HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETFFOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEN SD MAy o 4 W7
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
S�6)11n
MM1 ;fg�-g'
m-zT.
"1MM, W ,
0
UPEL — . 1111 ,INA HIN5
Address: 6 (g� 7 AkI6 !;-'17_ )5��
Legal Description:
Property Tax [D#: 3 V,6_3 Sep,.) /1496 - J 24) ^46 Lot No..We
Site Plan Name: Clelvyg /'9-'y Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
i fflgoloz MY"'
V
M4•'111"I"1111,11
Me
ZA �e a 1/., S12e ZZ?2 6
27- Pig
Additional work to be pertormed under this permit-check all that apply:
Mechanical Gas Tank Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: �V_J Sq. Ft. of First Floor:
Cost of Construction:$ ('3 Y-z Utilities: —Sewer —Septic Building Height:
i�Apl"lir 102111
_111T 0 1 AN 11'111r,
Namey-)4 z2aM A -1
Name:
Company: 406
Address: /U 1-57 ny: f1_z)2z_L AJ I —
City:j:r� f-t- —State: Address.
4 Ll 9'
Zip Code: 9 f!�_Z Fax: city:)�:r tf (f- State:Ir
Phone No.12 62 Zip Code: 3Y 9.9 2, Fax: 5
E-Mail: Phone No
Fill in fee simple Title Holder on next page if different E-Mail jc/aq
from the Owner listed above) State or County License q -g6 ze
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
"r
MIX
1�1t47k li°.tl a{kl�t'b:Fil i.'.yp
,�. "ESfd7�.`G",'C�?". �•se e.K1'� �� �F'"'t � � „t S � J� i. � �f u .1N
,� � T��� �} , � ,EN1,10'a�9 �h 8 f� �i?. �?�:F 6 c: v
DESIGN G EER: _Not pp icable MORTGAGE COMPANY: _Not Applicable
Name: �1�,E'e�/ Name:
Address: /5-J 71 Address:
V �J
City: State: City: State:
Zip: Phone �C��7-�C _ Zip: Phone:
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.
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work r recording our Notice of Commencement.
akJ
Signature of Owner/Agent/Lessee/Contractor Signature of ontracto /License Holder
STATE OF FLORID STATE OF FLORIDgC�J�
COUNTY OF COUNTY OF G
The forgoing instru e w s acknowledged before me The forgoing instrument was acknowledged before me
this day of 20LI by this day of /e/e-- 20 7y
j/5 11 SZ-7—
(Name of person acknowledging) (Nam erson acknowledging)
G
(Si nature o otary Pu c-State of Florida) Sign ture o otary P lic-State of Florida )
Personally Known OR Produced Identification_Y_1 Personally Known OR Produced Identification
Type of Identifications Type of Identification -,
Produced y) ' Produced n.Y?Lt, =+
�PRv PUa� aF?EFIRI FEI<Lt°il`,1J tJY C0�71MISJ',ON FF 1Uvo 0
Commission-No. tt�fvllSSl0i1;iFFiC0370 rWr` ; (Sf � FS.hgarch14,S018
r Commission No. B
5 a;" oe hruBudgetNotaryServices
rY y? EXPI ES:1°,arch?4,2018 rr-uFFL�
SondedThruBudge',WaryServices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE ¢�1
COMPLETED ✓lt-
Rev.L_
o�i.�
Mearney Rd
�0401'09"E %lire pit GawhPI
366.44' P.Q.0 t1 $I 1 T
E
NW CORNER LOT
230, WHITE CITY _
Ulrich Rd Ulrich Rd '= N
Vicinity Map
I v (Not To Scale)
IC)
r
LEGAL DESCRIPTION:
Commence at the Northwest comer of Lot 230, White City, a subdivision recorded in Plat Back
1, Page 23. Public Records of St. Lucie County, Florida; thence run South 00'01'09' East a
distance of 366.44 feet; thence run South 89'56'31' East a distance of 194.30 feet to the
toPoint of Beginning, thence.continue South 89'56'31' East a .distance of 95.00 feet; thence run
O_ South 00V1 t99 East a distance of 131.01 feet; thence run North 8956'31' West a distance of
95.00 feet; thence run North 00TV09' West a distance of 131.05 feet to the Point of
Beginning; all lying and being in_Section 10, Township 36 South, Range 40 East, St. Lucie
�. Z County, Florida. and being all or part of Lots 6 and 7, Black 2, Waishes Subdivision, Unrecorded.
o O LOT AREA: 12,448 Sq. Ft.; 0.29 Acres*
oSTREET ADDRESS: 867 Noo Street. Fort Pierce,, Florida
-U)+- SURVEYORS' NOTES: v
N 1: Bearings shown hereon are based on the North line of subject property as described and .
Q beam S 89.'56'31'.E.
„D 2. Written dimensions fake precedence over seated dimensions and distances ate not to be
p scaled for construction and/or design purposes. ?
v 3. Ail distances and bearings are as field measured and are coincident with 'PLAT' and
3 description data unless .otherwise noted.
4. This drawing Is not valid without the signature and original raised seal of a Florida licensed
.« Surveyor & Mapper.
5. This survey is based upon a description fumished by the client, there has been no search of
I the public records done by this office.
` 6. Property.Iles In Flood Zone 'X' as scaled from the National Flood Insurance Program Rate
f Map. Community Panel Number 12111CO280 F. with an effective date of August 19,'1991.
--ice 7. This survey Is not covered by professional liability insurance.
& City water & sewer are.not available in this area.
9. No undergre�:•nd utilities or improvements were-located unless otherwise shown.
CER71FIED TO: u
it -
M N
Legal Description
WHITE CITY SID 10 36 40 FROM NW COR LOT 230 RUN S 00 DEG 01 MIN 09 SEC E 366.44 FT, TH S
89 DEG 56 MIN 31 SEC E 194.30 FT TO POB, TH CONT S 89 DEG 56 MIN 31 SEC E 95 FT, TH S 00
DEG01 MIN 09 SEC E 131.01 FT, THN89 DEG 58 MIN 04 SEC W95 FT, THNOO DEG 01 MIN09
SEC W 131.05 FT TOPOB (0.29 AC) (OR 3136-2986)
i