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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF�O-{MUST BE COMPIL__tD FOR APPLICATION TO BE ACCEPTED Date:�� 1 Permit Number: RFECEDVE Building Permit Application MAR 17 2017 Planning and Development Services PERMITTING 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 C PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Y ckflx J P PROI? EDO�u � �LOCATi � n k3� �°.�'��n'.� ._3�.. „3.var¢$r.k;$': •"`,,.��.,fl?'P F„ 8�-- �"',.��n ..� �"" ;wx.� Address: 3o'�t0 %0$erS go,_CA )-':_orl Re-Le 7-L 3gj2rl Legal Description: - 30 3.5 40 N Igo F4 o-� E /71 4 o� F S yz of � E o� NE SS AC, 0A1457 -�fo( l r Property Tax ID#: .1430 - 114 - Oo05 - 00©- Z Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: '�' st•°,:F�:."b`,t�r"„-�`^«.':�`,'�'��.9,'a t a.., .. 'k�1,°."`��m_.� ✓ ,. ��r �.,�" a �,J�o s �B �k,c .�.-, �5� ��. �i ,'.��S a.3 6S',n 5rcl,-3 A0 ove r- -fyve(C b��Idr�� r.trrSp, 1 _ �f f.. .,�^:�s`.M'��. �#�'�frs.t� t�.:.y���a'F';t�i`� `�„�'ry�4'£ ' ��£`..-s4� s_ y�h,ffd � ray�,`�' S'7�a•Gt w �'r�z� � ',z„m�s .r 1-,^ .F. z..rws � 'i. .°.�' L}- C��!'.'�_��" ��• o<.. ., E.�' ,��. a'" �'T,��R'��,'' 1 )'3 '"y g�.< � z, -fsb ,�Y `# i �1. r;... ;::;r ,o .II'4l+'sr .- ... � Y a, w :4'xa'" rxn. � axis ., �Fu�v..,o..•k,..+ et�fs�w.%cx�R�.wi.� .:�.^a.+�,, ?s�. . "' ;r,..- Z$�.�,.r.�'. '.F.x:.'s: .. Additional work to orme under this permit—check a apply: 0HVAC 11 Gas Tank []Gas Piping ©_Shutters Windows/Doors []Electric F]Plumbing Sprinklers []Generator Roof. Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ /�. 000 . 00 Utilities: Sewer Septic Building Height: NK f.. w.'#s: s P'a,.j"g"- NOW t ,✓ ,y3"' 's�' ss :..�,:v�zs,t1^� tim. ,.,F57MW s"ixa gk ME Name -,Tokn W 3row n tnt Name: •IRMc.'r.r-fo Co-'Pe Address: 305 o Rc e Pc! Company: LDnk (',ten c (7io=�t Av-, City: 1=orf Re<-c-e FL, State:_ Address: lcr-0- se c. ,.,,lo S� Zip-Code: 34c,&'1 Fax: City: W4 tz.c(e State:l-t- Phone No. Zip Code: ?,4C15 L_ Fax: E-Mail: Phone No. 712- -,kQ_? '*olff l f Fill in fee simple Title Holder on next page(if different E-Mail: wn k from the Owner listed above) State or County License: COL 1 ZS�tr e5 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 2^" 1% DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable l BONDING COMPANY: Not Applicable Name: f Name: Address: i 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 work or recording our Notice of Commencement. L,,& — . M/✓ s Signat6re of Owner/Lessee/Contra or as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 7 �+2� COUNTY OF_ ��,�(I,�j✓. The forgoing instru nt was knowledged before me The forgoing instrument wa acknowledged before me this_ day of 20 l�by this_n day of 20 _aby 6 '6 a,tNc&P—l0 G C'" A/I cc/,/o 6 7 (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Publi -State of Florida) (Sig a ure of Notary Public-State of Florida% ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification d s _ __ � Type of Identification Produced (=(,. NANCY J.SHEA ? �SPaY PVA i Commission No. ;a°, .`�, NotargReal) -state of Florida Commission No.F N S. NIELSEN ``i.�4Pnr o�a�n =• My Comm.Expires Oct 19,2017 Commission;# FF 115637 Commission# FF 05539 =° �= '`= my.Commission Expires Bonded Through National Notary Assn. June 12, 2018 ,,„a• Revised 07/15/2011 - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE l INITIALS L i_