HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-&Mimi-
- Building Permit Application MAR 0 7 2017
Planning and Development Services PER?JiITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Pool inground
PROPOSED INLP„ROVEMENT LOCATION. �._.r'.... _,...��`' .. '��_ .;�.u. �:�`..� ;;r• .._. .`,. ._. . . . _..,,_`„`r._,. ;.,. .,, :;
Address: -P�
(f Cic,_�crve
Legal escri tion: 1 4-- la
Property Tax ID#: _3--mq -&m• 061 ?- ��' Lot No.
Site Plan Name: 66LI),( 1 Block No.
Project Name:'66 �/ _I •�,
Setbacks Front NJ— Back: 3� Right Side: 47 & ' Left Side: Q• ✓�
DETAILED DESCRIPTION
`�1 �_ /1 � �
LLB' POO Lu l'1'�' 1 045 I.ch-Q_
`r + � , - i la §r j � �- i� i. Pti :�•t�v v� r Tn�; v - ,�,- f � -w,
CONSTRUCTION INFORMATION
Additionalwork to e e ormed under this permit—check 3all apply: ^
❑ Piping❑HVAC Gas Tank Gas Pi in _Shutters ❑•Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator F] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ U� t�C�, 00 Utilities: Sewer ElSeptic Building Height:
Nam Name: 71Lf'.fybe,
Address: I i9biY1+ W Company: //"t f
/V
City: l(1c�L�f-t C� State: Address: A �0 d Ve
Zip Code: Fax: City: F _. pie-ee-L State:
Phone No. Zip Code: 3*q,3 0- Fax:77.2-A&T Iloog-
E-Mail: Phone No. 77' • RTg "T 50
Fill in fee simple Title Holder on next page(if different E-Mail: FK2 nc4i • caNn
from the Owner listed above) State or County License: 79O
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENSWNFORIVIATION
DESIGNE ANGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:R61-A n . Name:
Address:In D 622&k_r Address:
City: State: PL City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 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
commencing wQ1k or recglTlinMur Notice of Commencement.
s
_Signatu 0 ner/L see n Si IiL ntractor/License Holdeif
STATE OF FLORI a STATE OF FLORIDA ((��
COUNTY OF COUNTY OF CJ�• -
The forgoing in r t was a <nowledge efore me The forgoing instrument was a knowledged before me
t ' O ay of 20l 7-by this I day of 20 17 by
M�fpekn a ging) (Nam of perso n I ding)
(Signature of Notary PZOR
-state of Flori a ignature of Notary P blic-State of FloridIdntificati na)
Personally Known Produced d Personally Y Known entition
Type of Identification Produced Type of I OR Produced cation Pro
°O`^'P'�VP,"84�:: FARA D HERNA�(1�D�
Commi ;p• pie"• -RNA Commis iC 1�{�. ION#FFi7241
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"s MY COMMISSION#FF172419 !FaF;to?.' EXPIRES October 28,2018
EXPIRES October 28,2018 (a07)388-0t53 FloridallotaryService.com
Revi (&ft 42014FIo6dallotaryservice.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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