HomeMy WebLinkAboutBuilding Permit applicationCera t;tc: r10 vycrk Or. ,'nstailation has comrnenCed prior to the issuance of a permit.
SF. _UC:e COunrT. �' . aKes no representation that is granting e permit will authorize :he permit holder to build :he subject structure
which Is in COntlliC with any applicable Home Owners Association rules,�byli ws or ana covenar. s that rrlcy reStrj�; Of pr•J11ii7 iT. c ^h
structure. ?lease c nsu)t with your Home Owners Association, and. review your deed `or any restrictions which may apply.
n consiuera:ior of the granting o" this requested oernnit, i do hereby agree that! wil!, in all respects; perTorn the work
accordance with the approved plans, the Florida Building Codes and St. iucie County ;_mendment_s.
he following builc ins aermit applications are exempt from undergoing a `uil concurrency review: room additions:
accessory StrUctur, s, swimming pools, fences: walls: signs. screen rooms and accessory uses tc another non-residential use
WARNING TOOWNER: Your failure to Record a Notice of Commencement may result in Your paying twice for
irnprovernents t o your proper ty. A Notice of commencement must be recorded and oosted on the jobsite
before the first i specticn. If you intend to obtain financing, Cor-�Sult with lender or an aiiorney before
WIC rk or recording vour Notice of Commerce enL.
-comamencinF4
• I
s
i
51 ire of Own r( t.es5 e; Ago^•t rgn2iure Of Conrra..:cr - _r nye ?-i 010_r
t
' STATE OF FLORI
A STATE OF FLORID `
metas'•-- �' moo`.. �'-arr'c .== ,.'�i�"�-_..= _�--V"r'�'-.�_ -�:;�.='�.,"--'k.�.x::n•�.�5 _..��: r`"" � ..�:_>Fi��':':.,�:';•',1
w
DESIGNER/ENGINEER: — Not Applicable
' MORTGAGE COMPANY'- NotAppli icable
Name
&- ,^lav of
Name:
Address
I
I Address: _
GLy:
Sr to
City: St
`Zip:
Phone:
; Zip: Phone:
FEE SIMPLE TITLE
HOLDER: _ Not Apc licable
I BONDING COMPANY: ,Not Applicable
Name: _
vlSeal) COt^miSsi0, 40.1717 Iseal�
Name: _
Address.
,.
Address.
C;t
�.: t .
_ _
City: r
Zip:
Phone:
Zip: _T— phone.
R- �VJS FRONT
ZONiNL P RV1S R ?CANS vE cT.A-!'�\ _^ c 1,;A
SU E G GE D. Sc TJR-L_ N�ROV
C01.JNTFR
Cera t;tc: r10 vycrk Or. ,'nstailation has comrnenCed prior to the issuance of a permit.
SF. _UC:e COunrT. �' . aKes no representation that is granting e permit will authorize :he permit holder to build :he subject structure
which Is in COntlliC with any applicable Home Owners Association rules,�byli ws or ana covenar. s that rrlcy reStrj�; Of pr•J11ii7 iT. c ^h
structure. ?lease c nsu)t with your Home Owners Association, and. review your deed `or any restrictions which may apply.
n consiuera:ior of the granting o" this requested oernnit, i do hereby agree that! wil!, in all respects; perTorn the work
accordance with the approved plans, the Florida Building Codes and St. iucie County ;_mendment_s.
he following builc ins aermit applications are exempt from undergoing a `uil concurrency review: room additions:
accessory StrUctur, s, swimming pools, fences: walls: signs. screen rooms and accessory uses tc another non-residential use
WARNING TOOWNER: Your failure to Record a Notice of Commencement may result in Your paying twice for
irnprovernents t o your proper ty. A Notice of commencement must be recorded and oosted on the jobsite
before the first i specticn. If you intend to obtain financing, Cor-�Sult with lender or an aiiorney before
WIC rk or recording vour Notice of Commerce enL.
-comamencinF4
• I
s
i
51 ire of Own r( t.es5 e; Ago^•t rgn2iure Of Conrra..:cr - _r nye ?-i 010_r
t
' STATE OF FLORI
A STATE OF FLORID `
' COUNTY OF
COUNTY 01: 0 �I
j
�Qf£Cf!1 insirU
8nt w8s ackr'ov`•'edg�Yy+�Gc 2'C'C 'ne I The fIS1t �o�na Los;rut^�►a tom+:Vv:as ac know. !e G'ge Se"ora '^e !
�F� )73y of 20 by
&- ,^lav of
1""1 'J: this _.-cJ-
"pare of •nerSOn dc: nowiedgin� (Name O p2rSOr ciCknowiEdglnp ; l
n CAA
Gna:urG O °VLaar,
n -n
C! i (Si azure 01. N try ? C. ^lerida
o' arida : g'
PersonallyKnown OR Produced identifjcat!en
'e-5ona'!y Knowtluced
!densification ?
oe o` oe^:ifc?ype of Identif caari/an ?-cducec
vlSeal) COt^miSsi0, 40.1717 Iseal�
.►a' Nota,y Public State of Florid 0,0y Ok Notary Puh! - " trate o
,.
-ST@y1Gi-fCf110t1—@i!I "�
At ;
r�.,.,,
My ss!oon�GG
`�� My Commission GG 152970
e'• Sed G: } �/2
? 4 sT ,�` Exr•ra:; ti0t18/2a 21
or
.
a n Expires 1011 SM21 na
'v
R- �VJS FRONT
ZONiNL P RV1S R ?CANS vE cT.A-!'�\ _^ c 1,;A
SU E G GE D. Sc TJR-L_ N�ROV
C01.JNTFR
! REVIEW" REVIEW REVIEW REVIEW REVIEW RE11(i=Vv
I� C.7Molc-:
�� ':NI T IAi C
AI! APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
aer;l:t Number:
iI %rCn ^C C! d'EVo oomer,:' Se.^-IiCeS
I�
+i aur;oitzg and Cote .ecuia-tior. DA4500n
�I 2300 Virginia Ave- e, Fort Pierce 'L 3498.2
,I Phone: (7772) 462-?SS3 max: (772) A62-1578
PtRMI T APPLI ATION FOR:
li dcre.s: G�
I� _moaDescript on:
I I --
11 open y Tax i,D
Ij $tie pian Name: -
��o c ect Name.
Stcbacks =rout
Building Permit Application
Qmw"Ib;-A�
Corr+me-rcia; Residential
Lett Side:
3acr Right Sde _
{i^rtrona c wo to e pe orme under t -,s perm rt - c ec a that aPPiY
ii
Shutters
Cas Tank Gas Pp,ng —
+e I?z^iCai T _
Sorinki2rs _.
Gen2rator
ii SG. Ct :0r C;r5=ioor:
SG Fr o` 'Onc Fuc-l0r'.
i l.}tiiities: S-2wer Septic
�i CS: Cnc,rur_`i0 S _ S
Lot No. _
Block No. -
✓windows/Doors
Kco
Building Height:_
YYY ',,:Cri�ss.]D_CVVU.YZ�
Co r �panv: rti�rYi ^i'(5` J4 tYC1�Gfz
Address:
Cry:t c='v� State:
iYoce. "ax: ax: Z1--
"
77 u'L3u
7ipCode: 3293
i No 772 �D "7-'l47C
j! :. oa;i Phone No
c. , !:ail: :..:,:c�'.�`>;�c.�niia(� ��-.�_ �� �^• --
i till in fee simple Ti ie Holder on nextif c�tfferent
page (
from the Owner li 'ed above) Statc or ourtl !_ c nse-T—
f 11;11 or constructs n is 2500 or more, a RECORDED Nottce of Commencement is required.