HomeMy WebLinkAboutBuilding Permit Application 02/23/2018 02:31 7724GG3737 BOYLE PAGE 01
ALL APPLICABLI_INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n *�
Rate: Permit Number: (/L'
RECEIVED
Building Permit Application
Planning and Development Services FEB 2 3 2018
Building and code Regulation Division
7300 Virginia Avenue,Fort Pierce F134982 ST. Lucie unty, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: d '34151
Legal Rescrlptfon: 1V_ !3 - Lot ILP
Property Tax I D#: 1301 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILG'I VESCIRIP�F ION OF ORX:.
15y6te� w 01 3 kW
mojtQ �14A''X 0 k N&J e� WOO���(25u1->!o�
CONST CTION INFORMAWN:
--.
t a work to orme under this permit--c ec a apphr:
HVAC [�GasTank as Piping _Shutters Windows/Doors
11 Electric ❑Plumbing Sprinklers 1.1 Generator F ]Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:S 4soo' 00 utilities:Sewer Septic Building Height:
OWNER/L. EE' R,, 1 -
Name Name: Bovfib
Address: 15 Company, m f
City: ct PItf-lb State:R' Address: T_bLr !
Zip rode: 1A 51 Fax: City: act MEL state: F11
Phone No:'J'1? fel-135q zip code: SIA5ii Fax:"771- 4Ctla- 3737
E-Mail: w LA __ Phone No. -719 -4 I1- 141
Fill in fee simple Title Molder on next page(if different E-Mail:bwlq.( '• ib \Y00. W9
from the owner listed above) State or County Ucense: C!g l 81 a Cr
If value of construction It$2500 or more,a WORM)Notice of Commencement Is requked.
02/23/2018 02:31 7724663737 BOYLE PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMA170N:
DESIGN ENGINEER: �Not Applicable MORT6AIGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City-, State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TIT[.E MOLDER: �Not Applicable SONDMIS COMPANY: Not Applicable
Name: Name:
Address: Address:
City: may.
Zip: Phone: Zip: Phone-
1 certify that no work or InstaliaWn has commenced prior to the issuance of a permit..
hide Cou�r,�tt�y makes no rep on that is granting a permit will authorize the permit holder to build the subject acture
ish Is M conflict watt►anyy a�ppika=bre
Ho
Owners Association rules,bylaws or aq covenants that may restrict or prphfbit such
structure.Please consult wrtth your Home Owners Association and review your deed Vr any restrictions which may appN.
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 pians,the riorida Building Codes and St.Lude County Amendments.
The following building permit applItzbons are exempt from undergoing a full concurrency review-room additions,
accessory structures„swimming Pools,fences,walls,signs,screen rooms and accessory uses to another norrresidentlal use
WARNING TO OWNER:Your falltre to Record a Notice of Cnnunencernent may must In your paying{twits for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsfte
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
-commencing work or recording
four Notice of Commencement.
Signature of Ownit/Agent/ a Signature of Contractor/License Holder
STATE OF FLOPJDA STATE OF
WUN"OF • tom{ COUN'!Y OFLORIDA
The f ent was acknowledged before me The forgping instrument was acknowledged before me
tfi�of / 20 by this- ay of 20_j& by
R(t�I 1�. �)Dyj_e2
y
(Name of person acknowledgin ) T (Name of per-on aclmowing)
(Signature of NotPub to of Flcwida) (Signature of Notary state of Florida)
Personalty Known OR Produced Identification Personally Known
Type of Identificat' N 1{TIRE7.CDM Type of Id u LL
"":" iiothry pUW-611te of FkXldi
11ewy P "ioA Ol FiOrlh rlbn M 4%%109
Commission No_ 1 Commis
Cpm Fn fad 017111 3 '
Comm.ENOWR s Aug 21,2020 dly Catam.ExpIr1/Aup 21,Z0�0
my Mnra Motx Aon.
Bond+4 t
Revised 07/1 5!
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS