HomeMy WebLinkAboutBuilding Permit Application 01/30/2018 02:30 7724663737 BOYLE PAGE 01
ALL APPLICABLE INFO MUST BE COMPLUML)FOR APPLICATION TO BE ACCEPTED
Date: 3 `�O -
Permit Number: '`
__ _7
Building Permit Applicatio JAN 3 0 -'oI8
Planning and Development 5awvices
Building and Code Regulotion Division ST. Lucie County, Per in
1300 Virginia Avenue,Fort Pierce FL 34982 9
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
--� Residential
FP.FRMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of linePOPOSE d i
MQ LOCA
c
Address: 1' Rl
Legal Description:
Property-fax ID#1:«I- Oq-00 L 5 000
- lot No.
Site Plan Name:
Project Name: Block No.
Setbacks Front Bads, Right Side:_ Left Side:
J.
t
Lid �r k2 ' Sill Cli?V� 5-fir• 1c Seex Ltnro x I2h� W
10 KQ head•
CONS UCT ATIO:
na wo 0 ormed under thii permi —Lne"CK all Inat app •
HVAC Gas Tank ❑Gas Piping _Shutters Windows Doors
OElectric LJ Plumbing Sprinklers ri Generator Roof
Total Sq. Ft of Construction: . Ft.of First Floor:
Cost of Construction:$ '1 �Q Utilities Sewer USeptic Building Height:
O 9V'NERAEE: WON
Name Name:
Address: 0 Company:
City; State: 1'{ Address. - (p
Zip Code: � rFax: 1A City; State;R.,�
Phone No. Zip Code: !9,35 Mc, Fax:
E-Mail: Phone N
Fill In fee simple Title Holder cm next page I If different E-Mail:
from the Owner listed above) State or County License 1 l j� (y
N value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
01/30/2018 02:30 7724663737 BOYLE PAGE 02
SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
DESIGNE ENGINEER: Not Applicable MbRTGAGE Cpy, Not Applicable
Name: Name:
Address: _ Address:
City- State: City: State:
Zip Phone: zip: Phone:
FEE SIMPLE TnU MOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone-
I certify that no work or installation has commenced prior to the issuance of a permit
St.Lucie County make*no rep ion that Is granting a permit will authorize the permit holder to build the subject s��ture
Which Is in conflict with any applicable Home Owners Amodation rules,bylaws or and covenants t11at may restrict or prohihrt such
structure.Please consuk with your Home Owners Association and review your deed for any restrictions which nray apply,
In consideration of the granting of this requested permit,I do hereby agree that 1 will,in all respects,Perform the wont
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit oppilation are exempt from undergoing a full roncurrency review-room additions,
acceswY structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fallure to Record a Notice of Cemmentement may result In your paying twke 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 Own /Agent/L03see Signature of Contrattor/Ucense Holder T
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S�• COUNTY OF s•Lkio-'
The forsouv instrument was adburMedged before me The fo ng instrument was acknowledged before me
this day Of 20 Why this 37 day of 11111L iA 20_4,e by
LIQ-' Ig
, ��,I yl
(Name of person acknowi ng) (Name of person acknowledging u
( gnature of Notary tate of Florida) (Signature of Notary P ra to of Florida)
Personally Known OR ProdueRd Identification Persona0y Known OR Produced ldentlRr�ntian
'type of Identification Produced Type of Identification Produced
Commission N CNlItBTI MVYELL commis """
�s�ir� � �• INE J co
y Fvbk-Voo of FtwA Notary Public.Still of Florida
20
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Oram.t1pres Avg 21.2020 a My Comm.Expire Aug 21,2M
Revised 07 1a" M NMr MM Boom through NWIN Notry Mia.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE T
COMPLETE
INITIALS