HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3'L,Sits Permit Number: 1 -10-'2 —0(p f 5
y:�,#'✓:, N : 1.:w RECEIVED
c_ to y-W... MAR 282010
--- Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division --. St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
i Phone:(772)462-1553 Fax:(772)462-2578 Commercial Residential X
PERMIT TYPE:EL FC T .1 L
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Address: 3200 N HIGHWAY AIA#209
Property Tax ID#: 1425-600-0015-000-8 Lot No.
1Site Plan Name: ASHTON Block No.
I Project Name:ASHTON
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l Additional work to be performed under this permit-check all that apply:
TMechanical ,Gas Tank Gas Piping _Shutters ____Windows/Doors
Electric _Plumbing _sprinklers ,Generator Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ $AOC.L:
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'SUPP E 1E TAL CONS i€ Cfl 1'LIEN LA8ta� i`FOAMATEO =
DESIGNERJEN6lNEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: 1, Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X: Not Applicable BONDING COMPANY: XC Not Applicable
Name: - Name:
Address: Address:
City: City: I
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 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 requested permit,I do hereby agree that 1 will,in all respects,perform the work
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
'WARN=TO OWls,J : YOUR FAILURE TO RECORD A NOTICE OF CORIPISIICERIENT MAY RESULT IN YOUR PAYING
TWICE FOR IMMOVEMITS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENTCO MUST BE RECORDED AND
POSTED ON THE ME SITE BEFORE THE FIRST INSPECTION. IF YOU MEND TO OBTAIN FrsIANaRIG, CONSULTT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINC YOUR Na UCE OF COi� aV 'CE ENT."
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! Signature of Ow Lessee/Contractor as Agent for Owner Signature of ContractorE c s e Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OFsTu.zz COUNTY OFSTLUCIE
The for.ping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2. day of "t-A-4,t-C o: .20 L`Tby this 2S day of i-,AL 4 20 15 by
JOHN'ANIGRAZ JOHN PANXRAZ
Name of person making statement. Name of person making statement
Personally Known ' OR Produced Identification Personalty Known OR Produced Identification
Type of Identification Type of Identification
Produced - .-_..._ Produced
Notary Prb—Slate o`Rotida : ,d:;Sn^� '•; • LENAE D c1Fla
```r�' _ Cormissica#C0156015 i ! _. . {_ i ':. Notary PubL —51aEe of Florida
V A .11. rhes #D 2021 ? r •.L =Ae Comittrtsfonr#. •1SfrI "i
(Signature of Notary P a _ __ . -- 2-
(Signature of Notary P,.lig'`+. of t )z-+�JMciy '- .
Commission No. G6 I til:•dt�� (Seal) Commission No. G6 I4'tc (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW • REVIEW REVIEW
DATE •
_RECEIVED -
i DATE
COMPLETED I - I
ev.2/7/19
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