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HomeMy WebLinkAboutBuilding Permit ApplicationA11 APP6IEAW INFO MUST R€ 6AMPL€T€9 FAIL APPLICATI®N T® 5€ A9C9PT€9 Date: Permit Number: "OD ii�ie� v�Pdg� 190 y Building Permit Application °Ilk Hlonning and Pnvelogmonf 5nrv1gP§ RNil0ing and 000n Ragalal'lon 91vlgian 9.30 VirginiaAvenaa, Fart RIarpg FI 3491J2 . Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITAPPLICATION FOR; 81111d1n® III Address: 33 M9NT9YA Legal Description: €APT 1/2 9F 599TI9N 1= T96NN5HIP 345 = RAN9€ 39€ Property Tax ID #: 1397=111=9991=999-§ Lot No. Site Plan -Name: 9911NTRY GWO VILL-AC€ Block No. Project Name: Setbacks Front 39'9" Back: 29'9" Right Side: 9�' Left Side: 21' DETAILED DESCRIPTION OF WORK: 61NO E FAMILY RESIDENCE (rnplammont homy) 2 BEDROOM = 2 BATHE GARAGE NO BLAB WILLPE BUILT OFF REAR OF HOME CONSTRUCTION INFORMATION: itiona wor to e e orme under tispermit—checka apply: ZHVAC EJGasTank ❑Gas Piping _Shutters' QWindows/Doors' ®Electric ©Plumbing []Sprinklers ❑Generator ©Roof Total Sq. Ft of Construction: 9,199 S Ft. of First Floor: 2,10 Cost of Construction: $ 01999, Utilities:[]Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameWNN€9fi1691N9P9PMTM€NT Name: MA711911VVILIEWYNN€ Address: 9999 59dTH t15 HVVY,1 t V?UJT€ 402 Company: WNN€ B€V€L9AMIENT 9913P9i3ATION City: P9RT PT, LIi91€ State: Fl, Zip Code: 34052 Fax: (772) 979=7W Phone No.1773) 379-6913 Address: 9999 59WTM Uf? MWY,1 = 5111T€ 492 City: PORT W, LUC1€ State: Fl, Zip Code: 34952 Fax: (779) @MiMF§ Phone No. (772) 976013 E-Mail: Fill In ft ofmpl@ Tifl@ ) older on wt p@#@ (it E11ff@rf nt from th@ 91vn@r 1141@d ab@v@) E-Mail: State or County License: 93393 If vala@ of rsnsfry0on 1s 425®9 or mar@, a 9€69R9€9 NotPsa of €.ammoni;*m€nf i§ r@qRlr@A, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: BRADEN B BRADEN Name: Address: 417 COCONUT AVE. Address: City: STUART State: rt City: State: Zip: 34 Phone: (772)287-s25s Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. _Not Applicable St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 requested permit; I do hereby agree that I will, in all respects, perform the work 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 s _ Signature of Owner/ Lessee/Agent Signature of Contract r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF_ !�T• I_uc o! COUNTY OF ST. LActc The forgoing instrum t was acknowledged before me The forgoing instrument was acknowledged before me o thisa day of !L 202A by this �dayof ATR/L .20 _c�-Oby (Name of person acknowledging ) (Name of person acknowledging) (Signature of Nota blic- State of Florida ) (Signature of Notary lic- State of Florida ) Personally Known ✓ OR Produced Identification Personally Known &-*� OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. MY Revised07/15/2016M" sor4m`rm Commission No. uvnui pr ANN BASKIN MY COMMISSION # GG 030145 6antlpd Thr4 Notary P0011C U M4W trs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS