HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:tg_7.n . i Permit Number:
,I;�„,�; �..�r_-RECEIVED
- -
Building Permit Application JUN 20
Planning and Development Services ST. Lucie County,201
Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line1
l
a!%:../r"Oiuo/,., r �,,,/ rte,i- �/ r,r,„..r/r ri/., ,c %/'/',/!, ....,/ yy/✓///��o/� / r// //r /.rr//..t: %% :iii /rc rr /j// /, %/! ',
r s. %,:- �, �/ �/ frya � � 'i F pry.// ` � ✓ G//� 7%
Address. 70?/ N�T��S ,SL U�, �NS�/y --��TCf.�Q�/L► `�7175�
Legal Description: NE��S lSL1g9� //JCa �G�ND� ��S'���/y,.v� T/���1- %��
1rSf��
Property Tax ID#: 7J 'c-d1 L9lP1s s— Lot No.
Site Plan Name: �/ '/ Block No.
,
Project Name: )W� 7NC WA -k
Setbacks Front Back: Right Side: Left Side:
r /-
o;
.,„//
D�:
/�„��////�' /' ,.✓//:y�,//,.,:..
DE �ArLED D.E Ri��'T(ON, ? WORK / �; ,,.,
,�, ..,it r y/-✓ 9 / .rr/,..,i....,., ,, r a,r .-. 4,:5,.r.,,i.,i/// r� h. ,m-///. , r e is ,. / //.r�-:,:✓�,/O/r/'i///.,,,/.,..
, iGi//, /,%eioi„ i,r, rr/
�- - 3 ��� . _ 2 s IN/sw/-�s
waS'�Ids a
0 ✓, 7: -:r�ir r cam,,,!� %' ' ✓i7/'„� r :..p , -,�, �; //'...
r,� , ; �r
�,Ctr R,�, STRUCTI� ,�
.r�.,r91, �',:-
,
Additional work to fi
orme un er t is permit-c ec a appy:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
®Electric 0 Plumbing ❑Sprinklers E]Generator El Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
��ll D
Cost of Construction: $ OMd 0 Utilities: _Sewer E]Septic Building Height:
%//QrGr/r/..,�:;:;///NiraE. iR„ E,,°:,/�S�/��;�iiryiifi%////r'/,,.,�,n//i'a�G,y%O/o///r/ /://a•...�.,/D/,9,,/,/, i/,r,,:v..%r , /./i.i. OrNTRI0CC/ I.�rr
/ o,,7L
..,vim��"////,G,rr�i/r,7/%�..:'�'ii„�,,;,D/:/�, ,.,.... ��,,,%//„o .,,;,.:._,r.://v%,, .,,F ;.//,a.,._..U/iiG.r,/,, .,�%i/..i, ,c,.._ .//�io„r..,,,,,,.•..
Name w ELk1,M Name: IG
Address: ,c�.I� ��AWAY'/ e Company: #iF'vR1 z-
City: w��T p/� ffl �/,� State: r_L Address:✓J f� Sl� �L7QR9s7—
Zip Code-33gJ5-�IQ(OS`FFax:�7�7 City:PO-7-'Pr Lel/c �J State:�4L `/
Phone No. SOI- i La 1S 5- / / Zip Code:g7 �g3 4 G�Fax: ,//o?70 s-/1 C/
E-Mail: Phone No.?7.9 - /OS /010
Fill in fee simple Title Holder on next page(if different E-Mail:kirfila. eGs-9 9/Vat , COKI
from the Owner listed above) State or County License: � Qt�Q �
aJ�03
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
L ��`/"
'Ala
DESIGNER/ENGINEER:* Not Applicable MORTGAGE COMPANY: Not Applicable
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: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an9covenants 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,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result 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 recording your Notice of Commencement.
Signature of rer/Lessee/Contractor as Agent for Owner Signature of Conror/Ocense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 67- 4-U 6/ COUNTY OF lvd,Ic—
The forgoing instrument was ac nowleclg�dd,,before me The f instrumenWta�.Acknowleclgecl before me
thioay �Plc this;Zky 0
-J_UA�LE ,20M by20/k by
MC C_j e7,D/y10902- 601nh�
Name of person making statement Name of pers n making statement
Personally Known Y OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign 8 ature of NotaOublic-State of Florida (Sig _ature of Nota ublic-State of Florida
-�Commission No. rj�qg/831 (Sea])Commission No. IF Q (Seal)
_&V h- NO18pj P,jhfir fate of Florida
< 7� -
9 . Kimla J Sino l 10 Klmla J Sknoin,
REVIEWS FIR Ize 193 'PRAVIS PLANS VEGET I A CRO
COU T sne REVIEW REVIE OF 11
DATE
RECEIVED
R0,
DATE
COMPLETED
Rev.8/2/17
M""
"" <,,. c,,?> ,,.>> �„GA axV<. .at c a. V3.,`c` `� ;,,: .y. \�•':s? �' x•
i k i ��+3x:=C "3: �^ e h >r � k> Vie, ,r• r
a
� ?a.
�
v<;z
.�,��,� Z ��.�h3,�•°a\ ?o�'�`ro\ �<�,�o �����g ,ay"'�c\a�,<i��,<A��6 \. va ���<�_
a s�s. � +:.\� `� fix:�r�� ,,� <�,3„>� ��\� \ �\'��z�a,•,�,,.�"e� �3 i :'t;� s \ \��..
iza:3. ,k.ak°tF," A:e, r �nii.,•1.,: t i �\„„� a h,� c' cR`„ Q:.
'� art* <a,,«�!<� �a�3 est., ,� n :3ya.'l� � ���,i" � �\ �x ° � '�u�' •��� t�;z
1
avuY .y .� e Wiz; �a::H'�� r a �_..a•5 > ��.� ?,a� k� y
°
X4.5
• " c b°da �a a.x 44 �,x '� 3 ``ety� ^,rv«;q $ �`� zs. • \. 4 '.aa^vC �3 «'`,,Y u.
a m x y
C «�' �' t.a•, zy .„� CAi .>x':y ?�.�>„ G.<>n i1 ,. �\ ��'.. yy.a� a �`;�, �-• ,��` �. �A�� ��,�a
,tea,
y C.....,.... .\ ..'.v..,e�t.....\.e.t'�. 5 ',Nb
\
..
,'+
,i.a'S.s r :....' 'a !<... ,.-, a ;.>• .a,�„ t Y �<,.w,
a , v:a .ei. %. ;' ., >;a`; � > ,.@a,.:=s,S t .<.+•;.
>a
T'aa.. ,_
�. e.. ,.,,., ,.
>
..... >'
V. �.. .,.5. "Y.a. .�Aa .\ •.`k.,:3` d � �� :`y<0,av«:� � o\.
a
<v e. •<:. A :x...,, , •a.'xr :, at.m\....: ...
.,,.a..\a:� •,+\ ... <,a.. �..., v<� ,.,. .,. ,�\iv> x,. �wvy� :.,., �\ �, \\ 1�ro 3-
. tRop
,,..>j
...„.,>
�
..
na°s ONa>
q; N,
>A.3,x- ... s •,,:. iz a. :.<,
... ,.. r„ :-n ..a c„ .. y�A.
\a >a>a �a ..
> ....:Vin ,.\ r..<.. .. •>,. r ,.�\<� r. :\v \!>.s .•?\,.. =a=.. a:q a,a
.`sem: .>�, > \ >: _., `.,a:. � :R \, .A�.. C.�z.•,``z�> 'k�>�:
> ... •.:R`'..>. .. .,>. � ., \, a�.,�, .`; 4 .�
a.A3.. ._.r�, m.
_..,_ .. V.
, ::,;,:'., < .. ,:.. a•�a,, .r a..v. ,.ht<:,.>x. �ro..S... ,.. ,. .:.. a ,,..,. Err,
,......
'� a. f. •. ”>`:? ti•�`� >.�.. au a w aro• a N,z .w. `s's1
p• ;,,ee.3.wi>..v n €:..,->4 ..,3..::.i .�lt3i,.,,�...
V�
!, „ . .,:, ��.,„u t:,.,, � .xa ».., ! ..L ,., „ �. <, � � \, g \, a <\€°y.. ',,� �•a,>: a'�
t .,.,, ,.. ..Y„ :., .-.,,,.x ., :x<...:.,., �. .x :. ,, ...,. .. >, , .,.< 3. .:,..a k •....ri .. :. afir 4 :,a, a"::. ,�\ .q?A-� ,�\. v:3c3 k:.l.�w +" ;�,,. �>
�� �
�
3 M,• .,vzM•:`_ -ii ':<, 's F k >, `c•,,n k\A `c � �` C ;,a, tYa. �\, :n A\.:.,
„ a
..r _:.. a2.,. u...,§L..,.. 1. 3 <c c., ::: A::.F <,aa"<: ,.,: a b. \. y .'.C.,"a R. «'"'y l,s Y x�4"' `ti, ,•Kv �. Frti iYk a:`ti x',\ ,:4 bi, -
.sp..g,. ., s,.. .w:a> ,.. oD >. tv+•a. .: <. ,. _. ... a. ,...,,a:
n,. „ ..,.q dx :.... :z _ �. >..
\..:>. ,. ,y a =. ....:Z vn , \. ., ,Y.
w_.. -w>. ,.«> to . :..>.� >a _.. .. \ �\
.. , "...= 9.. ,. <'',< ,3. .t.. .> ., h ....> _ ..... <. � ..a ». ,..,e ;Are .... , ,,... � „a.. -\, y \,.`w...iz, z, f:\. \ ..<.�.
.`\ ..,. �, >,...R ,., ..�:e.\. ?w,3'- .o-..� g..".. ., ...�:.,�ak \ v<\,. \.`. �... aw.v, N.. ,.:: \`�.-
-. ,` �, \ b <. � .. , „..� „fah yi ,, �.. _,. � ._ �_ �`�>. �\\. :� �.�.
„ ...... ,:....,.. `^a> �> ss.a y , �. ,,... >... h3.... ,c,.. :>�,`\,.,>. <,. �:.� L.. C,.-.>,,� < .., ,.. ;�. � y <4'�>.<' z,.. +a�,�.:�E a°"a v�:,:F'S* ::�
.>. _ a..
.,. .,.. x .. ,i. s`\...,
:,
"aA:•aa, �_„.x -",r.�: ..,SRI, >..� .v...,,:.,�.a. ._.,.. .:•.... -cc ... >.... a ,.>..�. `b.. r.,.�� w\� :A,ac.. �\`aJ _b�, az �. 'xx �wc
a�. �� ,. .> . .>,,.. ., .,,,>. sa•,:. .t.q �+'v.....,�. w>..->._ < ...+.:a a> F. �s<=,..a a \C �,C\ �: a,
r., .,. x,.„sa
.. .,ir. ., a n ,a. �;.r�<. �,,a.,._..,,. .*• .xa� b;�>., ;\ & z,. Y .y\ ,e:a v.�. sha � a�^
Ir
;�*�._'Y �c: .wr;� c �`.,\' , _q.:.a a�x �R`�'»r a\ "��.:;G •u�. c
Wo
y -x >.. „
.s.. 1..
f •>..: 3j, , 'x 3 >;w.,,4.
4 «..,{. ...?•,s 3., , .. .r L v,+T� '} bG 1. Rro\y>. �r:; ..�,. .p'a.:
m .>.$.. ,.,.., S.>.. x,:; a«.^. _:.• :>... .. >. <:<* , ,.. a' .,i"'. , b .>.� a 3t`xc >v @ \:, Vit.
of =.A so oily
\
\ .t .>, .a. ...a a„s �v,o..-n., 4, .�..... >a ,.+.. , .. : x.,.�.., \ :. ,.,.x'�•'R ,,..� �R<, ''<``,`�
F.•sk> .y,..t M,.,, ._ s3.a.:..r.._.. ., �. .,. .., .v ,.... a �'�4 .b :+xq .>.z..\y ,r"A ..< b,.3.e roN•�:.a \ \. :*_. y. wa�3
IN ..,� e -<,.,. ,„.. ,.....\. `z ��z a...':,*,. .,a moi., ..�.\,<.\:,, .< �t�.a:, z .:,:C z,•... .:�-:.. x. .„ � .. . ,�a.\R\, �: �.. � � ��.' .�a w,v ..>''•
A ca...... ,� A �',� •` \\� e •'v
a ,:. .., z <. .a:'w. ,,....a 3,. ..>.r, .. u. a..... m ,ti C>\ ��•. �'e -MI,
., pm, ,,., e9: ,5,. « :� ....,`ea .?<.
i \ A-`. ^ -';:y > ,;._:$w .. .<..,•., s:.,, >,,, ..,<. - .a., �,,. +ate... sro� .
,. .a>..V:.<"� .:.. ,. .,. :: r, a. ...1. �.,:
r
a 'a,
<�,\ .:. �., .>,... .e. ..r-.��'. ar. ,tet a.r> ..« ,.< �:3•�,�.. a, .\... �>. +.�.. �;...'„ `e '��� \�
< A .a _v •. t < .,..t,..
N__
..,. �..'#` ...,,.. �C.:�ma ..p. '-1 •: '.�. � .a b..
o ,. �...< 1:...,... ,.
f, - y<._. ..> „ ., > .. ,A .mw ^..: Y� , at
fry, ;�a .°'1:.,....,. .w = a 'C a+a a R r..a h ,.Xa
., i ,yl,....<- c. ,v .t.. ._ n: < ..:.. ,ha, : .:^, ,`.i..:. _ <.. pQ
� > .,..,.. >e' :Y.. ;,.. .�. a..,. a1 .. >,. < .,a".x..: .�? ..:, ! MWE” x
r.a. ,...,�.
- a .\
cc
\
..,.... � eG<.::a b h. - ,... a, .,r-, �..... ^C r ', ...,s ...r:%at;�h £.,#' .�.� •£ x. y h \.. \ �.. ,�.
�.,.. , ,. �,\, s, < z. , _, u.,. i�\. a.. ,.a ,., a.q.. zx.�• r.a�.>: .,^ra ..`;F \... :�� �. �<```�`
«>;.:: .. a.<e,::a, :A .. ,... .•A .>k.>.:is �: ,x,.? •gR', :#:: ,.��r,aaF:>,,„�..,_:^a'n•,.e�� e e� \..v �a�s,<�, '\\. .'ta, :� '�< R'�.,...:\ ��
a.
A
� 1
.�a
a .,� .a,n.
_
\. ,.>.,•..\ ..tea .l...�`,,.. \W,: \ :.: ^< ._y' �,.:' "'
.:a... >a ,<
,...,m, ..«,_... :.
,.>.. < �.s c :., v. .i Rw•„\a.,, �i o3,\ \\\\ :4.„ a,.. k.w �.r�.. ��y :\...,b.,aa'..'"x ..�, � \ .e .. •`w � :c,::. ,V,r. e \ ���a�
?$�..�; n 2�S =.. •'„ y. ,. ;;:. .•a �H s �\, as a, >1 i a�s„t� � � >>�\�>\ \ - �'\\\� r •L �. a`\`y a\<,
� ���. s �'< ,� ,•a,� „_ e�. «.„. ':.: .a}\... .:_�:; �:. "k �:, � t:aay` ,y :�... �� .=AiVy \.:�� a.�<,���� ,.�,.,� �yc
e :: „. •.k'.�.a M�..a.. a.--�-:e e <,::.., A =, „ r -'l a Sz. d.,. ., way ,.-:: .,” ..baa ,. „, �. .. �,' ?.\•\\, \ .\ ..R, ',A,�Z.,.
a. al W:,a. ,. .<..:,,e ,„. ,v..••>: e:,a� Y.' ;.< _. ,,.s<.>an'F�.•,;!>.>,.,_«��`..r:a,.
Y; <•, .,,:; A \ wi s. wa
Val vi
:?
a
n s
,
...
y,...
h..:., k,.. .. .> ,..,..•z .. >,
a.. e. q 'ya -x:: .e •>.,.. ,\...t>,a\,\ ., ,,,, 'a ,ly •v'a
\xt:
,.5\, s . - ,<.n, �,.., .,., �,.. c ,.....„ \ .?.: .. r., \. �•. >2., ,. _h roSR ..£V a.- ,. ��� .,?. ,:,, .. ,A 4a ..
.,yta>..,.>`aF°>� \,az'.• \
a , .y .. .+.tea....„., A. .. y...y..0`a< a..3,, \ v �"a .`\z. A .:a, -. ..,., -,. �. .w-, r�•.,, .w .„ C.e? '.,.. "�:, u'\�1'g'>.;.
xy r v..
A �.
x. a.ri �:..;y� ..'4.<.� \iz,:Y, xY>, ,yz�..., ..,., ., ,.... � � ... :, \ nv�. a <•�.� `\`a ,L,.
a. .. ��
;.: �, a. } ,g.5 .. �.Mi ro \y , `::.... ...\����`' a .�....,,a...., ._ ���-��\• �y� ;: mss.
c :;,.R aaA r.�:: ^,,.�.. \'„\ ,.ea .� 'e?ti..�,�\ Y ..:.:. '\ �s '�"�<x\'°a• 3` ”o3<x +h \,_ :,....,e� ..,..�. � y 4 �. � a�: .. .. �
?a,� ,....?,. A� �A>.'�uv� >x 5;z.. °ni.>..t:a x3x� `+, .. 4 ��.•c sa e C5a°... 5 -,.�i A ��.�.: ..a.: a: :.Y. m .,. \ ��:.va �,^��1�`�`�� �w „fie .;a
i y;a z. 3 q. a, m xy a 3Sz '
3 a` , �° x ' y €k ° g okra by¢ a a '6 \ \ t
!Nioxwx ? 3;, d r ;?^ '.t �t >xfi ! r t a \'
` 'PAW'"s �+cs."r•A3 r s h
k`€"�2�,-£.
[[5 `r yA R V\ r d c`a, r -• iY '� '\, :z• Ra` ate, i. r :NR<. y a.s i. 3 ` .'., v
I ! „".<S x-i a
gni
, u
>
a `
.,e'�br.,. `4#'�€ •a\4a �: � �,: ��..;.:, \�>.. < `\"� a. �`a..::. � >. ��cr ,. a :«.. ,....;,y.� Y-.t...�`a � \.`- .` a� •
a, a.:a ,�F. c ,� z>. \... as ,.,•x`? A. <..a ' `,:. .,:. .ux3 C.,..r"� z*3 :., a "a ,
,,'h: yk s `aA u...«ca .. ,3�."�:a. x: ,.a .:a. `` .5
,� :>a.. ,;a r: ,. c ,.�;�, t ...� °, .., ,..,.. ...y..a� .,�>r.,x.. ��a
-��„ > �\. 3 \a.a ga � e . .
<, :...,: <, . ,.,.. � say,
a,�\i l l �: t \ .#?. asa3. C. ,:.. �~*,A m \4 4'a^°.,. y>. r. \..s.••!',Ac..� t �,AC��a.�
� t ,, ANN
:xry" >r a t r,3` ,'y l >_ S �atcF, i`qF. ;, ..,y vs v
11'
� .yik, A'v e rw�iv <t A i
�'
MUM,X 4„ }ixq \ 1» 1 ! 3 6 b L t h t t k
$ rt. 'k Tv'a ` Y3 a _ i a Z”, g t yk u
a +r r.,�+°�A.a'"� kh'\a�,i✓<+3 ,. >w' :$a a' ,.:Yio v x a. '�
h �c_04".15—M,�'15z at a.
sS ?
.., h. � �a
tv w h 4 �
,= �
� a� ,"`'fie r� ''C;q va. x. a� A a ', s :v's ,x' al, � � � ,<� .. �,. •. ,
.9 4.x ��.�•m.�.�'d ..Q !�,�..�^ ,Axs +F°',a..0 o�a� may,=,., ar a°' :�a.,,a Nth ,.�.�.