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HomeMy WebLinkAboutRevisions All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:3 �� Permit Number: `I o i;0LOC '��3a$ • Building Permit App is i e ' riz ::ar, Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: + PROPOS , _ Address: SSOO sr L�itie � /=T /� �'('J 3 �9 y� Legal Description: 3`/$ 30 31 LAO Sw�y Sw 5" sirr�► o{'L (3Q�g� 33!2 �' 69A tv L / ei333fr©n S V or �ZZ - 2003 Property Tax ID#: I`1 ,3,03�3USD Z �ODZs Lot No. Site Plan Name: koBt-D 4uNhrr '110-v&( Pio Block No. Project Name: Setbacks Front Back: 5 Right Side: /� Left Side: DETAILED DESCRIPTION OF WOR 1 Additional work to be per Orme under this permit–check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch Total Sq. Ft of Construction: G q Sq. Ft. of First Floor: Cost of Construction: $ moo Utilities: —Sewer _Septic Building Height: _ Name MgrI(yti In ;A&Y1 Name: LO/ Il(14G,.s Address: 5500 f�' 1ulir RA� Company: Iv\ City: FT- State: Address: 33/ 3'vA e/se Zip Code: 3 y[< Fax: 7 d�F City: /%­( ­ State: Phone No. D��9 Zip Code: 3 Vey Fax: 816-7 �O E-Mail: Phone No 6P37,f Fill in fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County License C(jc /1550-7 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 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 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 Record a Notice of Commencement 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 work or recording our Notice of Commencement. 1A01A-_ W S"". �Lv_ �J�SL". Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA _ • COUNTY OF S+. 1-V U L COUNTY OF •I- . Lu C-1 e The forgoing instrumgnt w s acknowledged before me The for oing instrument w s acknowledged before me this Z�day of f"e� 20 by this day of 20IX by (Name of person acknowledging) (Name of person acknowledging) CAQ1 "9 I�Jr2Cl u � (Signature of ot`ary 'Public-State of Florida ) (Signature of Notary Public-State of Florida ) Personally Known V OR Produced Identification Personally Know OR Produced Identification Type of Identification Type of Identificati YN O DRAWDY Produced Produced KAR MISSION#FF198558 Commission N `cliff"Q'4Sean Commission No. S Fep�"lt,2019 ••�: MY COMMISSION# 198558 gervke.=T February 11.201NC7', 9 ^•6-0153 gervke. Drr REVIEWS '_. -- ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2014 Shed's must have a minimum of 8' 30' off each side and 5' off the rear of shed to your lot line. 5' I' Marilyn Minix owner of the Road 8' 14' Runner Travel Resort give 8, x 8, permission to install a 8' X 8' shed shed on 0-4 with the requirements listed above and have prepared this lot plan. zv M rilyn infix Pebrua20, 20 67' CYNTHIA BAKER MY COMMISSION#FF231810 EXPIRES:June 29,2019 btA�u0-4 80 8' x Patio Scale 1" = 10' 0. North 26.5' :14 (.0 p ROAD in front of Lot 0-4