HomeMy WebLinkAboutBuilding Permit ApplicationAug 271410:48a First Choice Plumbing 7728.797864 P.5
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
.IM:y:�
WM°"s'
Permit Number:
Building Permit Application
Planning and Development Services
BuRding and Corte Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone:(772)462-1553 Fax:(772)462-1578
Legal Description:
Commercial Residential L,,"-
Property Tax Jo #: r. ()M_
Site Plan Name: --- Lot No.
Project Name: Block No.
Setbacks Front Back: Right Side: Left strip•
pep{pe. SeQ.L)�C.- WC--tz(L -f-a kAdt&dP- i
j kti - n sn4 l U)&64wr IOJX r I �C rccv2
low buy .
CONSTRUCTION INFORMATION:Add-
rtiona war to e e rme un er t is Perm it—cWEE:111 11app ;
HVAC Gas Tank :]Gas Piping _ Shutters
F'J/ Q Windows/Doors
Electric L"J Plumbing Sprinklers
Generator El Roof
Total 5q. Ft of Construction:
S tewer
f First Floor.Cost of Construction: $ Utilities. [:] Septic Building Height:
QWNERAESSEE:.:...:. CONTRACTOR: . ..
Address:
City: 1=7State: EL
Zip Code:Fax:
Phone No.__ 7W-- :J2-
E-Mail:
Fill in fee simple Title Holder on next page ( if different
From the Owner listed above)
f value of construction is
Marne: r �..L�;ice I , bin
Company:R ,,..
Address:
.iS�L 1A) A)-44,. MC C
City: %. LJ,.c State-
Zip Code: &46W1y Fax 7"72.—'�Q
Phone No. 7"7Z — 19 — r �,
E-Maim invt( i• Cory,
State or County License: j¢2rj�
or more, a RECORDED Notice of Commencement is required.
Aug 271410:48a First Choice Plumbing
7728797864 p.6
SUPPLEMENTAL CONSTRUCTION.L,IEN LAW INFORMATION:
DESIGNERjENGiNEER: ,Not Applicable MORTGAGECOMPANY: __ Not Applicable
Name: Name:
Address: Address:
City: State: City-
'
Zip: - Phone• Zap:Phone- State:
PEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
ZIP: Phone:
BONDING COMPANY: ____Not Applicable
Name:
Address:
City:
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit..
which is innoconfllcmtawith anapplicable Hme tOwnnerstAsssociation� rules bylaws or and coV nantss that build
prop bit 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 1 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 ma result in our improvements to our roe y Y paying twice for
Y p p rty. 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
commencin-r-ord!ng your Notice of Cornmenr-Pmont
a
COUNTY OF
The forgoing Instrument was acknowledged before me
this � day of 20 14 by
Of
Holder
STATE OF FLORIDA C3r
COUNTY OF ! J
The forgoii g instrum t was acknowledged before me
this, day of (� 20__1g by
(Name of person acknowledging) (Name of person acknowledging j
(Signature of Notary Public -State of Florida j (Signature of Nota Public -state of Florld j
Personally Known OR Produced Identification Personally Known Type of Identifrcati OR Produced Identification
Type of Identification Produced _
Commission No. `Y' ?Votary FuW�l�state of Florida
y Comm. xpires Ju,a 25, 201 B
y.I OPF ao-°�' Commission # EE 194632
a na o ary ssn
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR
COUNTER J REVIEW REVIEW
INITIALS
Commission No. U qO (Seal)
NAN EE
Lvma1IUSiON # EE830242
EXPIRES October 12, 2016
PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
OWNER/LESSEE:
Name
Address:
City: State:
Zip Code: Fax:
Phone No.
E Mail:
Fill in fee simple Title Bolder on next page { if different
rom the Owner listed above)
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:y = y �� t� Permit Number:
Building Permit Application P� -P
Planning and Development Services)
Building and Cade Regulation Division �' N L•
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential L�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED"IMPROVEMENT LOCATION: -
Legal Description: j AFL- P 11\
Property Tax ID 4:
Site Plan Name: Lot No._.
Project Name: Block No.
Setbacks Front— Back:� Right Side:
g Left Side:
DETAILED DESCRIPTION OF WORK:
(,Wa-6V 2 ( b bx i �ijGl�2cc2
Y• lwcp- L Le �'o,a Llkr " ,
� � GGt.l�on folubay .
CONSTRUCT{ON INFORMATIQN.:
_• ���� Ncrrnt[—Crl
L HVAC GGas Tank ❑Gas Piping
LJElectric 19 Plumbing QSprinklers
Total Sq. Ft of Construction:
S . Ft. of First Floor: _
Cost of Construction: $ Utiiities:nSewer f7 Septic
.CONTRACTOR:
a�p
LA
has- bI to)L-
Shutters M windows/Doors
Generator C1 Roof
Building Height:
Name S ice P iotll
Company:�yy
Add ress: A1421 S (A) Se) l„ Ylno�r.e�o 3 f vv .
City: S%. I-,
Zip Code- Fax:c2z7 )
Phone No. -1-77, -
E-Mail ('rat-rlr�� (ir L_� T,�r l� j.{�oncaz Corv�
-State or County License: XI�L-A2_1 6
i value of construction is $?S00 or more, if RECOBOED Notice of Commencement is required.
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SIIPPLEMENi'AL CONSTRUCTION LIEN LAW INFO111M.MON:
DESIGNS ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Address:
Name:
City:
Address:
Zip: Phone: State:
City -
State: �—
Zip:
Phone:
FEE SIMPLE TiTLE HOLDER: Not Applicable
Name:
BONDING COMPANY;
Address:
Not Applicable
Name:
City:
Address:
Zip: Phone:
City:
zip: �- Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may
structure. Please consult with your Home Owners Association and review your deed for any restrictions which na oa Prohibit hibit such
in consideration of the granting of this requested permit, I do hereby agree that i will, in all respects, perform thework
y
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;iobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing cording your Notice of CommPnrprnon+
,ign ure Owner Agent/ essee �� "
Sign ure of C ntract ense Holde
STA FLORIDA
COUNTY OF STATE COUNTY OFORIOASl ,
The forgoing Instrumentwas acknowledged before me The forgoing Instrum t was acknowledged before me
this, day of
�� 20 14 by this* d'ay of (� 20--u by
L 0 � rt�
(Name of person acknowledging 3 —A
(Name of person acknowledging}
(Signature of Notary public -State of Florida } {
(Signature of Nota Pub ic- State of Fibrid l
Personally Known OR Produced identification , Personal) Known Type of fdentificatl y OR Produced Identifcation
•+�t� p'O•• caREN BE Type of Identification Produced
Commisi- N ~r �- 1— p NNET7
n O.
_ YLfSI�i�State of Florida
Y Comm. Expires Jun 25. 2016
Commission No. (Seal)
'
,.FOF'\o �+•'`
Commission* EE 194632
•�
' NANCY
Revised 07/15l2014
OR o ary Assn
'" LEE LANGFORO
MY COMMISSION # EE830242
EXPIRES October 12.2016
REVIEWS
FRONT
ZONING SUPERVISOR
PLANSSOY) 398-0ts3 Ffariaatt� e��
DATE
REVIEW REVIEW
VEGETATION SEA TURTLE MANGROVECOUNTER
REVIEW REVIEW
REVIEW REVIEW
COMPLETE
INITIALS
t,'d
ti99L6L9ZLL
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