HomeMy WebLinkAboutBuilding Permit Application t�
ALL APPUCABLE INFO MUST BE cAl LETIED FOR Amt tCAMN TO BE ACCEPM
Date- 1��-
, ) Permit Nimben
-
IV It=D
PEI
suilding Permit Applicati MAY 0 4 2018
Planning and DevefpmertSet dWS
stuticringand Code Regulation DMslon Permitting Department
23W Vir+gin&Avenue,Fort Pierce FL 34-WCounty, FL
Phone:{772)462-1553 Fax:(772)4621578 Commercial . 1
PERMIT APPLICATION FOR: To Select from dropbox, click atrow'et the end of lil'le
fi PROPOSED IMPROVEMENT LOCATION'
TiON: -
Address:
�C� s� Port St.Lucie 34952
Legal Description:part of 341 -509-1701- f9-Sph..LBkss One
Property Tax ID !et '
Site Plan Name: Block No-
Project Name:
Setbacks Front Back Right Sides Left Side;
[DE TAILEDIDESCRIPTION OF WORK:
Demolition of mobile home
CONSTRUCTMN INFORMATION:
Aciclitionai worlt toe e m
ored under this permit—c ec c a t appy:
�FiVAC D-Gas Tank E]Gas Piping _Shutters FlWindows/Doors
OElectric Q Plumbing OSprinkters Generator O Roof
TotalSq..Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 4z;_CV-C�1 Utilities Sewer[:]Seprtic Building Height:
OWNERA ESSEE: I~C? TRACTC3R:
Name" =Btilldir;g Carpovailon Name: llflaMew LyletN}mne
Address.-8000 South US 1,Suite402 Company:W Det It ameurt Corpora on
may. Per#SL Leude Stater Address: 80D0 South US 1,Suite 402
Trp Code.34952 Fax;772-$x$-0224 may_Port S€ LcsGie t
Phone No 772-878-5513 T,rp Code: Face '87 4
E=Mall:sue finrlReruebc c+ain Phone No. 772-878-5513
F It in#ee drnple Tale.Hoid+ec on next page(if d':ffre:ent E-Mail:stuegrraiebe t_m
*xim the listed ) state or County Ucense: CGCO359M
if value of construction is$25oo or more,a RECORDED Notice of Commencement is required.
SUPPLE �NTAL COP4STRUCT lON LIEN LAIN INFORMATION:
N DESIG€IERIENGINEER:Not Applicable MORTGAGE COMPANY: NotApplicable
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: pity:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St Lude Courg makes no representation that.is granting a permit wig authorize the it holder to brsilct the subject structure
which is in conflict with anyapplicable Home Owners Ass�raffen rules,bylaws or and+ctavenants that may restrict on 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 ofthis 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.Loris County Amendments.
The following building permit apprications are exempt from undergoing a full concurrency review:room addi jons,
accessory structures,swimming Pools,fences,walls,signs,screen rooms and accessory uses to another n 'dentia!use
WARNING TO Ofllr'NER:Your failure eaxird a Notice of bray rem.in 'ng take for
improvements to your propeyyontend
c {c of Commencement mast be recorded po ed on the jobsite
before the first inspect r .if to obtain financing,consult with lend o an4rney before
commenci work rdir.Notice,of Commencement.
s
_signature orf ,/U swWAgerA SignaturepKorA& /Eicense Holder
A.
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sLuoe COUNTY OF stuxle
The forgo' Ing lrrstr anent was aoazawterlged me The frgoing-instrutnent was ao�arovariedged me
this=osf,� , 2fl\S this aof�.��..�r. ,2{l \X by
tYt0rsewt_y1aVqM-- A1QWMwLyrer41=
(Name of cknowiedging.) (dame of person acknowledging)
6-t 'ire-of Notary P�ubric-state of Flo ' ature of Notary Pctblic-State of rlor'i
` f
Personally Known x OR Produced Identification Per-sonally Known x OR Produced Identification
Type.of Identification Produced Type ofldentification Produced
Ct#mml55iot � ;�ptr- .SUaAi9 h�AGEE a Commission Ado:':"',`F° ,« --SUSAN A��AGEE rs�
r; ,,„SION#FFtl
t: ?e MY COMMISSION#FF 187647
EXPIRES;February 23,2019
Bonded Thru Notary Public Underardters
�E`.V1Se�
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