HomeMy WebLinkAboutbuilding permit All APPLICABLE INFO MUST BE COM ETED FOR APPLICATION TO BE ACCEPTED //��..��
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Date: Permit Number: 11V - N14
RECE UM
Building Permit Application MAY 18 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St.Lucie Co4ii1ty, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
POW,'= ...
Address: ,�63 '�g1vv, I& o cF '7f
Legal Description:
-:
Property Tax ID#: qG.Z �00�] - (3 1 Z-o - C'0 c g Lot No. Z Z
Site Plan Name: RtgsSi)cwc _ Block No. A(�—
Project Name:
Setbacks Front_: Back: Right Side: Left Side: J
DETAILED DESCRIPTI OF WO
Cal 5 ��1 rr-"J Ja-5J7-6
Additional work to be pe ormed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ i 5; a-V'o Utilities: —Sewer _Septic Building Height:
Name 7glZ1 ( Name:
l Company: I�Z 6y1I .
J ,=-lC1
nAddress: � � r
City: State:.L Address: --iZ�UQz Vv\oCi--
Zip Code: 3yof� Z Fax: City: (rr2J �c'3 [� Stater
Phone No. Zip Code: 3�'(q Fax: 7 -U3
E-Mail: Phone No
Fill in fee simple Title Holder on next page ( if different E-Mail jZl�;' >) 'C`( �o', C�( 3c, NGf
from the Owner listed above) State or County License CV 13Z 7 Z93
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: .,"C,o,467 ft Name:
Address: /3(6,30 Ste`' ST. Su.1 Lit Address:
City: C.lcrt L_T�7ve_ State: t City: State:
Zip: 3L3 ) L-0 Phone Zip: one:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address
City: City:
Zip: Pho 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-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 ins . If you intend to obtain financing, consult with lender 6.r an attorney before
comr a an r or re_cdrding your Notice of Commencemen
Signature of Owner/Less e /Contractor as Agent for Owner Signature Contrac r/Li nse Holder
STATE OF FLORIDA STATE OF FLORIDA
�
COUNTY OF COUNTY OF --,A 1ti,��_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of ('�la„� , 204j by this ` u� day of 20_a by
(Name of person acknowledge g) (Name of person acknowlecl ing)
na ure of Notary Public State of Florida ) (Signature of Notary Public- tate of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Prod u d Produced `
FL • ,- J _ _ LA 'F,HPJA INGRAA�
V7 ''
Co, ssion No .• ;� Not� ��glic-State Florida
Commission No. (Seal) �� EE
My C mm.expires .?0,2018
3 M
o Florida
,��a F`oo-� Commission 177249
s De 20,2018 _ �taryAssn.
REVIEWS FRONT ZONING SUPERWOK 77PA VEGETATION SEA TURTLE MANGROVE
COUNTER REV15W REVIiEtWitional otRE REVIEW REVIEW REVIEW
DATE , W
RECEIVED
DATE
COMPLETED
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