HomeMy WebLinkAboutBuilding Permit Application .. .
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e9p/ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
V( 5 Date: —.7\- \„(::\ Permit Number: ' R O5----0 ,,( 0
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:COUNTY'.
1 Building Permit Application . .410 by,2n8 '
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Planning and Development Services ' 1777Itto
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Building and Code Regulation Division St. Lug.bop .
cle coortiben.
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential /
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PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -
1110000*#.#080111tINt'14000:01;i1Egigg :::'''-15.1:;--,V,!it5':,:',.. ;;:aa,',.tg:t:!;.:-;*fiiitiqiiitkitga,41•M
Address: Sc'11 w /r4 Park-. tcnc.. .
Legal Description: PO rteku-sn SkOcC.S
Property Tax ID#: (.3 t)...-56 2-00.1e1 -000-1 Lot No. A a
Site Plan Name: Block No.
A
Project Name: 2-an PAci-1,„r,r
Setbacks Front Back: Right Side: Left Side:
.... ,,, , .4i,., . .,. ..-_,. -i: .::..,.;.;.--. .,..-. ..?Si-za.,T-1:: „,,- ;,:,:;:i:4, ,,:IrfM,400
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CONSTRUCTION•,, „,'.',--,m4. ,-i ,-,11 ,ei...1%,"•TV4f / 44:,';IT;-;'•:,'„;,'.;::-;iv.,.ii--":,i,',ri",l_ .- L .'_•-'3:;4;,,5.'..::c3':.i•,:y,'`;:'!.,44.'::,;1v.:;e,'.-r---?"'.;::4I z'.i1-:"!,:::4.-',-Y,,,i_.f,,-,';7'-,',.'.,.-:..:',:ifr',;v:-,':;:,:',,,_,;';;,':,..i7f'.wii.."',":";.',:=;,•..;_:::;x;:tV.:.1:2-,,-::;1;.14grir-',"i:Lr..7:]t!?:,i,'m`.,f;Y-Ti,,.,1,'
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Additional work to bitptirtormed under this permit-check all-;hat apply:
c HVAC 11 Gas Tank Gas Piping Shutters ZWindows/ 9ts
-z.1..-.
LElectric 0 Plumbing Ej Sprinklers Generator 1--- Roof
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Total Sq. Ft of Construction: S9,14 of First Floor:
Cost of Construction:$ 40(2,0.4 Utilities: I 'Sewer Septic Building Height: .
II=.00,.-00.4-$3,:fiegi,,,CaiN:04:,W.tai(001:10-400,1'efAallelettiligt0120,4
Name F\7.-L;-" AV.--tirNe.x I Name:'.3-6-..,i.vt.e , .I.,, . -
Address:"311 Watnot Peu-k....c.rnei co mpa nyi:14_(.-) 0ct.y---9€to- . ..:tu Q.
City: pdt, Re',rcz.., State:e_i_ Address: i:2,4 ja? 1 -7 9.-PH 2r A....)
Zip Code: 41313 ' Fax: City: 1-0,-fb 1 vv-;,--- ?c- C. if State: 1--.(--
Phone No.77 ."Ci.7`i -30c4C) Zip Code:-..3r4-1 i ;.)— Fax: 56,l
E-Mail: . Phone No. 57...4- SII'.(:)---:.-S-- 41 CI 5—,--1-
Fill in fee simple Title Holder on next page(if different E-Mail: r-Q....19eXAa-Pta-f{641:4-2-r-oupc 1-2,
from the Owner listed above) I
State
If value of construction is$2500 or more,a RECORDED Notice of Commencement orCountiys required.
License:ciuired. e (ci c o::)1...-328-:: i
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
1 -
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address: , [
City: City: . |
ZipPhone': Zip: Phone: !
.
I certify thano woror 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 strpcture
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 reested permit,I do hereby agree that I will,in all 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 your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
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_ :'a�e�Owne/�se��ent a���� � nt��o�LcenseHolder
STATE OF FLORIpA STATE FLORIDAOF FLORIDA
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COUNTY OF ��' L� COUNTY OF �� � ��� �� t >
The forgoing instrumentt was acknowledged beforeme Theforgoing instrument was acknowledged efore me
this 30dayof 4N92.1 L^ , 20 /,6y this [, day of H ol ,20 /-1 by
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A eS a
person acknowledging) (Name of person acknowledging)
oacym�'
°~ignm-ureofN�aryP � c- a} [yiorNota /ruoc' of Florida
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Personally Known OR Produced Identification 1-•'-'......"
•'-' Personally Known " OR Produced Identification
Type of Identification Produced El-De-10A-JA KR-5 Type of Identification Produced wmcmvooxc
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Commission No. - Commission No. (� �nsn:*9m �� 2mm,^ e^F Fuil' Bonded ThruBudget wot;tryServices
Revised 07/15/2014 v� --wa�nn�wma�*e».
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REVIEWS FRONT 1 ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER, REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE '
COMPLETE .
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INITIALS I
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