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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED e` Date: 'J!- � Permit Number: T• O RECEIVE® Building Permit Application Planning and Development Services APR - 2 2018 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Perm lttl n g D a rtm e n Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re idFL PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ROPosEb InRo�r�l�nT LoT ` ....,......z ... _. __._, __. ,..:,. �..e.a... .xr.r,k.wx..�,?f,2a''.�...x.9.,e, ��`3 ,�.. . .°,rr..•.,,3tw.'*t�as t' a Address: 3113 Uyy C-- A /� /-ip Legal Description: c50012-156' Pft9-K A)o I 15 S'Q 0 ! Awl) 1� C.0d3H &Q Ort ani -6 )--7 ) Property Tax ID#: d�05-- !�©/- 0100 - 000 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: r,MI � TAlLD DECEIPTON�3V1l ?RK , 011 V"_ TJ .,,w,cr�i'� �.--os.€� .. _r .�„�__zL.,"��R.��«„��,� a,,.._-m,#• ��er6rt.n,- n r . .;..��..., .� ..... RL ollc� EX.IS T/NG, C�il��r�(�E DPOP. LNSI_J+ L WO bA-9 ¢-1LllelzlC�k�+IE �VI�}s j"G/2 /hc�I CG g dcf STI FL (xtf-lr6 ,b00k -V 3<,I-yq 1051= W1 _rN SI-Apvp Ra_)) -rk&e-146 A-V D �M-RDtt, HA2L a 119 X 7 1110-A- )�� �i`'w✓',y' ` 'aLs^' �4 `»� KQ_jza,r�t 4xa�vi}1�J'q}�r'i t. r�„,a ,w#2-,y r k'y .: Y`.�y 's' rr _._..,ar ,.>,_. c.e9,.,�'. a ..,_,..�..�. ,.,.....,,aa..»:...3�,;,aa:9 x_...x _. . ..: .." .., x«�•a .._ ..�..,.�� "r_.->asi;'`r�r ' Additional work toe e orme under this permit-check a appy: HVAC f,Gas Tank []Gas Piping MGenerator Shutterswindows/Doors Electric 0 Plumbing Sprinklers r E] Roof Roof pitch Total Sq. Ft of Construction: Scl. Ft.of First Floor: Cost of Construction:$ ��� Utilities: Sewer Septic Building Height: '�Y VfL. �c7 3�" a Yal_.d x rt i' .�.. '`t iaf YI lA �s.�.� �� i �� �`� � '�4` t Name W py A-LN1V1 6 rp A) Name: C a • L� Address: 3113� &_A1 [L R Company: hagg-,t' �-WI) /0 OR 0 roc Tem City: Fr. 4'Ix&z-,r State:LL Address: 0 7 S.le-1V45 14161#01 Zip Code: 3!J 9 y 7 Fax: City: Ff. L e i State:-(- Phone No. 5-01- 7NC- 1AXY Zip Code: y1g5- Fax: E-Mail: Phone No. 77 a- q - Fill in fee simple Title Holder on next page(if different E-Mail: de-4ttlel o>pprs ad lytere-fee 60114 from the Owner listed above) State or County License: 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 thepermit 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 commertcing work or recording our Notice of Comme cemerg. a s%Jt. F-1 y °9 .... : Siggature o Owner/Lessee/Contractor as Agent for O ignat re o Contractor/License Holder STATE OF FLORIDA "��" TATE OF FLORI!Z�J, a m� COUNTY OF OUNTY OF -uo C9 :2 mca�— The forgoing instr ent was acknowledge efore me a rn he f rgoing instr nt was acknowledge befor a4g m this day of 20[ by `"N his day of 20LO-by z c � 1 a.SU 0 vw c°'T= �e � �A 041 Name of person making statement W�_ Name of person making statement Personall Known OR Produced Identification `ON ersonally Known OR Produced Identific Type o den i ation ype of I n ' i tion Produce Produced -10411111111 111 1A (S.% (Signature of N a y Public-State of Florida (Signature of N to Public-State of Florida Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17