HomeMy WebLinkAboutBuilding Permit Application 02/26/2018 23:50 7724663737 BOYLE PAGE 01
ALL APPLICA £IN O MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: Permit Number: i Tn z:coo
RECEIVED
Planning and Lkve/apment services Building Permit Application
FEB 2 7 ,!,',3
Building and Code Regulation Division ST. Lucie Cou ty, Permitting
2300 Virginia Avenue,Fort Pierce F1,UO2
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
LOICATI
,.
Address:
Legal Description:
Property Tax ID#: 13�}�'10��•� a -b�� Lot No.
Site Plan Name: Block No.
Project Name:
!�Seetbaecks Front /1 yByackk:�/ ,(�1 Right Side: Left Side:
'M� AUR110�W"I "i'�'�faN:Rl�'YY��.7T�A'1�:
r ice ; ins al L a nQw 1;2,nnd�
Ccmd scr adQ,l 14AN-04 x.30,
Ji_ l 7
a wo 0 orme under s perm — e a appy:
HVAC 0 Gas Tank ❑Cas Piping _Shutters Windows/Doors
11 Electric ElPlumbing 1I
Sprinklers Generator �Roof
Total Sq.Ft of Construction: Ft.of First Floor:
Cost of Construction:$ 506,00 Utilities Sewer O Septic Building Height:
Name Name: 1
Address: 85N, NVZA &tk Company; n t 4.
City:fbcMae, State: Address:
Zip Cade- -2m51 fax: PJ City: � State: -
Phone N . Zip code:31A5 Fax: 7-7.�--)4*3?37
E-Mail._WTA Phone No.'"13,2:—I&1, 1.
Fill in fee simple Title Holder an next page(H different E-Mail:
from the Owner listed above) State or Cou ty LICenSe: LrACI�I �y
H ve up Of consumcdon Is$2500 or more,a RECORDED Notice of Commencement is required.
02/26/2018 23:50 7724663737 BOYLE PAGE 02
SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TIME HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
Clty: City:
Zip: Phone:_ Zip: Phone:
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 mit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoction 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 ft requested permit,i do hereby agree that I wol,in an 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 Retard a Notice of Commentemetit 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
g�work or recordLn&your Notice of Commencement. _
Signature of Own Agent/ ee Signature of Contractor/Lkense Holder
Rl�COUNNTYY OTE Of F . V Q�ORI OUTNTYY FLORIDA 3
The for oing ent was acknowledged before me The ng Instru nt was acknowledged before me
thisday� ZO gby this day ofJ�_ 20 y
�(�L
(Name of person acknowledging) (Name of person aftnwledong)
q, (�Xwt'm— CLE��- .
01knature of Notary bl' State of Florida) (Signature of Notrl
W. CNAI T U
Personally KPersonally Known ��
Type of Ide ZA&
TIME J.CTO !
L4 Type of IdentiHca�IiC' E My Comm.Expinr AMI 21,2020
Commission M( 0 Commission Nm ' kmdrd thrEU+rM MN ° M 1Mgrr ASM.
� wlrlir Awl.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
BATE
COMPLETE
INITIALS