HomeMy WebLinkAboutBuilding Permit Application 06/05/2018 23:52 7724663737 BOYLE PAGE Ell
ALL APPLI LE NFO MM BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q'j�
_ Permit Number:o`16 ` y' 0
RECEIVED
Plonning and Development Services Building Permit Application JUN 0 6 7010
Building and Code Regulation Division permitting Departm
2300 Virginia Avenue,Fort Plerce FL 34982 St. Lucie Cnunr
Phone:(772)462-1553 Fax. (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPRd MENT LocA-'no
Address: p�
Legal Description: 45 i
Property Tax ID#: 1 -ppp_ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front sack: Right Side: Left Side:
�►�lr�nSe(' Mode #�(�A�-�CSo�� � �1� �ar�lerlulodd�Ct�A}�u��-D�-g
CONUCT-041110,01MOTION
i nalwor o Orme under Fiis perm—it---chocka appy: $
HVAC Tj Gas Tank [jCas Piping Shutters F]Windows/boors
11 Electric 1:1 Plumbing Sprinklers Q Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ ►i��U. 00 Utilities Sewer 11 Septic Building Height;
CONTRACT
f"l��
Name Name:
Addre��:: Company: �'
City: .�. _State: Address:
Zip Code,__W51 Fax:�r�T city: state:
Phone No._ L• J�l -_52.�I ZipCode: Fax:
E-Mail: A Phone No.
Fill in fee simple Title Holder on next page(If different E-Mail: '7" ,",/,
from the Owner listed above) State orCo my License: ('
If value of constructla"Is$2S00 or more,a RECORDED Notice of Commencement is required.
06/05/2018 23:52 7724663737 BOYLE PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS ENGINEER: —Not Applicable MORTGAGE COMPANY Not Applicable
Name: Name:
Address: Address:
may: State.'-
City: State: —
ZIP: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
4ddress:_ Address:
Zity: -- „--- city_
dip: Phone: _ Zip: Phone•
I cert9fy that no work or Installation has cnmmencrd prior to the issuance of a permit.
:t.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject s�r�►�ture
vhich is In conflict with any applicable Home Owners Association rules,bylaws or antJ covenants that may restrict or pm%%, g such
tructure.Please consult with your Home Owners AssoeFatlon and review your deed or any restrictions which may apply.
n consideratinn of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
n accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
lie following building permit applications are exempt from undergoing a full concurrency review:room additions,
iccessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use.
NARNING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for
mprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
)efore the first Inspection. If you intend to obtain financing,consult with lender or an attorney before
:ommencing work or recording our Notice of Commencement.
signature of Own /Agent/ ssee Signature of Contractor/1 icense Holder
STATE OF FLORIDA a.i ,,nim STATETY FFLORIDA �
COUNTY OF VUIY
The f rSoinR instrument was acknowledged before me The Ding Instrument was acknowledged before me
this F day of 111 au 20 iry�J this day of 7{l,{�Q� 20� by CAr
_Q_
;Name of person acknnwledgi (Name of person acknowledging)
(signature of Notary State of Florida) i5ignature of oda)
Ie
Personally o Personally Kn Q
Type of Ides Type of Iden c.
• 6' wklhm 71t 0 Aly Camm,Expire A 1,2020
Commission .Exom020 Commission 11=� �MrouO Na ry Assn
kpW ftrm n Wssn.
Revised 07/15/2014
REVIEWS FRONT 70NING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS