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HomeMy WebLinkAboutBuilding Permit Application ALL`APPLICABLE INFO MUSF BE;COMPLETED-FOR APPUCAMON:TO BE ACCEPTED- Date: Z2 AU ( b Permit= Number: �� RECEIVJD Build" :Permit:�p�ff tibn AUG 2 3 2 Planriing.an& eve'lopmentServiees s ST. Lucie county,)Building ondCode'Regulation Division2300 Virginia Avenue;Fort Pierce;FL,3.4W- -- Phone:(772)462-1553 Fax:(M),462-1579 Commercial Residential= _ PERtCll1T APPLICA11 OV TOR: To Sdect from�dropbox, dick-arrow:at the_end.of-line �I r RRE}POSft? Ilt/[PR01/ElV1E4T LOCATiQl�r Addmss: 820._ 3ELE Y PL-A-C-E- COG&) P9 C- EL- 3Y O �6 Legal Description: t Property Tax ID#: � .Lot No. site Plan"Name: Block"No. Project Name:- E(.FCTR.ICA4L Setbacfcs Front�� tiark:.�F!&-Sfde-,. Left-SW"e: DF7 AILED D.ES"CRIPTION G)E 1NORK _.. a JJ _ '3,s+- k Gtr\�rortcr 1'ra^S)4r EL_I — -pt\c�r,GQ. 3(© C��z Id C\rC. 13aft -►_'ns l� 109 TIJ KIV t F_M i -r-o Paw-er to CONSTROCTtQN rN'FORNf�TI;Ot E A t'ona rrtror o e er orrrre un er is _. . .perm c ec a app Y: 'HVAC Meas Tatar 1�3 s-,Kping 1.51hutters �Windows/'Doors ctric Ptumbing 05prinklers Generator 01.11oof I: Root pitch. Total Sq. Ft of Construction: S . Ft. of-FfrstFFbor: Cos#of-Construction-.$ 1 0 0 O..0 O -t3titities:n Sewer! Septic Funding Height: OWN MAESSEE CONTRACTOR:. . Name 131 L1. I V F-RA KV NNA f Name: JEFF CH I Y I,-A Address: BS O.9 5St FRY PL— :Company: D R_ KA U D`tMfl l,J L(,C City: Ps State:EL Address: Ar r S F Pl-P_s1a N L N Ziia Code: 3 qq $ Fax. NIA State:FL Phone,No. -711-Z p r— 20 5 Zip Code: 3 Kq 8 3 'Fax: A//I, ;E-Ma - Phone No. 717--104 —COa fill iifed.siMOle.htie.Holtler bn iiext*age�:;�if�&ferent i :1'�}a.il: S G9V(CE@ DF"IA I C_RA I�ILCYNW COAA from.the.Owner listed above) State.or County-License: ES 12-CIO I L{30 itValue-of constnclJopis 2500 or=ore,.aJREGQROED:�iotice of Commencement_isxequired. V r . 1* ,.•:�'�w`�.r. ;^tau -t km.}Sr�?o xa.:. :5y3 i�Y?"zc�a�.-:: s��fi„ ro, n � Sx 4 -,,... . �5 ,�•�f fy' {t 'i1fA'. �}j. _ �a.�Y.-�''�.'"Y,� s�".7.�;�x '`� - �s t �§� Tg�'�.� DESIGNER/ENGMEER: _Not~Appficabre MORTGAGE COMPANY: Not Appficabfe ffame Ftla� e: Address: Address: City: State:. Cfty. StRte:_ Zi'p: Phone Zip: Phone: fEit 1# ALE T s1af skl l ER: _ of Ap ,M abGi? $O.NDINC GOi1 IPANY: dt.Ap_pii:cabie Name: Name: Address: Address: city- Zip: Phone: Zip: Phone: X3'1 NELftj t- 3NT tACT 3it-AMOVIT-.Appkation-isherebymade'to obtain a perm 'to'do tfie work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St.ruckeCounty rnakes no representation th.46z granting-a permit wilt authork'ethe-permithokc[L-ir tor bulidthe-subject structure which.i's in conflict with any applicable Home-Owners Ass7aciatiorr,r.¢rtes„•,bylaws bylaws.-or ovenants-:that�may restrict or prp it:suuctL structure.-Please_consul't'wi{tlaybur lrlome`I]wners'Association and'reviewr,yo�rt`&,edfara�rrestnctions:wkueh-mavapply, In consideration of the granting.,of this requested.permit,,t do hereby.agree that I will,in all respectsperform the work in accordance with the approved plans,the Florida Building Codes and St.Lucke County.Amendments. The following,building,permit applications,are exemptfrom,undergoing a full eoncurrency.review:.room additions, accessory streictures;-swii{r ming,.pocils,fences,walls,signs,scr.eewrooms wind-accessary uses to ariather r►6ri-res!d6rrfiat use. WARNING TO OWNER:Your failure to Record a Notice of Commencement may.result in ypur,paying twice for improvehients,to your.Vmpecty 4.A-Nbtice.of C—ommencement_4-nvst_e-remMeB-a`t d fisted Dr-the j6bs ite before:tl e is :nspecti0n,:.-f.tie i>aTend:tt�A t n fflan ng;..stansolt,W!taa 1e4der x an attorney b9fore 'commencing-wort or recordin • our1Ndtice oftomrnencement. Sigaa.tla- w e. LesseeJ:Contractor,as Agent fnr D�vner .S•i natu -;:"rtor-/ it6gse; dltler f. STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF 1C�IG. COUNTY OF' 110,16 The forgoing instr ment was acknowledged before me The forg,oing instru ent was acknowtedge_c eforeme this. ay of 2f3 by< thisoZ-S day,f 20. by: ellav 01/1\1 L4. WWe:oi1Pietsoft.tr6kI staterrferft ✓ eof, r soremat�lrFg tatert�errt—� rersonaily'Known OR Produced Identification Personally Known OR Prod ced Identification Type of:tdentific on T,ypeiof.:ltlerib i tion Produced 'Prio dur-ed (Signator of Notary public-State of Florida) (Signature-of�3otary.t?ulic-State of Florida) Commission No. (Seat) Commission No. (Seal). REVIEWS FRONT ' ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER, REVfEW- .'REVIEW REVIEW REVIEU1,f R€WW' REVIEW DATE RECEPVED• DATE COMPLETED _Rev.-.8- - 7