HomeMy WebLinkAboutPermit App & Drawing All APPLICABLE IN
FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DatePrmi•
F t0%
r�
r � •
Rr
ces B ilding Permit Application
Planning and Development Servi#
Bul"'Iding and bode
psident 'lal
2300 Virginia
PERMIT APPLICATION FOR ,
(!TP%%N I C \
one : ( 772 ) 462= 1553 Fax ; ( 772 ) 462 - 1578
--- ----------
PROPOSED' IMPROVEMENT LOCATION ,
---------- -
-------- --
AFW
7>
A ress ,
111111
ax �c
� .
Lot No .
Project Name :
WORK &
S *ite Plan Names, Block No .
J NMI
rA A-L
CLf,
� y
New
■
ElectricalMeter
' ti-r ..Cy }':' ai •r_.fir. :?:4-i:�:'r:'{tiv' •},+�{ r, t-. ,,.,f,
+� +'��ti }'}:_ ��y, �" "�.-.,�L�' :•_i:'+ •2"{�Co-'�p•. ice•. C:{,n :'.��G �, ,2i1". :+{'.ti' •,�r�_ ry�r�• ;.¢ �r.:r:r '•ti:: .. 'fdr,1.7"f! .'�. r .....�-rl,"-3�0:-00>•'• +{.{yr'�" .,`.'�1 '?��'�'• ' :{�Y���c•}7•��?�r '� �. .. ..r '.4�. '£{-j��� v��• ...::�:...,..�r�."•_'�ti?}�„•'' � / •�•
r r i.'r{rS {•l'f"i~ ''+�11 �••F ¢ {{�{{r�� r.r.{. \ ,.r •'+�. _ }{ .. r �;�• i rrr. .Y'•rr �' • y}•.• 7�}� .'i• .�'•.{'• {rrvr 'M1 :w4'{r�r1
:�. 3•' _ x •}`Y:r t• ryti. 'lSrt;•s..:.+•' ttt2 _ 't•}°'' r•r rt. - ,r/ rs+�x:7x'•x f }2� :cs'^..,L.t•• :}
.�. �7�- 7L, M1�'• Yrr "Y fr
„nr rr
. r .. }� - •. ... .. ... ... ... ,-. r• . ..: �• .. .. � •'•.?y•%.._:•.•' Y'y••.... f.r :{r.. r:` _r.L J ';}:•. ..�;..�� ':}j>.
ti-
• '- -- .. h .. _.. n. .. .. "•'• +y •ti.r.�•.�•.•... •.. •�} r• ry?.•3.i hr. .{
--.-. � .. �$;{v. '7[• _ _ L y ......... .. } ,. ... ......:{ .. __ _ .. . .�.. .,,L... �.'x. } r } r,}�'•',M1 1 .:1;...:r.v •.l. •:'*ii.�rr - - -x� - •k. L 'i?:.{..
' 02- '�c ,a r rr ... ,. ..,. .� r •. ..ti• {-; ht _•�'�•;.y1 .. ::.' � ti:.• Xtk• t ..$�,,.:.:rr# } �r,�••:�F..1'•'?;•.'�'�3 r:•}i: 'yti .,. ','ktNr 'r«r��'¢ � }::d...}••;a;.:;i'• •t•i�;.i
• • .. � �k�'s'rr o- ......... , r. . ... ,.,..•v s �4 .• .• ._ ..��.. .:.,. .. .r..•�c •• �-• f . . ''}•..,�'.'�.. t.r�• 3 d r°`f.` r 3r• •�::::idti �., .ifF. r •,��• �: ...fir M1 -•� � }. iM1.:}` rt}•t
v .. } 4�4 x ,r : x rat_,.......k...... ...yy :., r:x}•}" t fr•._. ^at:r .: ' }
..;FM1. L JL._.. r} r ��[[•� rr¢¢'' yy y� ,�'Ty}y r^�[
.... .. .. r NN •': .. }Y ; .y. ... .. : ._..x •Y• 'L {. ...+... } .;;,,1...; .........r. .. .. .};. .'.;{-.?�#-:rJ{?ti?{}{ S�C�C}r}.J'. r.}:JC•i7G•r• :�;" r _•'J k '}.�g.•]y7 {?;; rrr{� �}.�� f'• '.'.�. ::�rM1.�::�•:?'..... a �. .
r� f .'� '-22��:•= �.�, r5� r f .}. KSSt �r r .,.t .{.:{ti�iY tr {.•.r •'yr �o- •tom• ,�'{:_'�. r �S.{}%'r. .k
EM
: .ak•r r• M1y rr. ti-.} .,� .r.•. .::':.., '�'.'. ... .k.. ....;y.. ,t r,+rorr?�. krr•• ti';lttir x• :}, „• } rrfr .� _ .k" M1 � `: r .,� ,}�o-.}r,rrr, ... ..t r... /. r•> 3:'A r^�r �r s��a• E �'-ti%
t t•• r.}S> o•�r�rrrAt•• tr � tpi' i��'r rf •.t•o,..•y....,,..�
,.ii ` '• - y..;.r... r ...r y,. .y ..-0 ,:{o-: t «�.t r rx 5 7« '`� :.-0 -.,�•t.,.
}$: 2 +.• >,.. a•-0t••+ v rr .tilt r•. 1l
L tir. L. ,,,•:.: �r.• ••. '•: .'•' •: ; ... .,...f .•. •�:'r',. '•'• • ':Y.'".'::::.^.'::"••: �t•x. -t... L..it'?.....Y.? f.'.:. rrC• ,:�'��.:'•::�{ l•"°Ctiti r }'�:�.. f f;.f,J;;:':: r:�,r r:-y:r`�
:v
r
ti•
,. y - .r � .. .......,...r.r .. .. :•;ram: r k}r...n".r r.r. .,fir. .� ���.rc }...r:: . � •,u.-k� �::�-}{x }-{y{;'� •� qtf +3[r
. .. ; .,k. �+c y y v l r� r. ..1 {-.. ,'/ Sv.t r.tfi•rr :.. krr .�G:r'�� y�J. . {• d .::G,.;rrh }.'t:.r}S•$.... Y 7� .} .
>o-•r• $�. 5 .• ..: w� t:t: •.�;�����± •r.: .•s: rrr..r r. ,.>;:•.'::-:�..;rr+t...:.r r}•:^.;s� o-�x'r ry a,•}• .,s.i p..•rr•rrrr •( a 7o-•l•s :s�:� k�tit.•o or t o-+c � t.�.tt:tS'ti'i�3<�•'<'•<-� r•• •n•.
... r:•;:r::�.....}. r• .:•}' {. i"" ... .. .. .. ... y •y ��r�.7.� v° w:-i'. �:�... yy �3'r''tr .r... `.¢ :' {{ .7,.o rt:rt•tk L '}t'=/c}; .�r't"t xrtr
F"r}.riJS •..... 1 '� L 'L}'• �'' } .{ L• L r•� 1 :�': - ._�.. .•:}'. r
-•- -. .. ._._ ._......_---- - - - ---- r r _ _ _ ... - -- - - •- - - - - •- -� {you +•r ti- - ,.,rr Y" 'G.::•h-0 •.C::•,; .
r .r ,. y ,.. r r _r r �v ..{ { y r r �.� kL. •...-.',r rr,. .. .rti� ..'�{'... ".�' yG.'.`. •?,}3y h'•t'� ..�`.
:{ rr:'
ti x .. x "� _ .. ::: .� o-.>_ k r �! •.y..•y• tG:" K �r k }v: c k�' o- _ ir'{ir:..
r�% �:rxk ;r�� .�� r�r� Y• r 's.'c'}� .�• .-.>•> �'�' �' `' t
wnrrx•• 'r•j4• %• •-i:r :�r��• try}�
:�f'.`•S� S3 -- S• 4•x',: •F' :k: - :S� rf• rs-�' :x •"i•"' .r :'.Cr :LLL:.•� •w' wtsa_x•_� kry �x2r` .fxX}'.4:.'�
•:x•--� „x. .:{-: :.fir :�' ��:� v:•�=�'•r..�'• r-tr :}:• Fa •��:-: .wk:r. L.�'� rt' :}:;: •;•- {:
"}" :': .. -= • .......�w:--_� M1_ .. _'_ i�.;��rr ....... .. ?..r .... -.'-.{.r-.'.ti.f}. �.?{". Jr �y~'. z '~ yy _ ... }�'}.'-'v 'rY.J�• .. r Y �.:�:':�. - r1'_'.•�'.'.'L'7 JL •.ram..._• -F..._..:X .M1._.M1iM1� V Y 1} :C'�.v.{ii
•• �� .. .. "...'.tiiM1r JLu• '... a.YY in•r : ...rM1u L
1 r.
r ... � �`:�: •�"'... � '�4- - .. --� '�-r... �-' ,. .� a�' r r --- t - -� ' r -.- - ... .r '� -.. .. - R"�C :r
.. .. '�3 .. .. •,,,-. r .. ..- :..-: .�.:.tt•:r :.. -x��'- .`# ,,.nnv;?� r•� ; x, k _ �.�k.� :�'�k'`�';.•r^ C•"'J•�yQ 2}�}�' -
- - - - - - - - •.�.',-;,;'.ry?;. yr.rrr '��--{w;r�•r :. Y:?` } So" "tr%rr:�^'� .1{,a. .}} '� yy.kr r :�=tit r }"t t-, C'};{c;J:�;"r:."i�C:.:.'
3
}-0.t . ,rr.Y• :o-S.r .• t �. :•x i• 2C"'. tr r> .y .
{x '_ .�C''?�`:=:'�:Y..:.::-:::;r ti,ram :}..ti�:d•�:{...�}":ft.....•z{ -.•,:^.:y,r\: .:,}{ tY?Y 1:_}G:_'k.•.... ..r+.rF:.i. :{:}l":•:•. x ..t..{J:?.'4�={�. :F;;�;}..,,{ti._{rye', , '�S ,M1;''}' {M1�-.i-.#.: :S: i:•{-::t'.`.:: 4{'"`•�r'�!'j err jG:ti.{;..
Additional
work to be pe
Mechanical 9
WEEMMEW G Piping S utters Windows/ Doors Pond
Electric Plu bing Sprinklers
Total Sq . Ft of Construction :
Cost of Construction :
ewer Septic Building H ig
..........
OWNE- R LESSEE ,$1.- .. .rrr_ . ..r:. . ... . . rr. . .rr ._
. ... r r .. rr
C 0 N T R A CT 0": R' :I_.
............ ..... .
r
-- •• ......... . . -----------
ik:d- - ,:. .: -- - - -.�.r .. ... :t ..
........... .
Name
Name :
Ad d ress i a
Co m a n"
{' 1
0
i ty
* } State A dress ,
#
Zip Code : F a xState :
City *
- -
i
a
L
Phone N o . dow, 4PW Zip Code : Fax@ dFI
- 41
E - M
f
Fill in ee simple T Holder
- Mai I I 1111dill I-
from
f
Owner listedte or Coun V icense
If value of construction is 2500 or more,
If value of HAVC is $ 7, 500 or more, a RECORDED Noticef Commencement is requ dpit
,:' SUPPLEMENTAL CONSTRUCTION LIEN LAW . INFORMATION :
DESIGNER/ ENGINEER : _ Not Applicable MORTGAGE COMPANY : Not Applicable
Name : Name :
Address : Address :
City : State : city .* State :
Zip : Phone Z i p : Phone ,•
FEE SIMPLE TITLE HOLDER : _ Not Applicable BONDING COMPANY : Not Applicable
Name : Name :
Address ., Address :
C '1' t y Ci t y :
Zip : Phone : Zip . Phone :
OWNER/ CONTRACTOR AFFIDVITes Application is hereby made to obtain a permit to do the work and installation as indicated .
certify that no work orinstallation has commenced prior to the issuance of a permi t.
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 a ppl i cable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure . Please consult with your Nome 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,
4P
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OW NER : Your failure to Record a Not ice of Commencement may result in paying tw ice for
improvements to your property . A Notice of Commencement must be recorded in the pUblic records of St .
Lucie Count y and posted on the jobs ite before the first inspection . If you intend to obtain financing,, consult
with lender or an attorne before commencingwork or recordin 9YOur Notice of Commencement .
Signature ofl��wner/ Lessee/Contractor as Agent for Owner SignatWe of Contractor/License Holder
STATE OF FLORIDA � STATE OF FLORIDA ,
COUNTY OF COUNTY OF_
Swor o { or affirmed ) and subscribed before me of Swoll o or affirmed and subscrlp
ibed before me of
MWEEMEW hmmw�
Physical Presence or Online Notarization Physical Presence or Online Notarization
t h 0 is i �� day of , 2021 by this 11:1 day of `4vVZ 2026 by
Name of person making st ement , Name of person making st ement,
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
AM 0 —
dr
MF
( Signature Notary Public- State F ure of Notary Public- S dP
e
ncy NotaryPublic State of F orida public state of Florida
Commission No . i° �e � )Mar aret E Monte a e o�*x�` � �, Nota ry montepare
9 P Com ssion Np. � : M ���� 214990
y : � My Commiasion GG 21950MYion GG
y'* � a� Expires M/05/2022 `�� � - `�-or 0610512022
Of f�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE M A N G R OVE
COU NTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev . 5/ b/ 2
1A
VO
op k 9
}
}
d,�,R
i
4 J
1:
4 � F
+ r'�
* O
F
r .� %
h
* Md
t
h i
Ar-
A
MF
• + f
JI
94
i
r }
r r
i �4
7 T
l r
1
F
■
aaWl*
co
74
r
T.�
7
. �
� t qww
��.
or
All
dh
lk
f
• 0
00
r ' y- mw
P.
,�9
rAl .
Id
T �
1 i
,tom +
r
rn
lb
i r
f
t
i• r
- I i r+
C dLIr
■
#} +* w
k . * �j4P-tl
y � �
• yF #f EVA
W. %
ir + y 4F
#� I i
F
'{
t IL _ 9T �+ r
Id
r
{
; + ��
pr
dr
a 1
jr
;OMIM wt
1p
)h % 109
* '
i
1
{
} *
+ r. k F } y
y
y1.
-oik 9 9
qL
+ r
Ip
%P 0 ;� I C
ti h `
4L Pr
t � r
* •, + ! r F
r I r
r h .J[•
E F"
i
t.F 4 !r} Mr
{ � }"
Fri q.i
`.4r. MY 2
%
Y
qm
dkM 09:—•
i # i rt