HomeMy WebLinkAboutBuilding Permit Application - L
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1� .
Date: rJ j t�� Permit Number:
:' RECEIVED
Building Permit Application MAY 3 1 2019
Planning and DevelapmentServices ST. Lucie County, Permitting
Building and Code Regulaqon Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-15,53 Fax.-(772)462-1578 Commercial Residential
PERMIT APPUCATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED iMPR4VEMENT-LOC A N
Address: `t'� cav':r,11Y1 ' _ 4V ' li�r'C4?,,1PL- '�)L461
Legal Description: (�i�i � � S" k 1, 2 Q' ?j -� -odT
e S S� K au 23 r1 3 e
14M ,_ .A
Property Tax ID#: 1 - S� l Q- " `-' `
p rty 3 Q ) l Lot No,
Site Plan Name: 5 ,a a et i,T A f`ct (cc,.S �'"�t�Gd�� Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QE WORK: ..
_.
CQNSTRUCTION INFORMATION
Additional work toDGas-rank
e ne orme under tis permit--checka appy:
0HVAC E]Gas Piping _Shutters F Windows/Doors
Electric PlumbingSprinklers i�!Generator I�1 Roof 0
Total Sq.Ft of Construction: SCI.Ft.of First Floor:
Cost of Construction:$o` '� Utilities:ISewer Septic Building Height:
01NNER%LESSEE CQNTRACTOR
Name t� Name: C¢ C
Address:rL y"6 Cj,,QV l& � Company: K I - c
City= F Y Ce — State: 'l Address: L� �c 1-t�
Zip.Code:-`3 ?l Fax: �� C Ff 1MVC4e�, state-
Phone No. UP =r—o-2 Zip Code:,3'(ff 62- Fax: 7 a- 'C/rL6,6
E-Mail: Al/ Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: ce F litff e,cea f
from the Owner listed above) State or Coun icense:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DES116–MURFERGINEER: Not
Applicable MOR
GA
G
E COMPANY" —Not Applicable
Name: Nm�•
111Addess: Address:
City: State: cftr.
Zip: Phone: zip: Phone:
FEE SIMPLE 111 HOLDER:* Not Applicable BONDING COMPANY:
Name: Name: Yot Applicable
Address: xAddress:
Zip: Phone: Our.
zip., Phone:
I cer*brat no work or Iristallation has commenced prior to the Issuance of a permit
PeCouMkesn�rn
structure ase=app"EHorne bit such
, tYCe Owners Aadatian and review your deed r any restrictions which may appfy,
Inconsideration of the granting of this requested permit I do hereb"Sm that I will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Codei and St Lude County Amendments.
The fbUmftliRdIng permit applications are exempt from undergoing a full conomwwV revieur.room additions,,
accessory structums,swimming pools,fences,walls,slam screewroornVand accessory uses to anodw non-resldenthi use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your4mong talce for
improvements to your prQpeft'A Notice of Commencement must be recorded and postikd on the jobsite
before the first Inspection.If you intend to obtain financing,con w#with lender or an attorney before
cam work or recordine our Notice of i0Dmm'* ehcerfterW
4
AkenseHblder-
%kniWre of Owner/AgenVUssee Skmikiftimeof"ConbacftloiLl
STATE OF RJORIDN _%)C*%A- , " STATE OF FLORI
COUNTYOF COUNW %e-
.1befteolic hmument was ac m6wiefted-before-me 'me forgoing Instrument was admowledged before me
thIsjA_dayof "nLj .-20 1% by U&SN dayof_�_.20_4 by
44
(Name ofpersonadmowlaWng) IName of person aclAwledging)
(Signature of Notary Public-State of Florida) (Signature z0fHoUtwopu wo-Statearadrida)
Personally Ktumm OR Produced Identification Personally Known OR Produced - ztl=.7
Tvpeof kleaffication Produced -'Type of Idea IT
NAN ec;rj NS COMMISSION#GG
Commission ........ 072023 1
mmission N aR.021 �,,i
MISS RES:Decer
(Se
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bonded"Chiu W3�Y
I., j1d;r0i
Revised 0711512014
REVIEWS - FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
M
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 4EM T, I .
COMPLETE
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