HomeMy WebLinkAboutbuilding Permit ALL APRJ CABLE INFO MUST BE O0M PLET®FORAPPLI C TON TO BEAOCH'T® G
Date: Permit Number:
RECEIVED
Building Permit Application OCT 10 2018
Planning and Development Sxvices permlttin
Building and Code Regulation Division St, Lug Co ,Jnt,'enr
2300 Virginia Avenue, Fort Pierce R 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ✓ Residential
P8WITAPFUCA ON FOR To Select from dropbox, click arrow at the end of line
R;0Pv®IM RROVRA 84T LOCAMON:
Address.q-q3/ _Spyn4 OGf�AnL 'Wi v�_
Legal Description: 35 . 3(o. + i (Pori A&E,a) i:7rcl-A —r-9r 5 L i of- 51,-- 4-aQ W R& L i4�A
4j rj W M_& S D s L-1 3ak..a7 r-T "1,4 Ar g of *4D eunl 14
Property Tax lD#: RAacel ID 353 4 _ - - Lot No.
Ste Ran Name: Block No.
Project Name:
Setbacks Front Back Right Sde: Left Sde:
DERAIL®DM:R1 PTlON OF WORK
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oONgRlJ MON INFOWATOR
1:1 Add
i lona wor o eorm un er is perms - e a apply:
HVAC L j_I Cas Tank ]Gas Piping _Scatters O Windows/Doors
BB1 ctric ❑ Plumbing [�Jqorinklers Generator Rbof Roof pitch
Total Sq. R of Construction: R. of First Floor:
Cost of Construction: $ 3 ISO ''ti' Utilities Sewer 0 Septic Building Height:
0MB:;flLam'' COMPACTOR
Name i SL-AtjD 0,t Ic..,i�_ Cir 141 OA SIC f 4(4 *,.0 name: G i R E i/* .-12:
Address: %93 a Cy^4,. e-re-e- Ln! # / Company:C-Ci2 tFL.C.y Ec.F-_:*1caL (.pWE4c-Mk, 171
City: 5JUP1-i�.lL gate: HL Address:��D NW C,vrjape�sz DR
Zp Code:33 Lt f� Fax: City: Pow 5T" L.uc,tE gate: .
Phone No. 77a -,94 Q 4 170 Z Code: 3 45 k= , Fax:
ELM aiI c•►J o i-,,n d a4 t 7 [► ovTt-v OW •(.UM Phone No. '77,�) -3q&- 7 5/7V
Fill in fee simple Title Holder on next page( if different E-Mail: CJ c_M-. _� r>4+c,_°e 6ck6Lc4-, .C oi-t
from the Owner listed above) gate or County License: i=C_ 13 L*1C7 3�/S
If value of construction is$2500 or more, a RECORD®Notice of Commencement is required.
SJPPLRA BVTAL OONSIRUCnON U BV LAW INFOROAllON:
DESIGNER(ENGINEER Not Applicable MORTGAGEOOMPANY: Not Applicable
Name: Name:
Address: Address:
City: Sate: City: Sate:
Zlp: Phone ZIp: Phone:
FEES MPLETITLEHOLDER Not Applicable BONDING OOMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zp: 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.
3. Luce County.makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home OdunersAssoaation rules, bylaws or and covenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Associat ion 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 Codesand g. 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 usesto 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 our Notice of Commencement.
Signature of Owner/ I esse;eChn'trAdor as Agent for Owner Signature o ntractor/License Hol r
STATE OF FLORI DA C STATE OF FLORI DA
ODUNTYOF 'St OOUNTYOF
The f rcioing instrurrUent was acknowledged before me The forgoing instrument was acknowledgN before me
this1�ay of (�Lt6O6o v� 26_LJ_ by thisnday of Clgk-D 6AA 20 by
Art r
Name of person making statement Name of person making statement
Personally Known t/ ORProduced Identification Personally Known Z"' ORProduced Identification
Typeof Identification Type of Identification
Produced Produced
_1� _bQ__ "Z' —� - Z�_(-� �
(Sign ure of Notary 71Mry
ONG ( e of Nota I+s-Mate e�Aeri
,;+'.%wy. B I LLI E F DEL
;r°•' GG009156Cbmmission NO. `= MY (prprplS90n No. MY COMMIS• >� GG009156
,2020
EXPIRES Jul
�Of f�� .OFI,• � y 06,2020
REVIEWS FFDNT ZONING SJPB:?\/18DR PLANS VEGEWIFIO1 MA TURTLE MANGF0vE_
COUNTER ER RE A EW REM Ems/ REVIEW F;F_M EW RE/I BN RE\A B/V
DAIS
RECHVED
DATE
OC IVI PLET®
Rev. 8/2/17