HomeMy WebLinkAboutBuidling PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACC
Date:
COUNTY
i L O R 1 D A -
Permit Number: / '_' ' 0gw0
RECEi
Building Permit Application MAY 19 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMITTING
St. Lucie County.
Residential -\--
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: ,� I�
Address: CIO I N� fft,£'S �7�V n� CCU' 1
Legal Description:
-!5({ZVl -P r ► i
Property Tax ID;
Site Plan Name:
Project Name: _
Setbacks Front
voiV t-�S
Back: Right Side
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No.
Block No.
Ynrn�e �cc 5k rV0('►ial' wvia.,-P ducL -fu cow. m5i Ca a _-_PLL`adA_�_vq)
rl ,nlLW4 vbc�4ed n,2 W Yl�
v lade � , � , s�` `�'(
/o . 3 ,Z2 jElbs . a /fa (4(4 &J6L1_ rzxye
CONSTRUCTION INFORMATION:
A-drtiona wor to r orme un er !his permit - c ec a
❑HVAC Gas Tank Gas Piping
OElectric Plumbing Sprinklers
Total Sq. Ft of Construction: /d 302
Cost of Construction: $ /C'� gJ. o-"
apply:
Shutters Windows/Doors
Generator ',Roof
S Ft. of First Floor: _
Utilities:]Sewer Septic
Building Height: l0 j
OWNER/LESSEE:
CONTRACTOR:
Name I UI
Name:
Company:
5
Address: V
City: State:I7L
Address: 3
1`
4(r
Zip C de: _`544qGj-7 Fax:
City: G7{tX 1'f
Stater
Phone No.(Opq - r5z2(D - (e&2z��
Zip Code: 3t4Q -7
Fax: j 776
E-Mail:
o
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County dcense:
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 your Notice of Commencement.
nature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF_ &(--,K--U)
The forgoing instrument was acknowledged before me
this /-15- day of Aar 20 Lby
-Div►d �Rok l
(Name of person acknowledging )
�/_� IQ "-?, � //"�
(SiLL
gns re of Notary Public- Sta f orida )
Personally Known OR Produced Identification
Type of Identification Produced_ _'Fj _ (� • L .
Commission No.Oklq) &-b (Seal)
s
Signature of Contrac r/Lice se Holder
STATE OF FLO I A
COUNTY C CI.Ao
The forgoing instrum nt was acknowledged before me
this A day of 1Vt6N 20 n by
IMAY
(Name of pejrson acknowledging )
(Signature f Notary Public- State oa
n )
Personally Known >C OR Produced Identification
Type of Identification Produced
Commission No.
REBECCA RESTIFO
Revis IZf�f�ISSION # GG9CA RESTIFO Sa�dF EXPIRES: May 17, 2021
1863
PYPJRFS- May 17 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
�a
COMPLETE
INITIALS
• aioa ive�lle���-
MEASUREMENTS
SQUARES
LINE MEASUREMENTS
Actual Squares:
10.32 Sqs. Eaves:
93 Ft.
Total Squares
Rakes:
44 Ft.
(Inc. Waste at 6 %):
10.95 Sqs. Ridges:
52 Ft.
Hips:
0 Ft.
Valleys:
0 Ft.
Step:
0 Ft.
Wall:
0 Ft.
Pitch Change:
0 Ft.
PITCH MEASUREMENTS
CATEGORY MEASUREMENTS
Pitch 2/12:
10.32 Sqs.
Ice & Water Shield:
0 Ft.
Ridge Vent:
0 Ft.
Rake Edge:
0 Ft.
Eave Edge:
0 Ft.
Step Flashing:
0 Ft.
Apron Flashing:
0 Ft.
Gutters:
0 Ft.
Gutter Toppers:
0 Ft.
Down Spouts:
0 Ft.