HomeMy WebLinkAboutBuilding Permit Application and drawingALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development services
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 line
PROPOSED IMPROVEMENT LOCATION:
Address: Lbc( k- 3114S�
Legal Description: l 1J�'F {C i - d l k 13 " 4 t g
Property Tax ID #: _
Site Plan Name: G�mLtC4 . a- Ed -
Project Name: i>(ft- QL �A)C-455
+ {E
Setbacks Front 2-5 Back:
t -- StD- C)10q - 600- 6)
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1,1541(
CONSTRUCTION INFORMATION:
A itfona war to jeer Orme un er t is permit c ec a app y:
❑_ FfVAC L_1 Gas Tank FIGas Piping _ 5hutters
Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ Z-30��`
00
OWNER/LESSEE:
S Ft. of First Floor:
Utilities: Sewer F Septic
Name +i.c+re 5 C;�
Address: (061 tJ1 6ti-% u--
City: � FL_. State: I't'
Zip Code:Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
A,Q e
Lot No.
Block No.
En Windows/Doors
0 Roof Roof pitch
Building Height:
Name: /�tG(tiae l 1�k Idt�,r�
Company.
Address: ZjO6 S(� Cdytau ' l
City: PSL_ State:l"�
Zip Code: ? 4' 9 S3 Fax: 7 CZ" $? 1-/06
Phone No. 1 r�3s8
E -Mail: e :C. iLtrivto.�64:Com
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants 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.
k&11__�
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA,,-[ 1
COUNTY OF 5 -- I
The for ging instr�u{Qment uuas acknowledged before me
this V day of -' o_11 L 20 (L"'by
(Name of person acknowledging)
(Signature of Notary Public- State bf F
�}�`
Personally Known / OR rd.ui ` tion
Type of Identification Produce 1Z
4
Commission NoV
#CG MUD
1A 9
S
-6L___ Signature of Contractor/License Holder
STATE OF FLORID
COUNTY OF , CI -&C
The forgoing instrument was acknowledged before me
liz-
this !? day of R10r:6- 20 !V by
(Name of person acknowledging )
{Signature of Notary Public- State
Personally Knowv— OR P
-11
Type of Identification Produced
=*= i Commission
l�4�'P6 rAubfic l4h�e�'�Q��~
Revised 07/15/2014 'Oi°q 'trA �\AN
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
GATE
COMPLETE
INITIALS
0A I KA
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
Au r. 1 #1. 2818 11:12AM : ND. 6146 P. 2
• A B ARY AND RECORD SURVEY FOR MpKFF W. WSpICK .
ADDRESS; 609 Willows Avenue, Port St. Lucie, Florida ( `gi('N
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LEGAL DESCRIPTION: Lot 8, BLock 13, RIVER PARK UNIT 2, according to the Plat thereof, on
file in the Office of the Cleric of the Circuit -Court, in anti for
5t.:Lucie Coxlnty, ,Florida,, recorded -in Plat •Bgok 10; Page_ 72; said
lands situate, lyi11g-2nd being in St. Lucie County, Florida.
CERTIFIED T0: _ MIZNER MORTGAGE CORPORATION,.ITS SUCCESSORS AND/OR ASSIGNS;
LANDMARK TITLE -.OF FLORI))AINC.; COMMOL(gALTR LAND TITLE.
INSURANCE COMPANY and. Ci3 hFS N-. r%7YC ig
CERTIFICATE: This is to Certify that chis SKETCH OF SURVEY. yr
[hehoreon described property, is true and correct to the best
C',
my knowledge and belief. contains no visihle encroachtiant6,
males shvr m,. arsd Teta [he Mi n;mum T haical Stsndarda get
larch, by Gfie a("ida Board oflF.and. �rveyore pureuent to Set -
[ion 47 271 F,.Yarids SLBta� s. NOSE; 1VDT VALID UNLESS
SEALED WITH AN EN6OSSED
SURVEYORS SEAL.
/I� This SURVEY prepared from
PROFESSIONAL LAND SURVEYOR legal deecripcion aapplied
STA1S OF FLORIDA REGISTRATION 190.' 't by client.
PHILIP W. LAiNGREHN Seals P.w,
,Professiolial Land Surveyor I Orap
Flood 4one "-Yt'
REVISIONS
PROJECT NAME:
CHARLES -W.UNRICK
1504 N.W. Lakoide Trail. Slash, Fla. 73194 Dale Ong DL,
(Mi 61124254 C 1 C
Sheet. Fuld Book
/01/ -;j�F Pg. sz rn
rewlno No Work order a
No..99 - 1..90.9
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