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HomeMy WebLinkAboutBuilding Permit Application , 12/26/2018 WED 10:46 FAX i 001/007 I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED • ` Date: 11-26-2018 Permit Number: icl 1 _ O` "' 1' 1 COUNTY MIe I 4Guvs^+--�•'ctr.ru.:+e11vr,Arl\ � Building Permit Application Planning and Development Services Building and Code Regulation Division SP 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXX - PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ��f9n""^/�:S•afgi! �ii ::,! ��r;r Y1r, S 3 t ol' P' : Rf.. � lP.�.. -; i � � y.-�I:,': 6r�i � r �:..,a �,:'.;,,l• %C �Gr ' .' _._.1ri',;.4. .igiliSkb :, ,e,04.,p._ 1 hRtiYr%kika ��._E'_� .J. .,i.r4Ei $ C = -_: 1'1:;:� ` iW:Etir *;: s! , �.'Ii:SIwA.r Address: 13240 Harbour Ridge Blvd Unit 4A II Legal Description: MILE LAKE VILLAGE BLDG 3 UNIT 4A(OR 3002-2616) 11 il Property Tax ID#: 4426-801-0020-000-5 Lot No. Site Plan Name: Block No. Project Name: John Schmid Setbacks Front Back: Right Side; • Left Side: 1 b r.; �:;t:�,.I'" !I, ,' v. y' h.';pY,.a'' -! �I.' .,.�,.;.n,�:N�^ ei ':.1 r _ tiFiY ,f i; 1 t::;•yisI�',I. .�.. 1 ,,• ,yr:r •r, ''pr.. 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'k��;rr�i-':: ,._. e per orme uncer t s permi•-`c ec a !i appy: HVAC Li Gas Tank ❑Gas Piping _Shutters 1=I Windows/Doors ,I ❑Electric El Plumbing ❑Sprinklers El Generator ❑RoofRoof pitch Total Sq, Ft of Construction:• • Se. Ft:of'First floor: •• Cost of Construction:$•4372'!©Q Utilities: Sewer❑Septic. I#ullding Height: $4'Ire,, "1 ns., Ia�,,.....i1•'ou,"y774;•:,:...i...l:.y.,�k. i4..,� ; !r:......c.3I,,. '.I:'.”!,; .a,:';lVi... �:rrv1• �<,:. s:.:. $�'.•�2`r; �.i,j1ii.l:'Lr.:V+.: tir'• a I Ii : f:s_ r" Yl.;'�,]Eh . [ .,•.-.Sr•,*.i;•ln,a{ ri {#4diittuti,�illd:;:i:1),.,I-m,/;-II {.: UN'{4vJl�fi!..p.:T i _u,(- ' `_ �_4is_a�-.4�:;.ii)!:i.I:':rall'i:;. -,;i,%' 0P�F8 Name John Schmid Name: Jeffrey Lindstrom ,i Address: 13240 Harbour Ridge Blvd Company: Lindstrom Air Conditioning City: Palm City State: FL. Address; 3581 II • Zip Code: 34900 Fax: City: pompano Beach Fl State:Fl II Phone No.262-822-3739 Zip Code: 33069 Fax: _ E-Mail: Phone No. 772-500-4085 Fill In fee simple Title Holder on next page(If different E-mail: dulcem©llndstromalr.com from the Owner listed above) State or County License: CAC056971 If value of construction 1s$2500 or more,a RECORDED Notice of Commencement Is required. , 12/26/2018 WED 10:46 FAX 0002/007 1' . 1 +`rt 3r'1'a'•S'at ip{�,{'.': - ,:n-'4�'i,i $]q:. .�.: •.,i;h1 Ir .e,�;. .;, �.!, ,c rr,+!' _ .s,r Yi!u! � ty ,:u�. Y.., 3$Hs{: :f�•� 393 �:. :�,L tid' �7 t><.t:�, '•y;• yr"ii•'i r,.,s Ya' Y"!m s:r:•,�•J,,,,,'!c;,:.,qa•n::+4,._...es:r ; 1 �, ;•.-,>xlt�� a .::.• .,..1 ,,, y.. ,��? �..V 5J •i b�:;e ya"-F.r.:ag,.gy : i r �k' a o„ 1.. . . .��ag..I ql.h;:', .. , ,>::: 1li.• :, S dJ '1 y G-1 ^ J c.I _.i. a=•. 1 II i j .. ..ucruca_. ••,..-',l�-., ! Iv::ych.,,,i•, �+? ,,,,4 \.yn fi I'<... •;r'd+ 'l 1 6:, nY•'�V I` igla,•_ .) f . 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' DESIGNER/ENGINEER: � o ..Lcable.�,,�,�...�,�;il�h:•�1.�,,.:�:�,_!_�,.r •�;�.,...G,��;l,•U,,.a,��..yrs:;;.�....h.:,...,•..._�:_�;�� .,11:.3.�3,:r.,.�.vf�:•:;,;,r,�:��4h,�, NotApplicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address; Address: City: State: City: State: Zip; Phone Zip: Phone: FEE SIMPLE TITLE HOLDER; _Not Applicable BONDING COMPANY: _Not Applicable i Name: Name: • , Address: Address: City; -_ City: '' Zip: Phone: Zip: 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, St.Lucie County makes no representation that Is granting a permit will authorize the permit holder to build the subject strycture 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. Il 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 St.Lucie County Amendments. Thefollowing building permit applications are exempt from undergoing a full concurrency reviews room additions, accessory structures,swimmingpools,fences,walls,signs,screen rooms and accessory uses to another non-residential use , WARNING TO •WNER:Your failure to Record a Notice of Commence = ,t may result In your paying twice for improvem c s t. your property, A Notice of Commencement mu • •.- record-,6 and posted on the jobsite before th first in.pe.tio . If you Intend to obtain financing, co : th len. r or an attorney before comme in: war • rey.rdin: our Notice of Commencemen• l , Signaturir 0 . ler'`essee/Contractor as Agent for Owner Sig Ire • Contractor/License Holder STATE •F 'LORIDA STA OF FLORIDA COUNT •F COUNTY OF The forgoing instr ent was a knowledged before me The forgoing instrument was acknowledged before me tl is day of ,201(byC re this 7 day of?�rq„,4 ,20 by �l Name of on making statement Name of ersan eking statement Personally Known OR Produced identification Personally Known OR Produced Identification Type% dentification Type of Identification Prof uee l / Sao Produc . N10s,arim 10'flgny r' as 14010° onaNP° 0d fie°, .. 4, ZrOL, 41Neyw / u:oz'oi./IN I uld>r3 :: 1ii� ' w 8e it�,3� H �,� �� ��. , . L J GEM a.;topspin* .. '"• r aeeoX eJ!!0(89IWLUo3 r s, t ( 'gnature of Not-ry •ublic-Sta•- of Fl. ida) (Sig,.ure of Notary Public-State of Fla •.. ) il Commission No. (Seal) Commission No. (Seal) I iI il REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW • REVIEW DATE RECEIVED DATE COMPLETED Rev, 8/2/17 I� 1