HomeMy WebLinkAboutBuilding Permit Application r
ALL APPLICABLE INFO.MLl5T`BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i --r
Permit Number: RE�� I
•
Building Permit Applfcat>lon
APR 0 4 2017
Planning orid.Development Services
Building and Code.Regulation Division PERMITTING
2300 Virginia A ven tie -Fort Pierce F!34982 St. Lucie COuntr ;_L
Phone:(772)424553 Pax:'(772)462-157Commercial --
Residential x
PERMIT APPLICATION FOR: Renovation
oc� IVIOVI~l Et�TRX
:10
Cl?�TION
Address: 0 OG n .
�1_-- 0 � c n r o 0,e{o
Legal Description: � ( v
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Property Tax1D Site Plan.Name. -co C)—Co�-('t Lot No;
.t ,. v
Project Name: —1( - Block No.
....:Setbacks Front
CiIPTIOIDF WtRlCr
�nJ /Lo Yq
CCIN5TRUCT�N tNFt?R Ok.
► rona wor o e e -Pried un er this permit-Check hk all
app y,
I:�H AC Gas Tank Gas Piping Shutters.
❑WrndowslDoors
Electric Plumbing Sprinklers Generator
Hoof
Total Sq.Ft of Construction:
S Ft.of First Floor:
Cost of Construction:$. UtilitiescSewer EjSeptic Building Height:
Lf� R � a E
,.., tNTIACT ks'Flame. ,.,..
Name: Justin Thiery
,Address' W i
4
Company: . and Kitchen&Bath
City:
Siate:EL Is!
Address:1 � . .� OCs2 :c�
zip Code:3 F'�- Fax:
City iVf1 o(a A.tr� State.FL
Phone No:2�99 _
1i :
p Code:�����..��' Fax:
E-liriaii; C[` w�r�C ir,��nQ--�nnlccsr�n Phone No.
Fill in feesi►»p a Title Holder on next -
page(if different E-Mail: ithlerylkb@gmaii.eom
br?m the Owner listed above) CBC92S85t)8
State or County license:
If valu0 of tonstrucftn is.$2500 or more,a RECORDED Notice,ofCommen cement Is r"eq ulred.
c�flrl41 �V.� J� lC?NxLEN t./"tyX1 ��MJ"1T�� . '
DESIGNS ,ENGINEER ,Not Applicable MORTGAGE COMPANY. _ Not Applicable
Name:. Name:
Address: Address:
City:: State: City: State:
Zip Phone: Zip:. Phone:
FEE SIMPLE TITLE HOLDER Not Applicable BONDING.COMPANY: Not Applicable
Name: Name:
:Address: Address:
City City:
Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit..
St.Lucie Cduntyy makes:no repre entation.that is granting a permit Will authorize the permit holder to build the subject structure°
which.is in coriftltt with any appii cable Home`.Owners Association rules,bylaws or and covenants ihat 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.
`!'lie following building permit applications are exempt from undergoirig.a full.concurrency review:room additions,
accessory:struciures,.swimming pools,fences,walls;signs,.screen,rooms,and accessory uses;to anathernon•residentiai:use
lNARNiNG Tf):OWNER:Your failure io Record a Notice of Commencement may result in your paying twice for
rove en to your property:A Notice.of Commencement must be-recorded and posted on the jobsite.
before tne.first ins ctiori. If you intSAd4q obtain financing,consult WI lencer or an attorney kiefore
commen'in :Wdr t r rdinp,.yodr Nbtiob at Commencement.
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AV
W.
alure of Owner) ent/Lessee =ATE
f nt or/License Holder
STATE-OF FLO IDA FLORIDA
COUNTY:Or:s, : COUNTY Qps i
'The f oing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of - 20 123b�y- this A day of 24 ) ij_
r' Justin 7hlery.
(,Name of p on:as knowledgi ) (Name of person acknowledgin
{Signatur.of�No ary: Ic=Statd of;i lorida} (sig. atu .of N a ublic<State of Florida}.
Rersonally Known rdducc�IbIICALE °n Persanai4y Know tl���rvPaef idedQi�ibfl
Type of.Identification my cilmmicc)ON A FF on4en- Type of Identification ProduEe MY MMISSION#
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EXPIRES,July 28 2019 t EXPIRES:July 28,2019
C Commission No.
ommission Na. ��Ge.�t ' Basi�giiud9etNobrySenices
�aFf4�—��ortlad thr>ii6f> 1Mot�ry Sarvkcr
,Revised 07J 1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE. e
COMPLETE
INITIALS