HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO I . NRW BE COMPLETED FOR APPLICATION TO_BE ACCEPTED _
Date: 0 ice_ Permit Number.
RECEIVED
jJ ' l-yi
DEC � ? L01�
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Cade Regulation Diuisian
23W VrgintoAvenue,Fort Pierce FL 3W2
Phone:(772)462-1553 Fax(772)462-1578 -Commercial Residential
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PERMIT APPUCATION FOR: To Select from dropbox,dick arrow at the end of line
PROPOSED IM"MEMENT.LOCATi(3N
Address L 69 r e
Legat Description- 6 - L &
6T .5 cf j [ CIT i CJ12
PropertyTaxlD#: t �"��l �L (Q -�QO" Lot No
Site Plan Name: E',�c�yi i �.&. 1 :' Slack No.
Project Name-
Setbacks Front Back Right Side:- left Side:
DETA!lED.DESCRIPTION'QF
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.CONSTRUCTION INFORMATIUN..
na wo to rm un er is permit— a app
HVAC Gas Tank Gas Piping. Shutters OMnndows/Doors
DElectric Plumbing Uprinliers. U Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor_
Cast of Construction:$ =--_ .____ Utih'h'es~ Sewer LJ Septic Bi ilding Heiight
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Nam
{}NTRACTOR,
Nam yyIi Name: tyce -C
Addr : d3 �''C' (ala f A&�'1� .�. Comparry: r u
Cdty: state:—EL Address: C 3E yr, It--
Zip Code: Fax: 0W. f f t:f�-y' State: G
Phone No. -' Zip Coder! " s Faic,,2
E-Mail: Phone No. r—5:s l
Fill in fee dmple7lie Holder on next page(if different E-Mail:
from the owner listed above) State or CountAkense., '
U value of oarristrur.#ion is$2500 or more,a REWRDED Notice of Cammencement is recpsired.
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DESIGN ENGINEER: Not Applicab a MORTGAGE COMPANY: _ Not Applicable
Name: a
Addta: aaaress:
Crty: state:._,,._ City: state:
Zip: Phone: Zip: Phone:
FEESIMPLE 111 HOLDER:• '. Not Applicable BONDING COMPANY: Not Applicable
Name: - Name
Addrew. Addy '
City: -
zip: Phone: Zip: Phom
I a g*that no wo*or hrst Uatlon has aommenoed prior to the kSrtce of a permit.
St fade Cov ttyymaiaps no rep that isgranthtga a lite h m buildthesubstrucwre
whidt is in a ttikt with a appn �H om a Owners Assacomit rules,*Vqe anrirvu h*% may restrict ar prohibt�such
structure.Ptease aanwitwn tit your Home Owners Ammon and review your deed any rest ons which may a *.
In consideration of the granting ofthis requested permit;I do hwd*agree that I wN,In all respects,perform the work
in accwAm oe with the approved pbM the Ronda SuBdbW Wei and St Lucie CountyArnendments.
The Wowirg;'t iNdMg pernrdt appkatlow are wwmptfn m undergoing a fuD concurrency review:room addltiom
accessory structures,,swimming pools;fenced walls,signs,,sc eewroomripartd accessory uses to another no Hvddentiai use
WARNING TO OWNER:Your fallure to Record a Notim of Commencement may msult in o*,"
, vwgtmkefor
Im rovemo is to your property.A Notice of Commencement must be recorded and posted on=JoZfte
be the first Inspection.Ifyou intend to obtain finandng,consult with tender or an attorney
oontmencin worts or recordinst vour Notice of ConybenceMent
SWwwre of Owner Slgrtahcre of Conha ft Holder-
STATE C1F R ORIDA STATE OF FLOPJQA -
COUNTYQF COtlNtYt3F �-!- 1.t1e1@
The ��itg htstramectt was sdw=viedged before-me The forgohtg instrument was odor berweme a
this of �t S '20hb'9 dtis dayof_,) c � by
(borne of
p ) (Narrte ofpersart adorowlecVM)
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(Signature of Notwy Pub -Stage of i9arida} (Sigrtawre of Notary biic-State of Fk"}
Personally 1Ux wn OR Produced ldendfica bo Perso MHV Known_______OR Prtodueed Identification
Typeof IdenWicaam Produced Typeof
�+ Et --
EREWS
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S:Decem
f6.2.02 Comma dions3MM4SStOI
9onded nyu Noteq Pvb�'�Undorw�iters �� onded R"Notarj Public Urtdeavrs��tors -
Re9itsed.OT/15/2014
- FRONT ZONING SUPERVISOR_ PIANS VEGETATION SEATUIME MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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