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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,2 , Date: t T I gs Permit Number: I 0 ti -'' . L .c.'-. .R- 4 P ' ciummimminmommiiii Building Permit Applicatilan, os ro8 Planning and Development Services -$4(N�'At,- Building and Code Regulation Division -00e 44#7 t -2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: ,.,...' 7 t }' sr'�"' 'q'..71-1M 7 Z,t, "x+�"+3 s �" .: .7 ms t- .. '.A-DA'..., ai 6 { --,::70- B a d a -ar'- � + _ �.d.'4w-a.�,' rS ._Ec e r�ibx,.-++^ y,..r- +..� 4 -x;. ® t s 1-r• ,s 1'71-4,,- tea,, , is ',�''''4'-� t h s+` -t ,1- - -ti._�� ���cm'ati...�„�,4'��-e-�'� .7-��...:.,�����+��:sP. �, ��.��-'��-e. .,.'n�k� ,.� �7V .-���, y"'}.f^rv....., ..-�.r" ...z�ra�;�� ..�f �a - • t. Address: V s,� ! kfri �1 ;� e� T • .i/ t.Legal Description: C. 36 '10 from Coate e'j/ s' 3' 7S 'Ff-e 5 e .4..*$ Jr 1 JE .4f` re/445 ASC(F¢ rtf cel ® Fl(TT( Rel'A/ G,7 ) a q 4ti(/ I©,8.� Ff -1W r� , vo F- -ft) �c6` T- /1� GC C/ao Ft -I- S I toa,__s F4-1,1-71a racy 510T4, f�) No. �f Site Plan Name: 3`f os---- ( 3.,-000 ©0o - 3 Block No. -- Project Name: Setbacks Front Back: Right Side: Left Side: • , ark,•.4 9 9 M) AM:A. ,moi-G;moi '�- ag• � -};"``' ,, ".nRK--,4—V.R WAR }r' ,,�.... `k,+,.r' tY, t C y : �,, Wt C .ry _; 5' ' ti-' -••41-� ,'. s r h..�t� 1..„0 �' s6i *amu. ' i`p : i ce" 'S a,, 5 a - :.. , rdark, .1 _ ?-a. _r r �-, e`.A.z"aak,a + ',s T,'F '- ;" : 'yt .k,is d,1-,,Z'rcq'` z 3,' -t"1- .fir �w '' s �t rt -''d ���. ^�Str',iisr�.:'�sT+§,1 , s�sa�,........baa. ..v�,�•,.�..�.+. �',9.,�.�ssG,..��`t.���`,¢��-'��,.�`�L �"� �� .u.` � � r, � y Jiffies �'.�'.� �--m-R, ��Vis-�� i�,r L a.� € a.;c...� a�e':J .. ;i w/, . / I//�/ �_1 �j ' - A�sw,, • 1-555`...1 C,p :."'�:' t17g° ,-e..+ `� T- -,1 j ,':{y� p: .m r�,. �`ir r' `_.. e`��A.iV V1-v�,--�"r. s 3 �. s? t 7 t'4,7- -,:..„77:.-.7175r;.,.;... ,-r-� c 0:i c! g �r'y�"' Y 1,I i.of 0 7 i d ...[ v. 1-d ' y.s—V:- k1K4a-- -.,,.'.rte`I r` ��;.':.,-;'1 . . �s r - 'f r . . r ; ,,� -'e'F'. ....,...-m,,,-„,,....4..7:-...,...._,.,,.i Fx,,,f :..,..,,,,,,,,t,,,,,,,,,,,,,..,,,,,- -,, - ^':�-•'S „,rid.: ..to__„,, ` -,,, *-.-�.... gra .. __ ., .w ,,r•,, „ f n5. 1-h. 'i A ditiona wor to se performeuethis permit-check all t at apply: __Mechanical . —Gas Tank _Gas Piping —Shutters _Windows/Doors —Electric —Plumbing • 0 _Sprinklers • _ /i/ Generator. 0f _3 r-4 (Pitch Total Sq. Ft of Construction: • a Sq. Ft.of First Floor: Cost of Construction:$ - - -3(� -S ®© Utilities: _Scwer Septic Building Height: (-5J) "Y•� � 'rte � � _,;� �s-x?`s �'+”' '� rs�e-� t�,�� ,x e� �;'� m"�'K �- s s 9 �l,.� 7,{i' < ";-7• a r.. a '�'C� I c :! 4'4�• tq �r �* .�, ice' 0,,, t x�'� pk.51 moi( ^ { +e l,�„ ,' .i,1- .,; tt -'G' 't.. ..r "Y a' i `}f `� �. -'�-�... ,"`ME,cr�: ,':tzF•' --x1-.{ s,�, 1�.. ' 'i '�^i T,+ R .a r i+- ,`i��..,. k_ Name ;a _ Name: �A A S( <<� . Address: ". ,fir` 4, _D�', Company: s A:!+411i s i City: ai ai- , ' e_ State:_a— Address: .°, Zip Code: '?, Fax: - -- City: ( ,12,0 > c.r/t 0 State: Phone No. Zip Code:....3 3 (14-71s— Fax: E-Mail: Phone No c - o ,Fill in fee simple Title Holder on next page(if different E-Mail .1 j 0S' 73C� e i -� /i�� ;- Cofrom the Owner listed above) State or County License CC_ If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. / / 1 =z` sr 4. zs r T7nt- t ,{r•_ ...-^*r. :•s c ., �'y",s,4""<,c'tS ..1, ,y... Sx Y - P� - �-,:54-on.--4- 4,,V4.,,, r 'cam 3- ri Pl ASE .�1 eVk reT`�ri�v, „``t- �,r, ' -izea'--�r�..- ��i�'8'v�� ;�I sz e1:-F75At rE'F', � Viu 4ti� -0'1.72;.--_-±41,§v-0141." � ,yiy �` "a'rte.., py f p g 4,, I V C'� i ya i r;Li.r t l�,.:i 1011%10 05 y 4�S° o c ..aT. L ,` -'$' fir'_a.. rs,,�r , ,,,,T,..„:°` ;` , -- :ct7i, -t4r,, sF9 c 'e„' _. _ - --.R.,-5..-4.- 3._ Liu. ''. .ra`x_!-�: � -_- I _ ',q,-i. ?e a ic.`'--'�---�- - ' ,41.- 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 commencin: work or rec•rdin: our Notice • ommencement. _........Ar ,' / ARP Signature of r wner/Lessee/Contractor as Age ' •: ner Signatur- of Contr. or/License Holder STATE OF FLORIDA (0_7.--..,-c) STATE OF FLORIDAAl d COUNTY OF /� COUNTY OF `' 1�71-11' The for ing instrume t was of knowledged before me The for o'ng instrument was acknowledged before me this tday of ri/ ,20 fr by this lday of ( ^) ,20 by . ' e— . ;1, iIe Cli-y - (Name of perso • • -owledging) / (Name of person acknowledging) /<, 0 ,d'i'ems 9 mita - Florida(Si ture of Notary Public-State of Florida) (Signa 4- of Notary Public-Sta ofo a) Personally Known ' IW J* Ieit:10..ll14R Personally viz OR Produced Identification Type of Identificati oia'r'�ti:." JUSTIN DAVID CONE Type of Idlti,d r •IQn JUSTIN DAVID CONE ;:. `1 ,- Notary Public State ei Florida 1 e Produced Produced 4' Notary Public-State of Florida ' yy C ommiacinn A GG 16519 -'•?or 0, *Comm.Expires Mar 14,?O 2 ,- `` Commission#GG 196519 Fo iN°r My Comm,Expires Mar 14,21 Commission No. 'Bonded through N Diary Ati,n. Commissi ND:•• •' p I) _—_ _ _ _ �� nal Notary Amit.i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ley.7/2014