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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 �� Permit Number:n o u l- oroo-s _ RECEIV"'D APR 2J0 317 ffi Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 )Pho,ne:(772�462-1SSB 'Fax:i(772)462'1578 �Ca/;trnerctial Reslderftial X PERMIT APPLICATION FOR: C1�f�1 J Address: C�n Z 14 L nao�t4' /n oaek Legal Description: 2 3(! Z g I (G5S �� ?� ff �oSl,C aped bK IC t/Z C�(ea W aP �f�15nv9 J rvoc tSs C-z4 Oc�Crt7 wlE lq f 2 1 1 � T 1�ojgq, r pt O toV7 / l l= '7 Property Tax ID#://��?JZ24 -i 1 I . O D Z - DDD -2 Lot No. Site Plan Name: 61.4 el lik') Block No. Project Name: GGS(,?eGd 65 a Vm Setbacks Front Back: Right Side: Left Side: q r DETAILED DESCRIPTION OF WORK f kz " P v Additional w rk to a er ormed er t is permit-c ec a11 a apply: FA HVAC Gas Tank Gas Piping _Shutters Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 1 5V0 S . Ft. of First Floor: 45v b i ,Cast cif Constfuicti�on:$ f DO 6 `)tilities:.' ;'Sewer Septic Btiifdmg'He'1g'ht: lz5 011dIS E< r t :Cflf� RAC �OR ,{„ Name 6t_ I I Name: ) Address: 0??& eO CC Cr • Company: PYb —ah 156I0-ri cu VGS City: State:_ Address: 2000 60604?:0649' t2CI Zip Code: Fax: City: 'ate State: Phone No. Zip Code: 334-3 _2 Fax: ZIF u «0 E-Mail: Phone No. �JCp I ' Z I • ZS� Fill in fee simple Title Holder on next page(if different E-Mail: ij7YDtr_Ch 624muA 60M from the Owner listed above) State or County License:._661 G 04 Q"I 4?0 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. UPPltE�1ltE�4TL CQfTfUC f©N { OESIEI!'EP,� Ito ilk fr _NAt}A fi�af;�e .. 1���3 eAGE`CMI 41PARY— x ' Not Appftcahle Name: Finnvold Architecture Name: Address: 8000 N Federal Hwy Suite 118 Address: City: Boca Raton State: FL City: State: Zip: 33487 Phone: 561-3064286 Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: .'Nance: j Address: Andress: City: City: Zip: Phone: Zip: Phone: [.certify that no work.or installation has.commenced prior to.the issuance of a permit. St.Lucie Countyy.makes.no represent tion that is granting a permit will authorize the permit holder to buitd the subject structure which is inconFi'Fct with any afrplicab a[4om..a Owners Asseci,'dtro 7 rules,bylaws or.anti covenants that may reArict or,pro,, t such, structure.Please consult with your Home Owners Association and review your deedfor any restrictions which may apply. In consideration of the granting of this requested permit,l do hereby agree that I will,in alb 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 Comrrnencement 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 Inspec.bon.If you intend to obtain sfiinanxciing,cormsu1t witt-h,;4enid r or an atto meybefore commencing work orrecording your Notice of Commencement. Signature of Owner/Less /Contractor as Agent for Owner Contracnose Holder STATE OF FLORI STATE OF FLOR 3'a COUNTY OF r-C��i'e COUNTY OF �7( W-e4'e The fojg�ing instru ent was acknowtedgea before me The forgoing instrument was acknowledged before me this l�'Cday of 20 by this /�day of V_ 20 l by (Name o ,person acknowledging) (Name of-person acknowledging) a �Z� (Sign ure of.Notary:Public-State of c1lorlda) (Sig ature of.N.otary.Pubtic-State of Florida.) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. ommission Na. KIM A NOTORIS KIM A NOTORIS '2°+ = :tar Public State of Florida otary Public-State of Florida _` :, ° My Commission Expires ay My Commission Expires May 9,2017 884154 Revised 07/15/2014 Commission#EE Commission#EE 884154 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVI W REVIEW REVIEW REVIEW REVIEW DATE ° OO,M.PLETE I -�� INlTtALS �