HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO M BE COMPLETED FOR APPLICKMON TO BE ACCEPTED -
Date: 7'~11 Permit Number.
o
RECEIVED
Building Permit Application JUL 10 2018 -
Planning and DeveloprnentSer0ces
Building and Code RegulatlaeDiuislon yuci Coon -, Pe.rmitting
2300 vrgintaAvenue,Fart Pierre FL 34982 s .
Phone:(M)4§2-1553 Fax:(772)462-2578 -Commerdal Residential
PERMIT APPUCATION FOR: To Select from dropbox, dick arrow at the end of fine-t
PROPOSED IMPROVEMENT LOCATION:-
Address• c d e- - -
Legal Description: Pelf- G-P eC- X5 show on 4 K �3f
Property ax ID Lot No.�ro'k��
Site Plan.Name: ( C. CC-r ct t!7 tc, _ - Block No. y
Project Name: _
Setbacks Front Back: Right-Side:' Left Side:
DETAILED DESCRIPTION OF.WORK:
1 X4(1 /I l axe-c'
CONSTRUCTION-INFORMATION:
Addffional work to bLe-orlornied under this permit--check a appy: , -
QHVAC Gas Tank F65 Piping - w _Shutters Q Windows/Doors
QElectric Plumbing C]Sprinklers Q Generator Q Roof
Total Ft of Construction:Sq. o�-C�6 .Ft of first Floor_
Cost of Construction:$ .l�3 t�&� Util ues�Sewer Q Septic Building Height
OWNERAESSEE: . CON-TRACTOR:
Name ' c C K Name: 6. _ c
-
Address: e i^ c. . Company: c-
aw: - State•)C- Address: CO3 crfce, M fm
Zip Code: Fax: City: '-?✓_Ff fcpState:.
Phone No. e (d "� �1�. Zip Code:3'f f 6-01"' Fax 2 ,51i- fa M7
7
E-Mail: Phone No.
All in fee simple Tide tiler on next page(if different E-Mail:
from the Owner listed above) State or Cou 'cense:
if value of construction Is$2500 ar mores a RECORDED Hatim of Commencement is requbred.
DESIGNS ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name•
Ate; Address- -
CW. State: Cry: State:
zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Names
Address: Address:
City: Oh►'
Zip: Phone: ZIP= Phone:
i odro that no work or installation has commenced prior to the issuance of a permit.
st Lucie malars no repo that Is granting a permit a Drize the permit holder to build the subject structure
windy is�=d with amt app6 able Home Owners Assoc on e or and that may restdd or prohibit such
structure.Please nonsuit wim your Home Owners Asmdation and reWL&W your deed for arty moons which may aPP*
in consideration of the granting of this requested perms 1 do herebyagree that i will,in all respects,peiform the work
In accordance with the approved pians,the Florida Bullding Codes and St Jude County Amendments.
The following'biliding permit applications are exempt born undwpb!g p full concurrency revlew:room additions,
accessory structures,swimming pools,fences,walls;signs„screemroom�and accessory uses do another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in VOrroay10 twCe 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 fi WINXIn&consult with lender or an attorney before
c ommencin work or reeordin r Notice of CommenceMent.
re of Owner/Agent/Lessee SWwcure of Contractor/ J HHolldder-
STATE OF FLORIDA STATE-OF fL+ORI� I
COUNTY OF 6 COUNTY OF x,11'' . L C OR,
Thet0The ginstTy!antwas
instrument was admo�wledgeied ore this\ — .20 me
�L dayol! , 20" by
(Name of person admowhadging) Name of person aclarawJEdging)
(Signature of Notary Pub State of Florida) (Sigrwture of Notary blit-State of Ronda)
OR Produced[denttfication , ( YENS,
Personally Known - .�� Krwwn OR ,�,.�r�.��'"�`"'n;—;--
Type of Iderrowtion PrOduoed ice" T = yType of Ideation Produced L
°'v�;��•• U�t ,� rte,.= F
9,1
o..• Bonded Thru �otary P-hlio Undenvrit rs I
r�� ° CQ�ivlSiON
S #GG-0 2023 �S .
Commission No. tl N [ MY FJCPIRES:Deramber 96, c !m n No.
Vi -' �- yp Bo `e
Revised 07/15/2014
REVIEWS . FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS