etrpres Awl 21,2010
q tml V
ig, y UP,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW RMEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMALS
12/21/2017 03:41 7724663737 BOYLE PAGE 04
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