HomeMy WebLinkAboutBuilding Permit Application ALL APPUCA84EMST BE CON111PL£TED FOR APPLICATION TO BE ACCEPTM
Date: Ito �� Permit Number.
S gal
- RECEIVED
Building Permit Application AUG 10 ?018
Planning and Development Services per itdn9 Depart e
Building and Code Regulation Division t• Lucie County
2300 Virginia Avenue,Fort Pierre FL 34982
Phone:(772)452-3553 Fax:(M)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of tine
PROPOSED IMPROVEMENT LOCATION:
Address n lU 3
Legal Description: PQ(!G -V; I+ 7 N k.74 Lor 8
Property Tax ID# C%lJI��b7^D<<5--(�O-q Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
n6vj 5_roc i (P Seep C sPt► s�sf�m tv k ro ki,) h ec_ .
1 � �
CONST CTIDN INFORMATION_
gena to ElGas
rm un permit- a app y:
� _
NVAC Tank �6as Piping _Shutters LJ Windows/Doors
11 Electric [—IPlumbingSprinklers 1i Generator F]Roof
Total Sq.Ft of Construction: _ ,1 S Ft.of First Floor:
Cost of Construction:$ -�`+00 OD Utilities: Sewer Septic Building Height:
OWN ERALESSEE: CONTRACTOR:
Name Name: I
Address: Company'13q Ii. Ak ruA fimsnc�
crtr (t 1) State: ry Address: 61bA "rL1fApt P_ 1leA fj
Zip Code: RC City: t[P_ State:rU
Phone No_ ?`jai- U5-_q-7 &q Zip Code: _S} 5 I — Fax-
E-Mail:
ax:£-Mail: Phone No.77,�-4(p(At 141
FU in fee simple Title Nailer on next page(if dWerent E-Mail:bo V 1P_GI.C.P,V A tz. Po of
from the Owner RhAed above) State or County License: CA-C 1$1$l B(P
A value of c onstructim is 52500 or mare,a RECORDED Notice of Commencement is regWred.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG&WENGiNEER- _Not Applicable MORTGAGE COMPANY:
Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip= Phone:
FEE SIMPLE TITLE HOLDFJt: —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 nc representation that is granting a permit will authorize the permit 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 SL Lucie County Amendments.
The fallowing building permit applications are exempt from undergoing a full concurrency review_room additions,
accessary 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
ccimmiencinx work or recoirding Your Notice of Commencement.
Signature of eat/Lessee/ Signature of Contractor/license Holder
STATE OF FLORIDA �l �t STATE OF FLORIDA 5
COUNTY OF J} . l,l1� COUNTY OF Lw e,
The forgoing' meet was acknowledged before me The forgoing instnrment was acknowledged before me
r this�day of 20 W by v this day of VAb i 20�bye
1'8
Boyle, Pit c,�q.e( � &3 Ie'
(Name of person adbwwledging) (Name of person acknowledging)
(Signature of Aro Public State of Florida) (Signature of No ic-State of Florida)
Personally Known OR Produced Personally Known �' OR Produced identification
Type of Identification -. ; J CONW Type of tleed a.
-State ;,h, it
Notary Pub+c 17839 0� .°e'•,
Commission No. c; *GG 0 �,,
Comm F 2020 Commi Notary Pubic Sta1r c1
• >ry Comm ExPrres Aug Assn •, ommissr n # GG 01
> p N1110na�Nolaly t My Comm.Expires Aug 21,2020
Revised 07115/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
BATE
. COMPLETE
INITIALS