HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
1/6/17 Permit Number:
RECEIVED
Building Permit Application
JAN 0 9 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
12300 Virginia Avenue,Fort Pierce FL 34982
'IPhone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Siding MT
P'I PQED INIPROUEMEIT LC)CATI � � x � ,
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Address: 18705 Mach One Dr, Port St Lucie FL 34987
Legal Description: Aero Acres Blk 1 Lot 13(2.03AC)(or 2514-2646)
Property Tax ID#: 3215-801-0020-000-4 Lot No.13
Site Plan Name: Block No. 1
Project Name:
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'Setbacks Front Back: Right Side: Left Side:
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Reside out building (hangar) with PBR metal panels
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itiona wor kto e e orme under t is permit—check all apply:
[]HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 16,000 Utilities:Sewer 0 Septic Building Height:
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N am e Evangeline Grissom Bruhn Name: Owner Builder
Address:18705 Mach One Dr Company:
City: Port St Lucie State:FL Address: l
Zip Code: 34987 Fax: City: State:__
Phone No.772-260-1039 Zip Code: Fax:
E-Mail:abruhn@martin.fl.us Phone No._
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zi; : Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Naime: Name:
Address: Address:
City: City:
ZiIp: Phone: Zip: Phone:
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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
i i 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,
aiccessory 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
commencing work or recording our Notice of Commencement.
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Signature of caner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �V(�,IF. COUNTY OF
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The f oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 1Ak,` 20 Jj&by this day of 20 by
(Name of persbn acknowledging) (Name of person acknowledging)
(Signat re of Notary Public-State of Florida) / (Signature of Notary Public-State of Florida)
Personally Known OR ProduSo Identification ✓ Personally Known OR Produced Identification
Type of Identification Produced Rk, Type of Identification Produced
Commission No. Seal Commission No. (Seal)
KAREN S. NIELSEN
Revised 07/15/2014 aa= My Commission Expires
June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE _
COMPLETE
INITIALS 61ff Oex