HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Irrait Njrbr,
Buil l rig Permit Application
Planning and Deveronnient` Smice.5
Building a rt d Codi' Regu rMi m DMsio:n
orq.noc Avenue,, Fort P�erco Ft 34-992
Phone: (772) 462-15.5a Fax; 1772) 462-1578 Commercial Residential
PERMIT APPLIC TiO FOR; To Select from drops ox, click arrow at the end of line
Pftt3PpSED IMPROVEMENT LOCATION:
Address:
Legg i De 5
- VY
r rnpP_ rty T8 -,K I D P: , o , L I)=D —, Lot No.'
Sit-, P an Name- Block Noa �, -
13-'oject N-ame"
Setbacks Fron",
Back: _ Right fide, Left S d�-
DETAILED DESCRIPTION OF WORK:
RL—
t�3 L-- L,
CONSTRUCTION I F RM TION:
Additional, v—.r 'Ic% r1cWmed under i is perms — check all W
El HNAC Gas Tank OG@s Piping r Ll 'r DW'ndows/Doors
givD�_'
Electric Plumbinz Sprin°.�ICrs Generato- Roof Raaf pitct'
otal q, Fr of Constrkru iionti
. Ft_ of First F.Ioor:
-Cost of Co n s -z ru ff4o n; - utilities Sewer El st�'Ptic Building Height; /-'skilrll
OWNERAES EE
� F 9
Viiia Code- ''r—
Phone No:
FRI in fee SiMple Title Holder ori next page ( if different
from the owner listed -abo e)
CITRCTO t
Name
meOff9p3r1y; _T
Address.
Zip Cede;
Rhone No
FL -F' aii-- 1 -L)
4 t
State or f_ujn, License -
if value of con!structjion is $2500 or more, a RECORDED W t i c e <)# Cornrnentement is required.
Fax:
.� / -
W.
UPPLEMEN'FAL CONSTRUCTION tlEN LAW INFORMATION:
DQE IG NER/ENGI N EER:. Not Applicable
Flame_
Ad d rens:
City: 'Stag.
Zips: P .One
FEE SIMPLE TITLE HOLDER; _Not App I ca bl o
Name:
Address:
City. - —
zip. Fhone:—
MORTGAGE COMPANY, Not Apphcab[e
Name:
Address-. -
Cit;
zip: Phone:
COMPANY -
State. -
Not Applicable
NRarne
Add est: -- —
City
OWNER/ CONTRACTOR AFFIDVIT: Application is hcrcby r adc to obtain a permit to clothe work anc installation as indiicated.
I certify �hit nQ-',�ork or inst-allation SAS r orr menced prior to the ,ssu ime Uf d Purrslit,
#_ L+Atie CourpN' makes. no re. present atir;n that is granting a permit w i I I a ut ho r iz u the permit 4older to bu4d the subject structure
which :s in con lic w4h any zipplicab;e Horne Owners basso-u3tion ruler bylaws or and Loveminks :hdt may restrict or prphrNt such
structure Pit;ase conr%k ;t vdith your Herne Owner A.ssooatilon and roview your deed for any restrlctions vahif. h rnay a,bpIV,
In consideration of ~h granting ofthrs requested permit, I do hereby agree-rh7.ai I wlllr in all respects, perform he work
in accarda nce -with the approved plans, Lhe Florida Bui'iding Co-cles and St_ Lucie Co*nty Am"dmt rnfs
The fallowing bu IdinE pe•mit applications qr'e Pwprr_!Pt €r€3m LJr,dergorrig a f-jII LO nc-u rre n-cy rzvie a'; room �ddi-ior:E,
accessory structures, swimming pools, fences, 'rv,�Ils, signs, screen, roorns an(J, Rrrpssary uses to iii nother nen-r aside.' -tial use
WARNING TO OWNER; Your failure to Record a Notice of Commence ent may rosuIt ire your paVing twice for
irnpro've newts to your property. A NotIce of Cummencca 'tent must be. record -ed and posted on the fobsite
before the first ion- If yw intend to obtain financing, consult with lender or an attorrey before
comm—encing wont or recording our Notice of Commencement_
3v -,Mare of owner/ I weep/C-intractar.as Agent fur Ow weir
STATE Of FLORIDA � I
�j(j t r�
COUNTY OF �
7hPP T �}ra n� w a5 acrlfjWled g cforc me
day LX 20 fV by
7.
Nam -c of pof-so ma- kinZ statement
Per5onaliy Knu%vrr OR Produced Identifiotlon
Type of Idenzific.ation
R�0 Ced
SigHa i're -of N
Cor71f1 isslon No.
L "Aft ftW Co Fie
it F
Pi V'??2
REVIEWS FR0NIT ZO INING
COUNTFR REVIE%1f
DATE
IIFCE IVED
DATE
COMPLETED
Rev, /2/17
i r.atjri�, c" Co ritracto ri L cense HoIder
STATE OF FLORIDA f p
COUNTY OF � ' L—�•+ �.L.�
Ti -el forneing ins rQ, err! wm.;ic lad ed b tr ra m
this, L-AfY day of 2(V -K by
P
Naime of Der5on making state rn-�nt
Type of Identifir-dtion
ProduCi�d
n.atUr+e of-Nottir;; RL,
Commission No.
�C,
my72C� 243W T -TJ'
�r�ires ii3
SUPERVISOR P1,AN:� VFG TA310N SEA 1 UW'LE MANGROVE
REV]EW REVIEW ftv Fel' REVIE"Al I REVIEW
JOSEPH Z MITP , CLERK off' THE CIRCUIT COURT ! SAINT F;UCIE COUNTY
FILE # 4511147 OF, BOOK 4213 PACE, 499, Recorded 12/13/2018 04-11:50 P.M
NOTICE OF COMMENCEMENT
Permit No.
.5ta t -e of plorida Cgunty of St. Lucie
0 Tex FolioNo. s�
*^ie. ander�igriec F ebb S nuke 0all:ImptMementWMI bie MadeLei C rral+n epaI proptrty, Arid ire atcovdarla aw", Chapter 713. Plaflda Statutes,
this f6)lloroj;r, infcrirn��i�� is �t�rl�J� in this f�o�� cf �Carr�rr��m�-1
Legal Dm rhp+don 0! rtr. [isncl strer:.add ress If
L
Ger*ral dascrn aFE mr ,
Owner lnforr�ti WAM iaTierrnatipn T1 d" Lammtcacce►d for Ids Impmement:
Name
IN acne and acidren of fee :Imply tlklahoider (il= diff rent from Owner I lid abcrs);
CuntTactur'a Name:
cvllt r. Cao r Aljl rt$�P; PhOh-e Number -
Surma (f app<.i h a ci�pV of the pavment bond &3 attarJt �: Armurn cf baric:
Nam4s and addreux. PhDne qurnber:
Baa
483
Rersons within the State df° I=Idly des4mted 1;y owner upon whom, nafice& or tdhl @v documents may be s-eived as -provi d by SeMon
I%Lam€.: Phonic Number-.
.l ddros5:
Iii -idd-Ition rt hili x4 or rrerstkf. owner deny s _T ro rerNve n copy or the
Lier57l's N-Orich as prov4ded Fn. S{rcticn 713,23(1) fib), Florida .5cad.rtm.
F`liw..0 aumbur of cpe-�vn rjr enllh.y d-es1gnW our-ev. .
Fwpiirvkern djT.P of nnti-Le -of camrinencem. e L (the expirat;an dote may w f e tw.l€rre the irry °rnon of 00%ruc-tijrr ai!d ti nM pent to the
contractor, but wrl bar � year fry i:ha date of r-ecording u pleas a diffanwt dye Is s cff*d)
WARNING TO QWNI R- ANY PAYN9ENTS K4A:DE BY THE OWNER AFM9 TFiE EYPtRATH{ N GF -TRE NQiTII~E OF CCF MMEN0ENJE;NT ARE C SIDE ED
IMPROPER P'AVMENT3 UNDER LIAR' R 713, PART I. 3ECT1!I 713.1,3, FLORIDA 57ATL"M AND CAN RESULT 1N YOUR PAYIN.G TWICE :OR
VMPR*VWWr5 TO YOOR PR<s KRTY, A N<M(Z CMF 00MhCNCVMKT MST 019 Fcconmo AND POSTED ON THE 109 RTE NFORE Ne FIRST
WSPECT K IF YOU INTENU TU OSTAIN r-[NANrrJN6. 00P4SJULTWFFH Y UR LENDfR AOR AN A1-T0ftN:Ey BEP09F- CC V1MI NC1NCq WORK OR
WORDING YOUR NIMCEW COMMEI CEMEW.
Linder tea
my Ise �r
I�
l�Rn�i.ru
rof w1ury, I tl.�r,e thiv I have fend &F a foregoing rorace of comirmer neem`- 4nd that the f ick stated therein are true to the ate: -of
e aid kkle— A
of Owniw or Lary, or n jes CK Lessee's Auth cil;ed C i err �lr r # r ra�r, fel ria er
u .` ne r`
Titiel()(f ice)
i he foregairtg i nstru mvni was ackrtowW*ed before rye this 2-0)
,{ ,r ,. .} a _4C fir 16?,
s
a of n*n Type of authority (e.#. cert 1r SMN Party On behalf of wflom �nstrumer+t was ex4aTted
SSI ture-+ #�ubllc , 'S,ak-ff of FIor9idzl , r -.:, r� LINA. F RIOL
I P 0 rit. TY7*., -or Ramp Qc-rnrr„ :ss1 rtirrl Jq pmt ofjF� tAaINYWY NOR FlrUL? or FIOF d�
Corn0,,0On 0 FF x}21971
kfy Gorra. Expints Sap 27. Z-41
r;-5A;b11 y krtiO#wn_ w pr adu. d ldeckffic�,�
Michelle Fran k[In, CFA -- Saint Luo.lia County Property Appraiser — All nights reserved.
Ownership
Leg,41 Description
1"M I%:-% i-" I,, I I I K' A P 34 1 NI
3 1.1 __; X'4 i
Current Values
A5-M4W VU1W:-. � L 1) fi, I I'A
E-wl i I pt ioms;
TQXUITIV 'V4mLW;
T.-Ixes 1.Qj- flij,,
11)w ii [L) i d TRIM 'or 1 I -J s I. -xi rkxk 13owt111[)I'19
Sale History
Tot a I A real
121 amli-ed.-I j rider A 1 r F i
Or ss A rL:.a (:S[` ):
Ljnd sizu �acrcx):
LCL id S'Lzc
Date-
Property Idendficatiorl
S I ze A di tn
ds.
I t3 LV U
parc,0 11D
0011
AL:comv
7 7 9 1
ranmr,
4: 11 N
Pnec,
-Ij I UO
C:1v'C'(vdrLL'Y'
ii i n. I ki�! 14 111V
Ownership
Leg,41 Description
1"M I%:-% i-" I,, I I I K' A P 34 1 NI
3 1.1 __; X'4 i
Current Values
A5-M4W VU1W:-. � L 1) fi, I I'A
E-wl i I pt ioms;
TQXUITIV 'V4mLW;
T.-Ixes 1.Qj- flij,,
11)w ii [L) i d TRIM 'or 1 I -J s I. -xi rkxk 13owt111[)I'19
Sale History
Tot a I A real
121 amli-ed.-I j rider A 1 r F i
Or ss A rL:.a (:S[` ):
Ljnd sizu �acrcx):
LCL id S'Lzc
Date-
1:628 -?01,
Bcik Ta gt� •-
•3 !') 7043
C(ikk2-
0011
ranmr,
'S C T a tr n i S L: M FL n i
Pnec,
1
D'Ire - 1)L-.[: 10. 21M5
B4 It I'll Nly
4
DL! Oil WD
( I M M 0 r j 0 15n Jr Fr -M R
s:.0c Cock:
1-13111 UT:
'S C T a tr n i S L: M FL n i
Pri L, L"
D'Ire - 1)L-.[: 10. 21M5
B4 It I'll Nly
4
DL! Oil WD
( I M M 0 r j 0 15n Jr Fr -M R