HomeMy WebLinkAboutdemo permitAl I APPLICABLE I N F 0 MUST BE COM PLETE D FQ R A PKI CATION TO BE ACCEPTED
I Permit Number:
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7Y 3
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Building Permit Application
Pfanning and DeveJopm-ent SLerviries
SuOldir q and Code Renpulation &ivisran
23W WaMra AwenPouf Prerce Pt 34
Ph?ne' 1774 4152-1553 Fax` (772 ) 4632-1578 Com me FCia I Reside ntia I
PERMIT APPLICATION FOR�
P ROP OSED I N PROVEM ENT LOCATI O N:
Address;
tega I De Wri ption'
Prbpi rr Tax LD 0: - - - C Liot NO.
�At-c Plarn Narne: EA6r-s - BICILx No.
Project Name:
Setbacks Front Ba t L .— . Right fide: Left Side:
DETAI LED DESCR I PTI O N OF WO R K:
Yr. C
I CC) NSTRU CT 10 N I N FGR MATI ON:
Add iti Dnal wnr tCq be per o rme d u n -ef - Checl-a-
Mer,haniiwll Gas rank
Hearin _ Plurnbing
Total 5% Ft of Co n rUCCIon_ �
Cost of Construction: S%90 r C
OWNER/LESSEE. -
4-ame T .
Addrew / 7 jr;x '? 1-0,9
Gas pi:r�ir7g
Apr inklers
5hutte rs
Generataf
5q. Ft_ of First Flpp r:
Llfilitie5: ewer _Septic
oty-. ,nf 4 f5 1d/.' � State: 0
Zip Code: Pax=
E-Mail
Vil in fee 5i m plc Title Holder an next page I If different
from the �rner I fisted a b.ovej
windows/Doo•-,
Roof Pit-7�
{ Building Height:
CONTILACI'OFt,--
Na me;+
f-Drnpa ny= �M1 F J4
Address: ; / .11�'cc _
City: YL' TCra cA 5t8Lam=
lip Qode; g7j Fax.'
PhDne ltihp ._ 4 -
E mail a AYW)4142• Cam'
State or County License de' 5-1
If value of eordtruetlCPn is 2500 or m 4rsr a RECORDED Notice of Comm encement is rc quired,
SDI PRI
ENTAL CONSTRUCTION UEK! LAW INFORMATION:
DESIGNNGINEEFI:
Na me --
Add ress
Ci ty;
zip= Phone
FEE SIMPLE T#TLE HOLD E R:
Name. -
Add ress -
City;
zips Phone;
Not applicable
N
state:
MORTGAGE COMPANY,
Name;
Ad -dress:
BON DING M PANY-
Clty:
zip;.
N-ER/ CONTRACTOR AFFII)Vff: Application is hereby made to ob. hin a permit W do the work and
I cer6l'y thak no work or knsta Ilation has com menccd prior to the issuance of a pefmLt-
Not Applicable
Not Ap pli cafi3le
as in dir.,3 M
St. Lucie Count�r ma kes no rep fesentation th a t is granting a permit will authcirize the Fmlf holder to bui Id dhe subject structure
which is in conSirt wish i1 ray oppl icable Home Owners Assodatian rufw.%, bVl-ows or and iuvenants that may restrict or prohibit such
Strvcluru. Please ta,nsu It with your Horne ownet5 ASL+ Wt[on and review your deed for any restrictions which tms wv ;hpply.
In consideration of the UantlnA of this requested permit, I do hereby agree that I will, irti all respects, perfo-rm tM wcirk
in accor-danec with the approved pla ns, the 1 Inrid a Buildi ng QpJes a nd St. Lucie County Amendmenis.
The folliowing building pxran it iiFyplicatiuns are exem pt from undergo ing -a full comufrt ncV review: room additions,
acjr.e550r� StruVu res, swimming pools, fences, walli, idamti r wren rooms and accessory uses to an -other n4an-resldem. ial u5t-
Wwf#RN ING TO OWN � R, YQUr fall Ur* to Record a Notice of Cam meneemern M ay result In your paring twice fa r
i mprovem ents to you r p ropef-tyr. A Notice of Corn rn encement mu 5t be reco rded and posted o r1 th o job 5 it e
betore th a fi rst i n5pertion, if you ifite rid to obtain f in and rrg, con-5 Alt with len de r Or a n attarn ey befo re
tomme ncin work or recording o ire of Com mencfiment-
_ZA - 111e
Sigrt.�tu rit� pf O wn urj Lessees ontractor as Ag nk for Qy9ner Sign 3tli of ContractorJLICFFse Helder
STATE OF FLO"
COUNTY OF_�
The #d ding instrument was ooknowledRed before me
this, `I idly Qf ' }, �. f L EY
L
P �
Name cif person acknowl gang I
04113: uric of--AutarM Pu blic- 5tke of Florida ]
Personollw Known OR Produced Identrflutlon
Type of Idqntiflr-atlgn rr�
rC S511N*�ow
in CurrimAun No l"px�y: �n B. W2r
M1• �r rL 7hFU
REVIEIWS FRONT ZQNIINcp
- 1�04JNTE R REVI LW
RECEIVED_
7ATF
COM FLETED
*STATE OF FLOR DA
MU NTY OF i . ♦1 r ,
the Iing Irrs#rurpeni was acknowtedged before mer W
this = dayr of F — fi- �: 20: � by
[Name cif person acknowledging j
�Sigraature of Notary Public- State -of Flory a ]
Personal#y Known OFI Produced leli rmtif;catickn
rype of Idep#Ificawn
Produced I n�1,; 7-
Comm ission Nci.-a 4 1,45{
MkIV LEE VATM l
�{Or r4 aBrd l Thy MuSo1{cV '}'$•noc
NS
VEGETATION
MANGROV
REVIIEW R I IEEE W I REVIEW I S REVIEW I REVIEVI E
From. Adam Smith
Subject, 1- 1-1 -LOT -DE I .pdf
Date Jan 14, 2021 at 11:59:13 AM
To: Tracer Smith
traceysmith873@yahoo.corn
Please print
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From: Adam Smith
u ject. 0 1-01-1-LOT -DE 1 .pdf
Die: ,fan 14,2021 at 11:59:13 Aril
Tracey Smith
Please print
Nettles Island Inc..,- a conguniniufrk
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APPROVED
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Planning & Developmeml Services
Building & Code Regniation Division
2300 Virginia Ave
Fort Fier , FL 34
ASBESTOS NOTICE TO CONTRACTOR
W;
Contr-a tar Name: watr,
Business Name: h
Add ress: 6 6 / Al • l ' ce - J
City; de-14j?" ee-aeh sue: Fi
Zip Code, 1
It Is your responslbl I Its+ to comply with the provisions of Section 46R, 0D3r Florida SCatutes
and to notify the Depa rtment of E nviron mental Prcrt-ection of any i ntentl vns to remove
asbestos when applicable in accordance w th state and federal law.
Signature & Date
PE Mtr I$EuE DATE
PLANNIN & DEVELOPMENT SERVICES
- Building & Cote Cc Ripl ante Divisiogt
COUNTY
SU kLDINC PERMIT
S1� ONTFLACTOR AGRUM WN r
r S eT,- r ✓€ � C e- -f r Jr
/ -37:d L+ juve agreed t#?
1-C, Of�+ C 4 �.. SlIb-COD I OT ff)r �r ' �" xr cI
{Type of ;ruder
5-,frr thu icct IM41cd at v
(Prgjcc: SrrW A&Lress or ProFay Tax FD id)
It i;� undcrsl d tflat, if arc Is m ch=ge of s#atus r ddrr sue p ip8tion w th the above mentioned
project, tbc. Buildit and Cady Regitation Divisi-010 -of S1. Lucie CouM. �%� It bt advised puni,Akt to tbC
�i'M& of a Chmgr of Sat ontramr Wti-ce.
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