Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I Date: Permit Nurrber: C�/ RECEIVED We Building Permit Application MAR 3 0 2018 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 1� Phone:(772)462-1553 Fax (772-)462-1578 Commercial Residential PERMTAPPUCATION FOR To Select ftMdgJDc V, dick W-Cwet the end of H4 4Q ';)E' PROPOSED IM PROVENENT LOCATION: Address: S-O/ / L, e s Or Legal Description: 1`L S e �y e k n 4 g 4 ,o,, - P 11 Qs e I I /A - .Loi pl y C h a p 3 3/ anti � (_ C,>C 9 � 9- 3L/ �( 1 Property Tax I D It 33 a. I - `�c)3 -y o-S-'3 - 0 0 c) - (o Loot No. Site Plan Nan-e: Block f\b. Project Name: Setbacks Front Fuck Right Side: Left Side: DETAI LED DESM P11ON OF VAoORK pe-mCWe c.,nd re 0Jc{ce Y '1 UctrQye ©oor- OONSTRL)cnCN INFORNA-F!ON: AcUtionaI\Aor1<tobepertcrTL-du thispen-rit-checkall apply 11 WAC Gas Tank E]GasPiping OGenerator shutters 0VUrrbA6/Dtaors ElElectric 0 Plumbing ElSprinlders Roof Total Sq. Ft of Construction: Ft.of First Floor: Gast of Construction:$ ; 0,2 �� b b Utilitiesse,ner F]Septic Building Height: Can�t�ER/tF55EE: C OMRACMR: Nanre Kc �h I e e.n Kn 4 h f Ivarre: I7 a l I4 5 , I(e r Address: ?SO /1 G n 4 c,�- )'on Lo ke 5 D c Company O tier-hC-ct d foo: ( +he Tre4SJrc�o« t City f C T } �y C.: e State: �� Address: 3 �S-5/:: s ca l c Z p code: 3`1 q`6,� Fax City: R . V;e-'C' e a c-h State:.A� Phone iib. 17 )d, ' SJ G - 1 /.3 `i zipcode: 33yo N Fax E-Mail: 13K 3 CC) GG I . CGm Phone No. -5-0- Fillin fee simple Title Holder on next page(if different E Nbil: C.co"I sones OUer-� C4c-/00r}-c .C C''n from the Owner listed above) State or County Lim-ise: 5�2 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEIVENTAL 0CM— RUCTION U EN LAW I WONVAMON: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Nat Applicable Name: Name: Address:_ — Address: city: State: city: State: Zip. Phorie: Zip: Phone:- FEE hone:FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Pcldress: city. GtY Zip: Phone Zip: Phone: I certify that no v"i<or installation has commenced prior to the issuance of a permit. St LucieiG makes no represertation that is gr`antire a}grit wiII authorize the permit holder to build the subject structurewhich is n conflict with arty applicable Horne Owners Association ruies,bylav s or and covenants that rr>3y restrict or prohibit such structure Please consult wth your Hare Ovuners Association and reAewycu r deed for any restrictions whch nW apply. In consideration of the ganti ng of this requested permit,I do he�agree that I will,in all respects,perform the work in aomrclanoe vith the approved plans,the Rcricia Build ng Codes and SL Lude Couity Arr erx rents. The fdlov,in g Widirg permit applications are exempt fromuidergoin g a full concurrency review.noomadclitiens, acoesscry structures,svurrm re pods,fenom\Arils,signs,screen rooms and aocessory uses to another nonresidential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for irrproven-ents to ymir property.A Notioe of rrust be recorded and posted on the jobsite before the first inspection. If you intend to obtain fi nand re,eonsLA with lender or an attorney before tion nenci worm or recordingycLy Notice of I-V-.~ �� s Sr Ove/Lessee/Agent Sig-iatur,6 of Contractcr/Lieerse Holder STATEOFFLSTATE OF FL COUNTY OF hal/>7 �ec C h COUNTY OFORIDApqJm 3eccc{� The for png instrument was adq-,aAeckpd before rre The forgoing instrrur-rot was aclaioWecoed before r e this ),I claval''Ma r(- 20 /`(by this /02 day of M a r r-h 20 by Da11a s �-t ; ►1e� walla s ��Ileo (Narre of person adeno tilecl@ng) (Name of person adTKW ed0ng-) (Signature of Notary Public-State of Rorida) (Sig-a ure of Notary Public-State of Rorida) Personally Known V", OR Produced Identification Personally Kron V OR Produced Identification Type of Identification ProduEd Type of Identification Produoed CATHLEEN TRACY WILSON Ccmrrission NOTARY PUB ) corrrrissi NOTARYPUSUC (Seal) STATE OF FLORIDA STATE OF FLORIDA Revised 07/15/2014 Expires 91712019 Expires 917/2019 REM BAS FRONT Z0r\1r4, SLPB:',\ASCR PLANS VEGET•ATiCN SEATURTLE NWIVCROc COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS