HomeMy WebLinkAboutBuilding Permit Application 04/30/2018 01:26 7724663737 BOYLE PAGE 01
ALL APPLICARLf INK MUST BE COMPLIFTED FOR APPUCATION TO BE ACCEPTED 611)
Dates
a Permit Number: V'-6
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fon Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential N/
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: ch,2
Legal Description: (ILL P S S/A fpm' a_ (( I C)T" 35 _
Property Tax ID#:_l3« -'301 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
wf•, � �� h 1`I. .11 Il V 1
Neal-
Condu� M�al�[ �►��ICX 0�1 �r 4�a�f�r �oae( �CB>4 ��]uN�-o�s
'k ONS 'i .}NFOR MAJIM. 1 '• ) .I.t c INfi 7�' I 9f o ,.q,'I,d, ` < �''
Additf9hal work to rtormed under this permit-c e aR tLiat appy:
HVAC Gas Tank as Piping _Shutters Windows/Doors
11 Electric Plumbing M5prinklers Generator Roof
Total Sq. Ft of Construction: ,, Ft.of First Floor:
Cost of Construction:$ 5 n.Q p utilities Sewer Septic Building Height:
4
q
Name 4 Name: IM(In
_
Address: ' ompany: WcV15,PJ
City: ftcl P(u(L Stater Address. Sli05 A
Zip Code: 3l5 Fax: City: State:
-
Phone No. Zip Code: 5l Fax: -11.1- Qjp^3773'
E-Mail: Phone No. 4_(p(' 4{( 4 1
Fitt in fee simple Title tWder on nW page(n different E-Mail: 0 P.G(f'�
from the Owner listed above) State or C unty License-
if
icenseif value of constructlun is$ZSW or more,a RECORDED Notice of Commancemant Is required.
04/30/2018 01:26 7724663737 3CYLE PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
dE51GNE ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
�Y State: City: State-
Zip: Phone: Zip: Phone-
FH SIMPLE MU HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: ---
Address. Name:
Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced priorto the issuance of a permit.
St. ,re Countymakes no representation that is granthtg a mR r iN authorize the permit holder to build the subject structure
whit is in with ar�y appikable Home owners on as,bylaws or and L.venants 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,wails,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fallury to Record a Notice of Commeixenumt may result in your paying twke 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 recordin aur Notice of Commencement.
Wure of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA {�
COUNTY OF �T �1 �� COUNTY OF �1•�l
The f Ding i not was acknowledged before me The forgoing in er) was acknowledged before me
this day of 20 Jby
this,�day of 20 byrn
50�
(Mame of person arknowled ng) (Name of person acknowiedgi )
o'.
(Signature of Notaryii�c state of Florida) (Signature of Nota b�pc State of Florlda)
Personally K XOR Produced Identification Personaily Y Produced ldentlflcation
Type of Iden Type of Id
WilarY PMNs-2 Florida CornenreI �Y Public-Stto 4
Commission A►ion 011AN ! ion M q4 iij 14
MY cornin.Expires Au0 21,701'0 � +•F �'Comm•Expires Aul 21,2020
Revised 07/15/2014
RkVIFWS FRONT ZONING SUPERVISOR PLANS VEGETA-f10N SEA TURTLE MANGROW
COUNTER RLVIEW RMEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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