HomeMy WebLinkAboutBuilding Permit application 04/11/2018 01:15 7724663737 BOYLE PAGE 01
ALL APPlIGI1B� 1 FO MUST BE COMPLETES]rM APPUCATION TO BE ACCEPTED /
Date, '7 Permit Number:
- RECEIV
L MOMS-
Building Permit Application APR .11 ie
Planning and DevelopmenrServices Permitting Dep menr
Building and Code Regulation Division St. Lucie Co r1tv
2300 Virginia Avenue,fort Pierce ft 34992
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox,click arrow at the and of line
Address, B 1 ',- p
Legal description: Ld�kWQPA
PropertyTax ID#: :(p�3•"�fl 3q —Q� Lot No•
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:Right Side: Left Side:
.. . .. .. 1..•'[ .. ....,�.• .. �./i4 :�; 4.4 'l'.[x.i.�:..
`R. •.IC�'. .�:h"p e.il�i',.)t.: h.xP:y�.�?7T:•.,il.r:;,,r.i.io-;�..
� r i
.. , ,.�, u •�- .a W �. ..,..:. f1.1'ti�ri,���it'?i`f:•� �>�Y.�ii��'i` �'I':il.i<i:n:�•�'}'•JX•I '::�':�
1A [,i la: _U!5t t 13 -fan, l�/5 ! AC OVIMO
� u ft 10<W head
•;..', � ,.. .:•' ....... •. .. f.• .' r.'..r�"' �� •�iS:`::r:`• � :.1•:^t'i:.�:�t:�'S::";J:�:�:,::s4,:°:;li" '�;:t•�. •;i
��,' <:. .:. .....����. i M�....�:.•.. •.f ......f [.(..,. :yr��.[ - �f•:.XSj..�S:?�:•�Y'Hro�r/-..�,! vf4'J(.: _^Ir/�.�;5:."....n•,�..J..:.
•I.
AdditlWl Work to be nertormedunder is perm —check all apply-..
HVAC Gas Tank as Piping _115hutters; Windows/Doors
OElectric Plumbing Sprinklers 11 Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ �. OU UtilitiesSewer 13 Septic Building Height:
' •'t� •. '.•,...,•....�. �:Ylr tion' 1'...•j
•.�M,.,'�•, ,• :� �F',:`.r .,l: ..:: .... .. :. . •. '..�'' ��"N�'!p'.}`':`r°' .`:e:!:r ':",1 rY._I..;
Name Name• l
Address: Company: ( ( t r G
City: k Ili'( State: - Address- 10 A T
Zip Code. $051 Farl NCity:__t�[l�(k'�ZQi�I.E✓ ----------..-.------State:fL
Phone No. ' Zip Code, 31 PS l Fax,'77,2 SIL6-3737
E-Mail: !1Ac Phone No. 77,A "��l-��4
1.1
Fill in fee simple Tide Holder an next page(d different E-Mail: bo*Ae.e "MWO.co
from the Owner llsbed above) State or Cox ty License:CAC M I M4
H value of construction is 0500 or tnw'e,a RECORDED Notloe of commenermem Is required.
04/11/2018 01:15 7724663737 BOYLE PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENSINEER: —Not Applicable MMC2A,W COM ZANY: �Not Applicable
Name- __ _ Name-
Address: "_ Address:
City: State; City. State:
Zip: Phone: Zip:—Phone:
FEE SIMPLE TITLE HOLDER; r Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: city:
Zip' Phone: zip. Phone-
1 certify that no work or installation has commenced prior to the issuance of a permit.
k cle Counttyy makes no repres tion that is granting a permit wilt authorize the errt�It holder to build the subject structure
is is in conflict with any appllea a Home Owners Aswclation Hiles,bymws gr agcznants that may restrict or prohibit such
structure.Place consult witty your Home Owners Association and review your ee or any restrictions which may apply.
1n 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 acce=ry uses to another non-residential use
WARNING TO OWNER:Your fallu re to Record a Nodee of C.anunet ment may resile 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
commencing work or recordiniz vour Notice of Commencemexnt.
Signature of Ownetna 5lgnature of tontractar/Llcenst!Molder
STATE OF FLORIDA ` I'A,' STATE OF FLORIDA
COUNTY OF I Q/ COUNTY OF
The forgoing instn merit was acknowledged before me The fo Ing instrument was acknowledged before me
this�day of 20 4"by this day of _,_,20..,U by
(Name of person acknowledgi ) (Name of person acknowledging)
(Signature of Notaryllc-State of Florida) (Signature of Notaryllc- to of FlMda)
Personally Known��Ofi Produced Identification Pemnally Known OR Produced Identillcoan
Type of Iden ca q Type of
CHRISTINE J.COM LLORRIS
Commis I PUBIC-Sits Comm[ Y►fablic' I"a
Co+wtniuloll e M 01fg n+�M a
21,2020 MY Comm.510418 Aug 21,2020
my cow - Igliel8 No1M Ai1a.
MOMW
Ae
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS