HomeMy WebLinkAboutBuilding permit application 04/01/2018 22:36 7724663737 BOYLE PAGE 01
ALL APPUCA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number-
RECEIVED
Building Permit Application APR 0 2 7010
Planning and DevelopmentService5 Permitting Departm nt
Building and Code Regulation Division / St. Lucie Count,,
2300 Virginia Avenue,Fort Pierce FL 34.982
Phone:(772)452-1553 Fax;(772)452-IS78 Commercial Residential
PERMIT APPLICATION FOR. To Select from dropbox,click arrow at the end of litre
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Address-
Legal Description: �5
Property Tax ID#: Lot No.
Site Plan Name: Block No_
Project Name:
Setbacks Front tack: Right Side: Left Side:
ul� r U
-'&q new RuaD o f 14S659646WK Ott,
10 Kul KeOet;..
Cor�dP.�► M oft : R A t*9 1�,Vr OA P;r qoltier Lode-I #f-K I P 3617 s•rA0U_'4
OW fl�ucnq
nal wo 0er orme un s permit— a app
HVAC C1 Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator hoof
Total Sq.Ft of Construction:, Sq.Ft.of First Floor:
Cost of Construction:$_ STDU, utilities: Sewer EJSeptic building Height;
Mame Name; M&
Address: 300Vki 0" Company:
City: Mein State: Addres,5:.601A TUM
Zip Code: 146 Fax: VIA City: 1GP _State:
Phone No. - IU' a%-)t4L5Zip Code: Fax:
E-Mail; Phone N
Fill in fee simple Title Molder ata next page(If differentE-Mall:
from the Owner Iisted above) State or County license:Chi 9 13119
ff value of construction is U500 or more,a RECORDED Notice of Commencement Is required.
04/01/2018 22:36 7724663737 BOYLE PAGE 02
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DMIGNER ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: Name_ .Not Applicable
Address- Address:
city.. City: State:
Zip:.. Phone: Zip: Phone-
FEE SIMPLE TITLE MOLDER: —Not Applicable BONDING COMPANY: Not Applicable ^w
Name: _-- _ _ Name:
Address• _ -- Address•
Zip• Phone-... Oh►
Zip: Phone.
I cedWV that no work or instatlatlan has oxnmenced prior to the issuance of a permit.
whlrhe is�C.ou ty makes no rep that is granting a It 11 aut orize the It holderto build the subject cture
ich rA►diict with
any appl�kome owners suss ation rules,b ora covenants that may re {ct or press tt such
structure:.Please consult with your Home Oumers Association and review your deed a y resp ictign5 whits may apply.�
In consideration of the granting of this requested permit,I do hereby agree that I will,In 811 respects,perform the work
In aexordanee with the apprumd 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 struetare s,swimming pools,fences,walls,sign-%screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your tante to Retard a Notice of Cammemanent reay reastlk in your paying twke for
Improvements to your A Notice of Commencement must be recorded and posted on the jobs(te
before the first inspection. you Intend to obtain finandng,consult Wth lender or an attorney before
commencing work or recording ur Notice of Commencement.
Signature of own Ag a Signature of contractor/Uce Tse Holder - -
STATE OF FLORIDA4 STATE OF FLORIDA 6f
COUNTY OF V1. coulm OF
the forgoing instrument was acknowledged before me The ng in ent was adowwiedged before me
thisday of� 1 , 20 W by this I3b11 of Audi 20_W by
7 tll�_ r 8
�i oma( r. bulb
(Name of person admowl g) (Name of parson adeno Ledging)1:
.
1/7
(Slgnature Of Notary rlc-State of Florida} (Sl ature Of Notary -SS to of Florlda)
Personally Known r :2-10'It Pmduezd Identification , Personally V OR Produced Identipeadon
Type of Id 'type of Id ,�
OlMlilriNE J'QONWEL4 *01rt►y Public-aim Ida
eommissi 1UOlar Public-gu1��lAa Commissio 2100,0(1
00 0(1
ommlaalo0.OQ 011i3li My Comm.Expires Aua af,ZptQ
M Comm. it
e Pund'I111MAP Nahonai Nol11r Ars.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUR'TLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS