HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ri -_C�
:.s RECEIVE®
OCT 0 4 2017
Building Permit Application
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
P; OpOSED 1MpROUEMENT LO'CA7l;C'N
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Address: G o0 ���,s f- ,mac p� C4-
Legal Description: �4 L`Gl yyd tea ���n,s^+°�P 6 1! y/ L'D� ��
Property Tax ID#: CC�""L/�-S= �D Od 73-DDO —y Lot No. �D
Site Plan Name: C/A '� / 4 L Block No. G/I
Project Name: „ ,'G /
Setbacks Front D Back: Right Side: 19 Left Side:
DETAILEd DR[PT IO N E$C OF WORK ;
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� otisfHuC, ;vN u�d� e /;1c eDMIos l^dde1_3
CONSTftUCTI(3N 1NFORMATIOIV u
Additional work to e e orme under this permit-c ec T apply:
11HVAC Ei Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
o0
Cost of Construction:$ 4 Z4 0 0 Utilities: _Sewer 0 Septic Building Height:
ODUNER/,LESSEE CONTRACTOR `
Name ' ft . Name: G
Address: 60�1� s ie12 C^ Company:l) V
City:9P,—S•t- 1 u r i< State:LL Address: ';3lg 61'k,
Zip Code: S Y9 S�2- Fax: City: 0r 4- Lab_ :d State:_zS(I
Phone No. Zip Code: Fax: 3 y0 OSJ`�
E-Mail: Phone No. 77a - �R:D sjs'-3
Fill in fee simple Title Holder on next page(if different E-Mail:S.;Le tz P y12w 1, Oy, C'y'"
from the Owner listed above) State or County License: k t' /3 30965�
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
2017-10-03 14:10 Savanna- Lub HOA 7723400522 >> P 1/1
i r�(apS P�bi le 13e4e� 7 d 1 N, bl �,)t C C 1>kX0Lc sf-er 0
S.UPP 'E ENTAIr CQN57R.UC1'(ON LI: N,_LA .:.I NJ=aRM.A. T.I N,::' -
,L M . . .
_DESIGNER,�NG NEER- No�Applicable. ._
PP MORTGAGE COMPANY: _Not Applicable
Name: C e Name:
Address: .67 f , 6 Address: I
City: State City: State:
P-herre — - —
FEE SIMPLE TITLE HOLDER: _Not.Applicable. BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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.
Inconsideration 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 b corded and posted on the jobsite
before the f 'nspection.if yo 'ntend to obtain financing,consult ith lender or an a ney before
corrimenci work or recordin ur Notice of Commencemen
Signature bf Owner/Lessee/Contrktor as Agent for Owner signature of tractor/License M der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 51,VIkc,c-
The fo oing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Oa a�'' 20�by this _ day of Ck� trj�¢,� 201W1 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification l/ Personally Known OR Produced Identification '�
Type of Identifi tion Type of IdvEl is io
Produce . Produced i-1. ]�(.-
d
fignature Public- of Florida) (Signaturee Notary Public-Atate of=JUPOIRE
OLI:SCommission Nd�`r � vlku._ UEC �v 1 w. o mission No. �Q r w�MY COMM1sS 12,2027
REVIEWS FRONT NS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
RECEIVED (A D
COMPLETED
Rev.8/2/17
MIGUEL NAPOLES
MY COMMISSION q G=039