HomeMy WebLinkAboutpermit app for 664 malayan ctAll APPLICABLE INl=O MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED
Date:Z a Permit Number:
Sffo EouGHE
~ Building permit Application
Planning and DeveloDment Services
Building and code Regulation Division Commerc'lal
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential
pERMITAPPLICATloN FOR: ¢c ` ;?oo €
`,:`t`,i/`;.rty<``L\i,.:,I:|``:/.^Li`<c,.''!`)tt'`),`:,(`'..`i`U++`ti`.;`t``,``6%:f``:,".f.:.`'\Zr\'`Y\,`^,,|'ilv\\J<'.',\'.,}i'/,ts
&
•_ . ` _•z.|L,`I,*'h",I,>\\,+\t;,J.'i`,J,I;'\`y<(:ttr\>`\`,`'`S`,`,`\'|`.i;:it,,`:it'.\``;,,t.Ji\i.I.-I?;I:.:i.`~,<``':`.\',`':\'l::Y<,'.J`:`,:Pz3''`,`;.`,;J/f`,.)''`'/:.,i.'<',-I+{`^.t:,?,,:'';,`\.'\\'\;i:)'``,'`lL``\`}`'iY}y``.`ti.,\:{:i'f``.lil,.I:I,
1,I,`)i,`.i,f`,.,\';;y\\t,\`,::`j.`',if,`>y:\\t<;,,`r`\'i.I:`/t;i.t`<,`'.,`:`.t`+'i`rt,i;\r.i;`!_;:t;`:It`t;t`t`'`\?z`:i:',:I-.IJ:, . -`\ 1, , ., ¥.,, ; `\` `,(
Property Tax I D #:
Site Plan Name:
Project Name:
IC)- 5-t,-c;o7 a ~c;oe -6 LotNo. //
BIockNo. CL
'3pha;:f!t::jJ°c3f:ch/;]'f4jicr/tty,hFriL7!_:_fife
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank Gas piping Shutters Windows/Doors Pond
Electric Plumbing _ Sprinklers Generator JK Roof
Total Sq. Ft of Construction:
Cost of Construction: S
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
\;,` 'J I." ,I:,,L=` ,`1 i,, ,i ',I ,:,,\; „ :\ (,-::i;|;).:.;.'#.I....,:J.::I-`.)'-,,,`.+',I,;^`-.;,',ti,i,r,:.,.i:.,.,|?:.i`,-;,??:.,`..i.-.:..I.i`.-:I,x,`-,:,-`..4,i:.1,i.I,--`.``:`,*,,i,,i,:i',,..`,I-v<+i.T1=3T=TifT||1`+`,,(? ,'`',.\;`}{j';i I.J\ '`'_^.i`\J`~r„ I-``*`'%J`,;I;`.:\<`,I:``['..I;i'L:3`.I, ;i`\.'`r`9 '\',',`'" /\r\}`! ,',|t' `.i \.-:`\,ri`\v'`,''ixJ t.. `J`^'+'f`` \Ji I ;`\i'`"<`i.i'\::`'.``/c:'`: ,../f,`',4` <.^`,`Z L.,I t: 1L\r.`-'i` (`;;'`-_-.__1.___. . , , . I . -,
\`,:``y+r`.\!,';``.o`t`ir,:;`.'`.``_I:,;;`'¥``.:\::,I,,:i.i:,:\:`„}¥:`».'i''...s:.?)\:)':`!,\\,`L```>':,',,`:`i`i'f`r\'':Ill,'`:;`+'£``'.;t.-:I:`+`¥,.'rt','Z::\,:`f~:;:: ;;+:,:\`'\\"}l.5,'^``£y?.y+JJ(,`:'\``':-.: ;t;,-:j`;'`:'..`',fz``v,.i \i"
Na'T\e i:i..I\--.\ -\ :'',.t"-.I ;Name.. IlblcLr"I uli/ev _
Address.. ( (.\ I ..i)i``. I l`,'i. I (.1---Company.. ^ e/ lzLo '4
c.ity.. T `e' '-.: . state..FL Nrddre:ss.. I C17 3 Sct\, Ueul Jr>`l/\sT-
Zip code: `?Li(-/ €|/2~ Fax:c.ity.. °D(+ `.. Lu(ic -State..Bl'
Phone No'Zipcode:? H4$ 7 Fax:
E-Mail:phoneNo 7 7/` 26.C`r C~/5-6f
Fill in fee simple Title Holder on next page ( if different E-Ma-ll 4 h{; r e, / I lL¢ `<trJC|`n tJA ® Wai hi,\0 , (t .M
from the Owner listed above)State or County License / f/ /`7 ; // 7/?
If value of construction is Z500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,500 or mare, a RECORDED Notice of Commencement is required.
i
3&r¥\^'2fgi¥{..£*A+¢tirT#iz[g/+r:` : £t¥-`:+ 'J';I .,#¥#:t;j£;¥,&;,*<# t,,.„z_fL<.I ,a `,;rtan`,%pftr '¢*`,"¥T`.a,;3g' aiy`%\-fats.`F* `qu " `giva` ¥{v§j ;+JiF,;`3+.zifaii`<-tt: #T®`RT
#,.*>a ' .S'.¥,€ , £....i, , 4`H..J i,;r ¥,, ,
MORTGAG E COIVIPANY:Not Applicabl
`iH. -".It .P'"DESIGNER/EN
i.`zrr¥'±\';=`?:'#'¥\#,i.ti,¥j£,S-i":.\;ai'}o\¢ir\.€,`th¥¥.€-`,!*`i¥¥:.agf€£>ct±:~:,i?.*``i`..,;.ul±|±'`*`.ijz€?f;,¥r+?^,:`^{:E&r:#ffii;'¢:3GINEER:NotApplicable !.i-,.,,ggr¥l.a.b
N.Name.
Add.Address.City: State: -City , fate :' . Phone:Zip: Phone
FEE SllvIPLE Tl TLE HOLDER:Not Applicable BONDING COMPANY: _Not Applicab iN.Name.
Add.Address.
Clt'City:I
Zip: Phone:zip: phone: I
OWNER/ CONTRACTOR Aft IDVIT: Application is hereby made to Qbtaln a permit to do the work and installatlan as ind icated.
certify that no work or installatio n has commenced prior to the issuance of a permit.
fit?#!Cj;!?:c::n#g¥:#,:a°witeapp|Fju:#Fft#:5h&a§|#s#E8c¥atargpan€i:a:n:trru#ga#}hg°#Z;er:a,:Fo:,oTn#e:#,:Ei#ua####5£:p:r[Sytpriubi:rs#ch
::::::iE:rnact:o#,3ft#:gpapnrt:3:dofpg*ss,r#euEj::tddgeBVALtj#ohdeerseg%das[::ut:I:
t I wlll, ln all respects, perform the workCountyAmendments.
The following bulldlng permlt appllcatlons are exempt from undergolng a full concurrency revlew: room addltlons,accessorystructures,swimmingpools,fences,walls,signs,screenroomsandaccessoryusestoanothernan-residential use
WARNING TO OWNER: Your failure 1:a Re#!fimft:s:t:o:y!s:t:enEer;n:iF:yjeoA::i
ifgafo;;r%:cie.ii:!t::fffi:vi#!Ner:f;#di!n:o!i:e;!ifii
forcrecords of St.anclng,Consultment.
- --,£: :.`---i)
:11::::i:.-i.-.:i-.`-,,::----::..\
Sl8nature of own ntractor as Agent for owner Slgnature af contract Llcense
§bAUTF£FOFFLORFfr.rstjoij itAUT#foFFL°R'EL.chjri.4
ir#s#:\?e¥aE¥e,:n:e::i:rTz:t::n2020bv *#£r%#;:ddg:oEr,bed:oof2oore#eofOnlineNotarizatlon.I
::r::n:;,:eKr;:LmzatoeRmperno?uced,dent,flcat,on_::r:Den:;,:eKr::::ZatoeRm:r¥ucedidentiflcatlon_
Type of ldentlflcatlon Type of ldentlficatlt]n
aphe;ridr ul nfiio
Produced
thnmA,i J+ocur
:,:n;::::nofN¥%T:c.stat:ffig:8£®;y¥:;b,:¥:::t#:
I
RE'ffl , axpl'OBnNo.GG\C±2 .`` Lx5 #Y![i[
DYMIlo.StetIon#a•ml8Slon`,^a4 ai EF'a21I,I
REVIEWS FRONT
',,,,,1,'1+,1, VV, ~V
VEGETATION
lJ,,.-.`J.-.
lNGr SUPERVIS-Oft PLAN_S SEA TITRFLE-MANdR-bvE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
Rev. 5|6|20
JOSEPH I. SMITH, CLERIC OF .I.HE CIRCUIT CotJRT -SAINT LUCIE CotJNTYFILE # 4729853 0R BOOK 4446 PAGE 2001, Recorded 07/16/2020 08:45:38 AM
` NorrcE. aF cohdT`4nart=Enmr`+I
Fo.+p¢qugredpoEP}!gh!esro!!ccrie`iTprovcT:I.qu.be`T:Foto.eFirinTFTl_pTppcrty.ndin.accordancewithchapto?13.Ftorid@ `Statret:i the following informatio7i is provided in this No_tics of Cammentxacot.
I. DescRJr7|ON pp Tztop[fLT`r {lirty] dcsai.Fxico ortho propcTty & 5trcct addfag. }r8vailab,I-) t^7( Fat.Io Z`'o.I3!JIJJ±!S3±;93L-C)CJ.q~-tJ
Taiio;c]£_ C_ TRAir:r ` |A;I. _/_/__rnz.;r3_..)sHrR_Tf±f=g±±ffifff#ffl£+fffoFcofgr::'fz::a:=:;::Ffi:±-3:qez
3L ouT`BR DfroRa4AI]o.v on usesEB niromIAT]oy ir rli= Irssfse Coar71`^cho ro`R nlc J}4pJlo`J€»4LfalT.-:==:-I:I;:;:;i::;r5±_-:-r:-;r-;--riET--jiiriij:A-GfFJ-a,qucFz.¥feg2_.
a. Name afid 8ddes! ofrco fitaple a.deholda of dffatm -Oaittcr «sut qhovc}:
4. a. ooniTft^croR.s h-^biB: StllorreLjne. F`Pqfiquig++___.`H ,.,, +-+t\-,,`-.-_-,?T,-_..'_ . I__''-.-t) . _+' , .
codn_.i]q.reef 1973 SW Glenclale ST. Port Saint lucie. FL 34987 i*pfrom®to 772£60L-9565
7. Pf=schs vithh tl]o Stzpc of Florlde. dtsigra(ed tz)r Ovq'er apon whom noiiccs or othtr doc`itBcats mELy be 8alred as provided t]ySetalon 713.13 (1} (a) 7. Florida Stal`r(es
8. a lri addition ro himself or haeot£ OVImq dlesigrcoes-rl 713.13 (1)a.}. Florida SintLLtes.
9. Ekpintion date ofootice oroariDeBcclnent (the expiration date wlJl be I year fran the dare orrecoitlin8 unless a difftrent date ig
or owrter or Lfsece, ®r ourt}cr?a or lrseo.atotffarfuerod:aDager)
C-o£
The fongoia(; inst-cat `wco petEBomrlodtFcd trfarc. DE
(type or fiirfuority.... Eig. omoc=..`r`!Blee. atLot"3r ln fbeo
B±g:ta±5¥o:57::i B¥:3B:2go:8f:85e Joseph E. Sm±tReason: Electronically Certified CopyLocation: 201 Scjuth Iridian River Dr, Fort Pierce,FL 34950