HomeMy WebLinkAboutBuilding Permit Application 1°PTEO;
Date:-0.1-lw'zy
Permit Number:
RECEIVEL?
: r lc- JAN -14 d
PJagnr slur DevW ent:Survices
Building and Code.Regulation Division ST. Lucie County, permitting
2300 Virginia Avenue,Fort_Pierce FL 3498
Phone:.(772)462-1553. Fax.(772)46271578 Commercial, Residential'
Address: Zig
Property3ax ID M 3 � ® � CSO 5 010'1 Let No. �
Site Plan.Name__ Block:No_
Project Name-.
-
_
,
R
M. itiprial=ve.rthimchod - ece.,ai thatapplr:.
_JiMedhanicili _Gas..Tax''k -Gas jr)ping _Shutters _Windows/Doors
Oeetric _Plumbing _Sprinklers _Generator _hoof Pitch
7 l -bar
tx Ff.,.cif, Floor:
Cost of�Cons?truct»on: i
$ l5d° �" UVOUes: _Sewer _5epb-c jBLOffing1464h>r:
oW "CIL ®ti3TACT{3R .
MameVtou i l-iZLt� ilFame:
Address: � g �/l'i �J 1 Company:
City: State:F— Address:
7ip.Cod'e: Fax: IJa�V City: State:,
Phone No. C216q) X'10- 058 Zip Code: : Fax:
:E= af:. (/wtlm @, aot. Cpm IU
All In fee>sirngae,.itte:HD]der,-on..-nekt=page;(iifA ereo# E-.Mai.1
-from the Owner fisted above) State or County License
.4tvalue.of iM, s;$2500,or re,..a-MCO3tDP'Notice dfCommiqncemepAsxeqtfired.
if vallis of lflf3�;cc as 7;5 fl-nr ytxoxe, t3E( ?f A D�ilottce>n#G,�mna�en a nentJs xequ red.
"-f". �'xM- ,"`Y�. Y�.�'_-•- �" .�_l.�.,-r+' w^.- .; a"£''`e`..*_-�'SK sf+is"'v';,- 2 e+?,o-
4�0N;4t+«-r'su?�r,,e,t ;, rrx,•�. � :.3x M,.�..n.;+. *,�:.%��c,3,`.. 7 = Y?s€ 3.
DESlGlVEP El G(I EER: NOf Applrcable Kg0RTGGAGE Cf1MP'AN Not"Applfeabl&
Name: Name:
Address Address:
State; city. Stathe:
Zips Pla:art
FEE SIMPLE TITLEHOLDER. X Not Applicable BONDING COMPANY: Not Applicable
`;Marne: ame:
Address: - - - - Address:
.)City: Ivry:
Zip: Phone: Zip: Phone:
OWNER[CO T7R-AC-TC3R picFMVAT: Applicatian4sneve' inaef to,6btain a pe�tvto asin&cated,.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucieCoun makes no repr�esentatiu that.R grant-ift a permit wiifauthoriae the.per mFt hal.d�erta.r ulfd.i6e�:se�t%jeet`.structure
wk►ich is im'con�rct,with awt applieaible-Aome Owners;'Assoeratrron;au{eS,..la}glaras ar .rrd¢ovemantstrE attmay restfid on prohibit such
structure. Please consult with your l lame Owners AssaciafBon and review your deed for anyrestiictions which may app,ly.
frr.cansicferai iota of the granting:af tiffs recues4edo.permit;I'dex Hereby agree tYiat Iirtr'rlfi;in;alll respects,perfarm tine worts
in accordance with the approved plans,the Florida Building-Cod•es and St. Lucie County Amendments.
The follbwin�.buil'dfrg permit appl.Fcateops are exempt_ftom-undergpift a fuli concurrency.review:room-addftiansb
accessory structures,swimming pools,fences,watt's,signs,screen roams and'accessory uses to another non-residentiat"use
"WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY.RESULT IN YOUR PAYING
T-MCE--TOR"�IiVIOkOVEMI NTN TSO `YOUR"PROPERTY : hIOT'ICE.-,dF,C MAEN"CiMtNY'HJST BE RECORDER AND
POSTED'ON THCJOB SI'rC=DEfORE 71 'FIRST:INSPECL IrIO N. 11 =YOU'INTEND'T JOBT. IN`-FINA ' 'IbOI AAT .
WITH Y UR LENDER.OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
VVV�
Sigh tore of;owner/Lessee/Cvntractvr as Agent for,Gwner Signature of,Cvrtractvr/License>Hvkier
STATE OF FLORIDA STATE OF FLORIDA
C0tk11 O`OF 'mak . Lv CGUNW, .
The forgoing.imstrum entwas acknowledgedi before me The forgoibg:19strument was acknowledged:'before we
this \.y day of q^n \ 2E}as by this day af.. .2fl+ by
Name of person making statement. Name of person making statement.
Kers 4ily!Xnawn -O.R rro uceodeikfficatd n 0&s;onA1,yAZnown OR Prciduced itlentffication
Type ofideritifkA loh Type-4 iderrtification
Produced ,Produced
[ t
(Signature of Notary�PlWbl.,ic-State o (Signature of Notary Public-State of FloridaNAMARIE GIVENS MY COM .#GG D22D23
Decembee 1B,2020 EQIO(tJs&atm .. � c�}
*, EXPIR;,-d• ond7hruNotarypublicUndeN+�iters
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REVIEWS FR NT ZONING SUPERVISOR PLANS r VEGETATION SEA TURTLE c MANGROVE
CG-up,FER; R1=VfEW� hEV{EVIP< REVIEW, RE-VIEW k R;EWI.E1Ai� REVIEW
DATA x
RECEIVED
DATE s,
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