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HomeMy WebLinkAboutBuilding Permit Application 06/13/2018 21:50 7724663737 BOYLE PAGE 01 ALL APPLICA-0INFO MUST'BE COMPLE'MID FOR APPUCA11ON TO 8E ACCEPTED Date: Permit Number: • RECEIVED) Vw Building Permit Applitatio Planning and Development Services N 14_ Building and Code Regulation Division Count F mitbn 2300 Virglnla Avenue,fort Pierce FL 34982 y, 9 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line LLO V �j� Address Legal Description: Property Tax ID#: I S.( 1- I I I- I� ©cc if� __ ___ Lot No. Site Plan Name: Block No, Project Name: Setbacks Front Back: Right Side: Left Side: 4 *rV +0ne` .piCW it- wo InesVDAI r' palworKlObonerformed under eckali that apply: HVAC Gas Tank Gas Piping 1:1_Shutters O Windows/boors IlElectric LJ Plumbing []Sprinklers I_._I Generator Q Roof Total Sq.Ft of Construction: Sq-Ft.of First Floor: Cost of Construction: 14LMO.ob Utilities:0SeWer OSeptic Building Height: Name 'E Name: Ll Bnylfz Address: Company: City: State:R, Address: Z Zip Code: 3 Fax• City: XStater Phone No. 1, alp Zip Code: SASI E-Mail: Phone I Fill In fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or Cou ty License: If value of Construction is$2500 or more,a RECORDED Notice of Commencement is required. 06/13/2018 21:50 7724663737 BOYLE PAGE 02 'UPPLEM.IENTAL CONSTRUCTIQN LIEN LAW INFORMATION: *SIGNS ENGiNEgif; _Not Applicable MORTGAGE COMPANY: _ "Not Applicable lame: Name: . resst_. _ Address: Sty: State:_... City' State: 1p.__--- Phone: _ Zip: Phone' ff SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable lame: Narne• Iddress: Address: :ity: City. 3P., Phone: Zip: Phone: certify that no work or installation has commenced prior to the issuance of a permit t.Lucie County makes no representation that Is granting a permit will a�orize the it holds to build the subject suture Mich Is In conflict with any applicable Hoene Owners Association rules,bylaws or an narrcs t�rat may restrict or prphibit,uch tructure.Please consult with your Home Owners Association and review your deed floor any restrictions which may appill i consideration of the granting of this requested permit,I do hereby agree that I will,in all respecb6 perform the work i accordance with the approved plans,the Florida Building Lades and St.Lucie County Amendments. he following building permit applications are exempt from undergoing a full concurrency review:room additions, ccessory structures,swimming pools.fences,vaslls,signs,sumn rooms and acteswry uses to another non-m9demiai use YARNING TO OWNER:Your failure to Record a Notice of Commencement may resuk in your paying twice for mprovements to your property.A Notice of Commencement must be recorded and pasted on the jobsite Iefore the first inspection.If you Intend to obtain financing,consult with lender or an attorney before -ommencing work or reco Ing your Notice of Commencement. signature of OwnelfAgent/ Signature of Contractor/License Holder )TATE OF FLORI 1 f rQ , STATE OF FLORIDA Sty :0UM"y OF COUNTY Of, The forgoing instrument was acknowledged before me The forgoing In ent was acknowledged before me thisI i40-day of l Vim , 20 i r ,t this jL , day of 2Q by .. AI F. Bme'., Name of person acknowledging)T (Name of person acknowledging) &�z (Signature of Notary st, of Florida) (Signature of Notary Pu a of-Rorlds) >ersonally personalty 1(n I n Type of Iden r� � 't Type of!dent ous commUSimr r:ommisslon Expin�t,2020Commissionscion rf .Espin4 Aug 21,2010 Revised 07/15/2014 REVIEWS FRONT 70MING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS