HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: OI23lZt�t Permit Number:
vffl
s
5 17
RECEIVED
Building Permit Application OCT 2 4 2018
Planning and Development Services
Building and Code Regulation Division ST. Lusi2 county, Permltt(ng
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 C
�ry .R. Y xry yxvaRw>
a ,�aa� �.as�' �,ry,xwx x.xx..xx xry.xxx.:ryxxxwa..x.,axwxxwwa.
� CC vx :�� xA.x. � "�;` >k>v�.> .E'tl .Y.. 7>c.:.:x.'xxx.":x .v ., x>.Nax:,>wxv�axxxxxxx.x.:;.xxw�.,v.>.>va.»qYv.�>.;xx>..xwx�.°x.ry:;xryryx...�;x.°a
k c.nc Fsc :»»,' ..x ;ex,s>.us.w,xw% y x.x:x,. ? a ik..s?> 2 , . xz
� �.��� a�. � �. .:. . �� ������xx x:., x..xxq xx:x ,�: �x ���� xx x�xax����R � x�ax ..,� q xxx,
9, ,�. ,� .�� �. �� xxx x.�xx�xx �ryd�z,� aae� a����. .�>.>kxx xx��l�lkxll��ya x>akx �
{( H^ k xxx..c.xx>xxx " ilwx;x>>wx>a axxxx x. x.a w xxL.xxx...,x..y- i ffi,o .. 011
p
I ss 3.. .j�{e��iw. �..- tdii � 'x ITry•, x ss xx.xkx xx vw ° x>xx�.a" x.x�exx. 3 xxxkxxxxx>xxxxsx w asS aua x x x°—NIS J
�xx �wx> �x� �6hxxxx>xe>� w�,a wwl exw "x �sx� ... ..xxx> x� s ,a .c.. 3.>. awd
Address: G��Cl am1-
Legal Description:
Property Tax ID Lot No.
Site Plan Name: Block No. 2- 1
Project Name:
Setbacks FrontC>< Back: Right Side: Left Side:
,.xx ,x.xx:.,...:. waxx11
RNA xxxxxxx::-,..w. .
kx.x xx wax. .�. x .. xxxxx.x..:ww.. •xxxxxxL.xxx..,.ww100141110110,w. xxxxx: xx.,_._ .. xx W.>x xxxx.x:
. Via...�. #. xa.y„ a,x ;,rya»txk;;, ,,> s „cxryu.x,.:.;v xx axxx c�a::w>k xxxxxxx 2 wx: - q : xxxxxx x.xxxxxxx.w.x
ry. 3 . l ;kxR,cRgmxwry.•,., kEq x xxxxkx� C yyzxx::x ax x xqq ss,F ., .r.:x a kxx s '
k �j k w ll 3 xxssxi�.h” wwxkxx u i a: a xxx�l Qrvk vk""xnxv.0 ssxxkx Se
...;." :.uxalx Cxxxxxxxx �` .:»e ...3:x>�xvxs"x...........x C.x .. Ex
.r. xxxx xa-xxx4.::w..,wvkxxxxxaxaxxx.vwvw.v xx.3..'�:sxx_: G • ..'assxa � a Rxv.cxxxx. xax xx.Ya n»x C "
�� WO ..> xxxx xxxxxc.wx:,aFS.: xxx xxxxxxxxa x.wax.. » xxx.a l x. 3 y 3xxxxxz k x x.xx sxxxxwa9ryx x
w.��dkxxx>ass a.a xxxaw:w.a.xry,}.xnx>xwvx.x>x_ ssssayx>w.xx>v..xss».. �i xaux xssessxxxxka. ^ R .i.. -xxx , .xx:..x.x . �xxxa xSxAllkxxa> ..q ry >.»�xvx kxx.ssssxxx
wk xx. ., xx x. u a wxx.xxxryx,..w.ww>wwwxwaa.. �xxaxxsax xxx x °x. waxxxaxx xxaxxx.x
xrx�"a,:R w�wxx>xx>x x
.._.a .t.. r €ux >yq� .x q x r� �xse�* d ryxRx. .,'..x3.t.R .. .... ,ry• x., Sa�'4.n. _.s_C. Ld :t'
�� X�► (�A o PCL-k-
3
�J
2-
ng zc
N.1. avR kxr r. xkxx� x'R k.'3:.x8.t k ��fl 0 k y 3'Sxu. .avil 9k# @ _. k
4i . v ".q -.QR&.�, u q.... y.°.`�F .v>3 i.vxx k .>x>.y x���:ryaq i { �yry ��ttlyGS��plv�k�,p�!
``tt ''!'- p ..JI x R x�xdx:x xx••.,y�k Cl.xx�xv.x... R Z> 1�����, >x>R a G� >x��aav xk'x..�>�x5q..>k �' A. 5 NSk CR&.S KY`YT°�' kxuxSxvxxxaxx x.
A.>v . f wiry. 1 y"q ry ..x xssxsxxxx'k l v»>x qq. �,a,Y� 4 1, R. .xxlk x w>w..�''x kGl ekxxxxxxx :xxk .F.exxkxx xv
�'! F rc „xwyw, a�>, C.Sxxxxxx>y.. p v.xxx vv.:::rFC,ll k..0 k»kkR�?ate,„:> kx:v &... ,ryt...ry n .
l �k y �>. kxss>v S>w Y 6 xkkuxxxa»xw . xkl xxx Y , q> xx Nxx x,ryA»wZC,k ,pwwrx xn
``` p��`` .. ...!v.> '>°w. ...ry 4y q ,Yq>k.x xl x xxk g w Rxw3v3 xx .ryYk.>k.�3xxC..x.Kexx .x�L� a Rk�k xlxxxxllxw
MN xCxxCi> G °kx `ry w:::h3x k olxk'xx.> kllx, xS�+x�v.w'x xxlxFxxxw: �,,�y.. .`•f i. tt�� .qR
x�xk"Awaw#��rtx�'xk.wRGki ���w> xx�, k `p� .�..... R•k..x .pry xx.�.a.4wy xryryk.xvx`.S"> ":"e>1 6� y ry���>,,� q�}j
xw ..a .... �. xaxaw y•xvxwxxx � �.�il:.ryR._ y�FxanR>aq 3ry�.,1� �.'.::1 vZ��RwYxxSa: .gi a� Uig ..:q�A.yyr�wwaaa xry�`°t x x n`@ �,ire'°$i�.x>v'z� x.>q.kH���!E :�a°�>" k � Ik�
A itiona work to a er orme un er t is permit-c ec a appy.
HVAC E]Gas Tank E]Gas Piping _Shutters (�:�_nwindows/Doors
Electric ❑ Plumbing Sprinklers [Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1. 50D Utilities:n Sewer ElSeptic Building Height:
' ... ° x°avu'xvQkss" vyas 2> vda i' €
k.n R n ry ., k zs.kxxwxxx
l l g k kla..v::;x;aM. .ryk?xxxz xxuxw.a a
ACT '�.k�v'�u1;9x:Yips:aid:"a kaG .'xu "v vnxk."a�: S 3 ttx`xxxxssaxxxmx>.x N.
H v r
s��x����x
NameS�rY�2S Name: vY� • \ CSS
Address-5?l 1 Lxgr ,Pe Company-3P,&,c3-r6&-qe__ ) L
City: RN- ?L-e c C_ _State: Address: 5'�: I'ZZ.�> rl"-�)
Zip Code: 3� �� Fax: City:e-Z., `A LSC►2 State: )F- I'
Phone No��2 �Q�• Cly 3Zip Code:3r--4e-_t 9-L-G-) Fax:
E-Mail: Phone No.--r-,YZ• 97"l. y%3--m-y
Fill in fee simple Title Holder on next page(,if different E-Mail:: ,(- rce cbD %-A!Q�
from the Owner listed above) State or C'eunty icense: Is
If value of construction is$2500°or more,a RECORDED Notice of Commencement is required.