HomeMy WebLinkAboutBuilding Permit Applicaiton,
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / ..w 71./-0 ,,,,, g,..,_ 3
Permit Number: I 1 U I ' ID 601
COUNTY '
RECEIVED
Building Permit Application
24
Planning and Development Services JAN 2019
Building and Code Regulation Division rormittin9 Pgintrtment
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucia Cou.ty-
Phone:(772)462-1553 Fax: (772)4624578 - Commercial Residential -
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 5q33 Ser-,,,r- \-. (Lt..uc...,r (?..orld
Legal Description: RIr+4 vr\e) St,-Oce
Property Tax ID tt: r3 Ica-- C)a -31.38 ..00:3-g Lot No. Z 1 q
Site Plan Name: Block No.
Project Name: ft L CP-a.e...X 9 ina r)
Setbacks Front Back: Right Side: Left Side:
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Additional work to brefit_7rformed- under this permit -chetk all-,:fat apply:
EHVAC I I Gas Tank Gas Piping —Shutters 2C-Vindows/Doors
. ......
C Electric 0 Plumbing .._Sprinklers F.-Generator Roof
___
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Total Sq. Ft of Construction: S14.of First Floor:
Cost of Construction:$ 574105 .05 Utilities:I i Sewer r-Septic Building Height:
'4"14:01040-$140NORMIM:f*AsikiggItiagia&V itdatikAttdOW*C47,7';`CS i.1E)..i...?q '4.1'i-- :,g-,;"?-.4,-z.'"L'S'IAlk:''''';I:gril:01Allsi,
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Name N3c7oc- 9iNc.,(-1 Name:.:31.:;kiyki,,<› ,Dr--1---,).::.‘\._`1,s_. - q„.• J.,-sl s---( c-
Address:513 3 c?anIsi-, Lk)c..r Company:-,-3-4,-r r-.I
CA f.--9€te-k--c-,-3-" Tire (-).
City: 4-6 r+ (3,.e.' ce,e, State: F! Address: Ii:2,Lt (.1, k -1 ci-T1-1 Co--1- A
Zip Code:3 Lig 5 1 ' Fax: City: i_C('-a)10-i -rec--t 0-I;,,,. State: 1-- ‘---
Phone No. )-202 -.1.24-1-Ca ce 3 Zip Code:33Li i D— Fax: 51,4 ,'3'55--410 5-1/
E-Mail: Phone No. SL, (- S:S-5--- 4-1 05-
Fill in fee simple Title Holder on next page(if different E-Mail:
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from the Owner listed above) State or County License: e („0 0( c..4..' c.Lial5 ,7)1-
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: __N��p(�b�
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installatiohas 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 structure
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.
In consideration of the granting of this requestedpermit,|doherebyoQreethat|vill,|naU respects,perform the wor
in accordance with the approved plans,the Florida Building Codes and St. 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 uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to you �y.Ay�otimaofCornrnencennentmnus1berecorded and posted onthe 'obs�e
before the fi�tins ' you intend to olztainfinandng, consu|tvvith (enderoranattorneybefore
commencing work or recojdin: dril.Notice of Commencement.
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STATE OF FLO . STATE OF FLORJPA �[_ /_
COUNTY OF �1.� ��te COUNTY OF 1./ A.lir) ������r)
The '~^' � �ackn~^ '^ g-- J��re me The - |ngin�r ment wa
s acknowledged
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! (Nar�e��""��nacknow|e6 �' ) (Name ofpeoon�acknowledging)
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(S/:n�ure^~K � ��U--�tateofRodda) (5ignaturenfNote of Florida)
Personally Known OR Prod ^��u~ PeoonalhyKnown �, ORProduced |dent�catpn
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Type cf|6ent0oaUonProduced �-1_ ��L~ Type of Identification Produced
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Commission No. Fr 95
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NOTARY PUBLIC
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE •
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