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HomeMy WebLinkAboutBuilding permit application I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � � ��— 2,o Permit Number: 9,D 3 ReeENED 9�o Leii C OCT1 0 U �,__ .v 20Y0 Building Permit Application Perm, u9 © ,x1 ~ nk ...... ..::.: : ...... g pp St. you me ty Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: I sn .e ssy a' k . c ` n E v }`eny a na nn y ?� u u u 1 ass uu x S u'xxxxxxarckxuxxxvZ k xx saxxx Y k�kvrc uxxuxuxx... xux kau x u .xx xaxxxxxu. uxxssx,u x yYw9 xxxu. xxxuxH uuuxuxxxux kx, u,xxauxssxxax xxvsx xxxxwGvx as sxxu asxxix,xxxukxaa.xkxxxuxa xx uussxxuxvsyx xa sxlxkxx x aax x ,x.a: g I .a xsaxxx xxexx xxsx ,a 3xx xxx, xx »x akxx kxx xxv, a'xy x .a. .3aya I a a a4aa :, siS:;'a ..Y S :' au Sj T Address: 4 L_+ Dr G. /Z/67 /Z'TZ' tr- PI F-12e-Az- Property Tax ID#: c�C� �5 u- }�^ 6 oDzq Lot No. Site Plan Name: Block No. Project Name: G. ..3 F ,.A F. v ss kanix._._.._ ._. ..uui.u'kxa+xxiess f v4 eY. .................. :..vx n 4uu k x 3k.••ii':�•"2AiC'x'x4xiei.4sSz:sud kGaie.vkss. 6 a. .xx..x_ .&x, xxaxxxa,xxxax.xa aa.a x,sxv..xa9 x xxxx sx. xxxxx..xxx. � x.<xx�x, ,q s �a� �,x a�a ��„„ � � � cxxx»xxxxx.xxxxxxx».»��••����a��k..x.,xa a xx�x xxi xa�.xx �x cxxva �s � RIM a �x�x�y xpxxxxvxx.xaa.xa xaxxcx.x.. xi x.x€a;, (33((( y aak Y.xs�x a 6 vsskxs9���CC;a ugpy a��ys�yaaak�.a k iw43{ ' ��('�y u) Yq .-' !. v.& xusuu vffxxxxSxvss..vuuxx ..Y i xxau ;SYa atiia. ak .. uaxyry .. �3 q pp :un x sax , nxxx x xxaxex�sA xa>a Yy R, ysa. a es a�arcxx3c sx uuxa xxyxxxxxk.0 +kaex xxee,axe a n y5 a xx,x ,e I, Y„ New Electrical Meter Second Electrical Meter a x xux a, : , a u,,n au "euaavixvavn"xuk`nvxR a x ss...fl u"S'103�Y..[( q .1� Y � 'qAu la luaxax:xxv x xH�1n��•y :yuxuau\''unssuauw.kvuFur':�uuuuux,x u uu Ruk�zrxug ku ku xuuvuvSxkv`v�uxxu k y u xuuexyeuul4..vj u. ny.Yk�.a i� u, kavvYuvy.uk k,�� l.x�av u�ux xxxYx.��Yux a:{kkxuqq�����x��ai���u�4�x�xuuxx a. xv ax �x�vxxn9v����AAk 'Ey ylx,vv'A ..Y.av Z.� xY 9y v k(:�a :}�ssx��� y k�x4xy a� �nxu: gg, l vap. �..a it a:x5'".v �uxussuxxxxxvx u.u�.x.ux L4Arc�u9kux xuarc:kuu#"urn«u4xY.a4R Yu.pyZ• yyunl xxvauAuxxuuaku nu yyaYssvu,Q...uvx%554[[{{ ,R ..In.RP I.:a u:�}-a y u F u4lgq xxxssgxxxnkw.,Y.. ui y' x u xa ua,� u3xxx xxxss xxuxxiuxxxxxxx x x C u a.GFGu y i.u.xxv. x x. 0' xrk „y y c�,� x xxe,£aan x yy yaaaynxaky,,,z.6y k.a...u::ux.s.s:»e.sxxc x n.a,a.x, x u y ��� � �T � a • ...y, ,a�ayk. xxxa�x. sxxx. xsxxx a y s :x aaaxa s. . xas^r�aS rnt _ .� x9 3fii .xxY ii �� 0k 'La aes ax.:-. �.,5. '+ Y.. x..:.,,:.:U-�Ex•.:.E: z._ .: :>.:�, s..+ aa �d xbca,xm Additional work to be performed under this permit-check all Jhat apply: _Mechanical _Gas Tank —Gas Piping Shutters _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ Z/SO>� S/f�f ,�1 Utilities: —Sewer _Septic Building Height: . .. :.x. .ft ..x..xx, . . Lx;x: .,xxxxxxxp x..,� ,.,xxx..Y,.x. s a 9 s a. ai yssayai`= s t a y�ssss. y s s's. asnseSs y°aaa n.x �C �' .� :_. s, z . naN s�r�.x>,yg g .y' x.,y y'xsa.k�. y f s a 3 skes k :y. ?::pax x nx ax,e x xxsyaeax sey.a. "nx: Via.. aa:M�px>. ae . s x«s; s n s sxax�"e xxas�s xa• � x�s s ;§ ^a5 n u� a 9x \.S Ic"v,�*v,Fxa, xnm�u�ux.xxxcu xx xex r u�k. xsa,,,, .aa .x....., a ,.c Y HE x x �.Y� OR . a `4.x x� R. a nr•s Y .:x. z ... .ax.x�,ex... a�� ,'!�...k��� y'�,�q 1 Y�. Name rA'!vtn 641/ Name: ' 6 Z-/i/yc,y Address: I tV i L.L.A- I�i,L /y bZ2T1 r Company: ��'�7= City: _� (�lrnLl_ State:r Address: 3L-co = oy Zip Code: Fax: City: P,f1 State: /=L Phone No'.-? 7 L- -2e( ''2 22 C Zip Code:-�c/9 a! d Fax: E-Mail: ii/4, Phone No -7 -7 . — 7-0 1 - 'z- Z Z Z) Fill in fee simple Title Holder on next page(if different E-Mail F/xll- ffoxkr= 5, 13 y RfC-le-(D a/fdf from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or'more,a RECORDED Notice of Commencement is required. I g M 'o N' IN NO' H H' I HuHH5seuev uk m?�!p M ........... 0" W R, DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: II Zip: Phone Zip:_Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. 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 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-residbntial use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attop;,,-V)before commencing work or recording your Wi Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID-A, STATE OF FLORIDA COUNTY OF. COUNTY OF Sworn 1p4or-affirmed)and subscribed before me of Swor (or affirmed)and subscribed before me of ­"Phy lcal Presence or Online Notarization _L.,07hn�p 1 ical Presence or Online Notarization this , W day of CqCl!�= 2020 by this;��day of CFZi� 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification3 Type of Identificatimn Produced Produced 4S (Signature of Notary Public- too Florida Signature of Notary Public- Of �Kt I" Florida S;141L Commission No. (Seal) CD rn Commission No. (Seal) Cr 0 cn cD Q 3 > Z 0 oi M P 3 . 11 x -<,3 Q M E� M -n REVIEWS FRONT ZONING S C-) PLANS VEGETATION SEA TURTLE -< COUNTER REVIEW m REVIEW REVIEW REVIEW C: 6' 0 DATE L�m 0 M ZC CU X RECEIVED -= 0 ?Q,;p M DATE NJ C)X M (n LD- to COMPLETED .2.w 0 e_v. b/b/ZU ,n L-