HomeMy WebLinkAboutBuilding Permit Application 03/06/2013 01: 57 7724663737 BOYLE PAIGE 01
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ALL APPLICAW
J,f, `FQ MUST RE COMPLETED FOR APPUCATION Td BE ACCEPTED
Date: 1 1 Permit Number: I I
RECEIVED
Building Permit Application MAR 0 6 2018
Planning and Dewlapment Services
Building and Code Regulation Division ST, Lucie County, Permitting
2300 Vbginia Avenue,Fort m-e rL 3498T
Phone: (772)462-15 x-{7,zx}_-62-1578) Commercial Residential
PERMIT APPLICATION FOR: To Seled from dropbox, click arrow at the end of line
Address: t t �q
Legal Description: ( �j
Property Tax ID ll: O i r D-7"OM I "QQQ - Lot No.-
Site
o. _Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
a,f r 9.tibat i� -v
U ( 51A( ru) 11X. Sri 1/4,5 S 699 C Sc fsftw
w i fli -7.5 kUJ NO.
�ordc 2� Wdi?1 i�- WAN So)I 4,30, Air HAM"r OodQf GBx25u�t oar
AddItIqJWwork-to b rtormedunder this perm -c ec a ipp y:
HVAC Gas Tank ❑Gas Piping _Shutters O Windows/Doors Ll
Electric PlumbingSprinklers 1:1 Generator Roof
Total Sq.Ft of Construction:, Ft.of First Floor:
Cost of Construction:$ _ (}� 0 D _- Utilities SewerSeptic Building Height:
71
Namr !�1. Q 1 �( Name: IC
Address: Company: LC 0�d
City: StateF Address: A npflal
Zlp Code: 3uG 5 Fax-.-- Pi A City: (,e— State; P,
Phone No._.1,�1;_ �� _ Zip Code: ,34q 5 f __ Fax: R-
E-Mail: 91-A' Phone No. 11 ` pl- L 41
Fill In fee simple TMe Holder on next page(If different E-mail:
from the Owner listed ahme) State or County License:
If value of construction is$25011 a more,a RIECORDEO Notice of Commencement Is r"ulred.
03/06/2018 00:19 7724663737 BOYLE PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGfNEER: 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:_ Rhone: __ Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit
St.L44cia County makes no representation that is granting a ppermitu�ll authorize the It holder to build the subject structure
whlch Is in conflict with arsy applicable Home Owners Associatfon runes,bylaws or and crvenaM Mat may restrict or prohibit such
structure.Please consult wftr your Home owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,in ah respects,perform the work
In accordance with the approved pians,the Florida Building Codes and St.Lurie 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 fsilwe to Record a Nodca of Cammancenumt may ntzt t 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.
4,7
Signature of Own /Agmnt/ a Signature of Contractor/License Holder
STATE OF FloSTATE OF FLORIDA
COUNTY OFy-W 6Q---6ik-
COUNTY OF St,
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The f of hu a was ackn before me The fp oing in nt was acknowledged before me
this day of o20 14_by this JL day of 70-.d-by
(Name of person acknowledging I (Name of person ackne wledging)
(Signe re VP
AffllfnIWM) (Signature of Notarybhc, to of Florida)
°s ry Pubk•iials of Fiorida
Perso n mi684Zuotfugldl flan Personally Kno R Prc {�oe � drt
Type o Aradoet!► ir"I Zt 2020 Type of Identifl jury P ,:c t�t�of F lorid>K
/MMO COMM1110 r GO 01 fail
through Niuo��ai NOWMlft.
Comm
Commission Na rid MY comm.E>Di ,2010
fhrauph �bM.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ---
COMPLETE
INITIALS