HomeMy WebLinkAboutBuilding permit app•ri���r..:-.nt, `.i,y�. *.-ti.'w,r. Nr-.���-a•�r-.,..�.....�•_�r•}r.+= -*r- ��•.,.t+-`mot,. _ ___.,r �.-.I..., T_��-��*.•x, �_ __ ��:,�,�.,it•rY•,., ..,•�.•���.: ...�.,.--."�L.- L..,. �v..,wc.,,,+c+��.. �+.. u,�,��.•,.
• �h-..++.,.ate-'e..i. �.aaaaua _ __ _ - - r....�.z.r.r �'.�-..-....f�4 ice. - - _ �++�t+r _ _ +++. - _�..az z�a..i.a..t_vs�a•�:���r� _•.�a•.� ���. i+rM��+�+.i �. �.r
' �+„~ � �r''„�.y..i ��. �,.:.-- ,`-ate .r: ��-..,Y: �.� .. �r �--r� ...,..rrr•......��+� . __ _- _— _—� Tyr-��t.�r— �� .,...�i�..,.« �irn� - ...--L�.���ti �.{�
,,. t-.�.���-:,f�.-ter:,._. wrti. .,. ��J._�-a--•„�- s.I..J.MEOW
J.�:�,��_,r .a�,�l,r�•��-.•vey .rca•_�+.+4 r� ���.a f.i��.Y�v,ei.,�a r��at�va�-�__ _uva �_•f'+va��. �a-a�=�a�4rr-e a,.. S��C � _ �,�.� -- �..,_ ALL APPLIINFO MUST
Date..6i'� 12021
w �� _ y � � fir � �r,}�•�����'+s,"�J�+. +ice` -.ice �ti_+��
Permi't Number:....
Building Permit Application
Pic
nning and Development Services
BufFcffrtg d C.ode Regufarlon DIV115,1017
2.300 Vir9117 ia Avenue, Fort Piarce 1-601L 34�&L2
P h o n e (7"'"' - 2) 4 6 2 - 15 5 3 F a x: 7 7! 2'
Address
t
CoIrnimercia
psi a{
• 3112
W
�& wr
Dixie
BLVD
,.x....,,-.,ram,
.�„ ,,,...,,>„�..,.r ..,....._........_.__,._ _..,� _,....._....,..__.._.........
�eSCilptJ1oil: ZuRN LUUM: tLAZJk ZdU,=L;iiN1 I UNt.- t5law-F& 4L N 1-1Z Utm LU 1 33 AN U ALL LU I 3Z (IA.AF 14FJZN)
T" ---opehly Tax I D #:
i Lot N ar
Site Plan Name:, � Block N0.
Project NameFitz Albert Boothe Jr
Setbacks FrontBack: RiLght Side: Left Side:
AnGAL ELECTRiC WATER HEATER REPLACEMENT
unas wor'K zv Qeper-Tormea uncer iints permnm~ cnec,,# aii apply:
....
HVACE.1 Gas lank GGas Pip tng Shutters � Winuows/Doors
Ele mc-tric EI(... Plumbing Sprinklers � Generator � Rood Roof pi
Tota I Sq, Ft o f- Co ns�'ru cti:
Cost of.. construction
•�_ �,�-y -�- =�—'—� }�" '•� � �:� "-tip== �=_'.Zi'_=
X
_ 3
f
fir,., ,�, :�� �1+, ,� �JI�.�••�� �{. - �� .� � � �i�..,�"��L�' =y-}
I•t _t" - ~3 �a�kr-a'_':-YK�• -Sl�a ` _-•7.2 L- 1••. _ r -_� _ S.•..
-
'aL
-
• tiF a t ; • � ia`a
t
f �� � t ti_�ti- - f C-•}� _1 ��• += is ti t �k-_-� �.3a��if \���'F �4��rs�•riL���.��. z„_�'��ti �.= yti •��= ti�,+L-_-: _'��=.c-�+J'L'v`+�••�,r.� i�+4__��
Sty. Ft... of First Floo
Uttiliti*es,,
Name Fitz Albert Boothe Jr
A3112 NVDixie BLVD �
i
FT PIERCE State: FL
Lip Codet: 34946
Phone No. 56'1*-802m-8309
E-�61ai�:
Dili In fey siamp e Title Holder on new page (i# different
f. rom V4e der fisted abovej
0
Sewer
r:
_,_,peptic �ui(dira mei2ni.
- _ __ _ C _ __y - _ _ _ �,..� 1 LL f'yf_ a3 �h
- - � � fit`
� � 4 • �}•�
+�-
•
a.L;+�r2��� � � � „' 1' }'`�'�:~�_4� � ��� 33 � �����• :_+ •�A �, .:r _ R � � � �Lt, �"_ ,�,�� � ,�x�.+,-I..I,�� ,� '�t«•..� L.yr� ,a... �� y,+�-� � � �. ti,
�'z= - �"ti - � - .� • � j'y�'-� � ` � 4�4 ���� i �w4 �`rtti�� : � ti �} � �}.. � �- �. `- r., �= � ; + 7k�i �• '�'d+a �
�-
`k
•� � `� �v�. �i - - .,i �• � ''� -a-�' _ � r-�, ��C � �r —�"� ��.'r-�„tS,.tik ��..,� t� _ .� a,.�ti�lr-�'���`� _�� �;`� - � �"�*�L�
Namec.
MRE BOB-EV
Cc,rn an v FLORIDA LTA MECHANICAL
p Y
840.2 L-AUREL.,
SUITE I I I
C:Ntyt TAMPA State: F L
Zip Code: 33610 �ax: 866-219=0729
P866-219-0880
E-Ma I0
: �LP�FtM1TS@DELTAM��HANICAL.C�311�
Slate or coun Y L1Cet1'SL*+ CFC942531
"t
If vaiue of construction I*s $2500 or more, a RECORDED Notice of CO mencernent is required.
--- - '-- - - -- .. _ .._ ..�•�+�z+-..�.-a��t�s�-r. r•.-,-ram+-.��•,kk �-.� - _ _�_ r .. �- _4.____ t'.�r• — _ .Y� ���
ai.r � .ter•_+:.-n r�•ivr.a�•.-,•�,:=__ayL•a.•_:.-fl.�:.tz}a•. a.�L.. ..�F ......ate--.-st.�.v-.:
In considerat"on of
gt
ii,-i aca),rdarace
Y�
h ti� }"zti L
SIG A(
IGINEER-0
a M ea Ritz Albert the J r
Adc.
reSS'* 3112 WLD;`Me BLVD
PIERCECj@ty-.4 FT
r zip
� :
P"!t h o t
-i e
f-5-aa�• _-_:ytia_ r _T� as
�% ���`y'��!''!,� �����; 3;+ '1 ~� � +"St ; - _ 4-a t ti -�� +'.��.��}r-. ks•• �Fa _ _ yam• vim. a a_~ �• ,+-' � - - +�'4 =� �- -
j.F; - '-� �'}-Y' -: �r� ■ -�`_ ���' �-�--�� �����.,¢'�``�-' %r'�- �'-`ti}_ ' '},�-•�LrL�_ - '1�.�� �� 3;�.�'F` �'�'-'r-•-:.•�}, •=i _�v� y,' ��y - {ram � _ t�'.�s����-_
- 1 L _ _`�{uF� _ '�-`Y h 'TW t _�'''� � •-- �2 ��_ 1 ti _4_ h� `{: �.ti Y
_ y _ ' � �� � ti� f��� ��} _ ; Y _• • • _•��tr� ��S'4}�~� _ Y� �e a` _�1 y_'} F` 7..��'i•' �-
;,;:�i `.4}r— �:��jti r �: � � _ ti �r - _ � r�� -r'- � .{`�_.:: •t Y. :•�5��a �.h'._',� ._4:�,��
����: r• ti=_ -� . - _ --t� r 7ti�. .-��• � �� � �'�- -�� - T S-t�- _ � - �� _ i,-�;L.l'_: .- L,�� � `• _ r.,_ { *i�T. ti a _ ��`} 1� -
r t rL • •��Y Y,. �� # w� , `- . �a �rti {.t. _ +ate{ - ^ t r� �` M1�+ s _ ti
�ty`� t*WW0P4ffiEMMEMM* Not APP I i'ca, le
SEE SIMPLE TinE HOLDFn; � 3 il - NotAp��ic�bEe
Name.,
0 UO2 iAUREL FAR CISUITE!l
Add res s
city**
ram.
hone,.---
MORTGAGM Not Appfl*cable
Na
'.,DIMITRE 130BEV
Add
e�S 1 W DixieBLVD
City. M ZO
r•r � � ti �i r-�:�
BONDING COMPANY....
�l��t A�piicabe
Name
Addrcn,ss, #
ci t Y
za
[P-A ~,
h on e
�Fs�t�v FaF-,�14ti1r�ir����� � � si�S1G��F�� hYbo{■�i�v�sl�i�ltlti���■� � �,i..
�L�'4!-' S �a�•��u�4�rr�MFyk
ClWNER/ CO:VTR�4CT�#t AFF1�1�1�0 Appit'cat'sa;� €s h�,re�y rn�c�� t� €obtain a p��rs�i* tn do the w-,ork
i cer*U�� that no work of- insta11a4-'-,-,--.Nn lac c��vyf��nce� prier to tie issuance of a perml....
giti installatioa5 inne3'siated.
St. JFJ.1C1,e -Co Unt��� makes n o rep resen JL-a tio n that is glu-a nti ng a perm it will �:�ti�orize the hermit h ol d er is build the subj�ct s
which ;9s i��:O�;flict with a�€e� a�a�,Eicable Home Owpners Assoc,-e'
�atican rules, �ylat�s or anti �ov�rants thy: may restrivt orom!&�c
tovfl3ea3i, tNl�ia yt�ui €-;i;;a"t� S.,t4V{123'S �'i5S#�:.3�t1iJ�'3 dCi� iE'.1t�Q'„'i voU€ eed fnr ;&M-liv ic^Sp?'IitiOnS WhiCi� P"T2t;�} c�,L'�7i
ne grantelng ot thi's;requested Dernifwt-, dot �i�e� �4�r agree thntl �i16, in a(( respects, perform the �fr�;G.
; ,he 1:1 11
he approved plans I , jort
T h f o I I o '1� n g b u f"'I d i; n g p e r m
accessory structure
da Suildin CnAAs a&pk
S-:kLi~C
I ucip Cot m �■. ���N
ap�. :ernCom unde-gng a full
S. L/ mni1 sa tensest WFilfs S
oncurrency review: room *Ong
.,
r�� ���
fu
es � �
t 1.1A U t U re
such
uaf use
WARNIN-GTO OWNER:, Your failure seeRaironc.-IaNotice cif Commencement air result ire your paying twice or
improvementstog your property. A Notice of Commence ent must be recorded and po-!;Rted can the jobsl'te
before the first ins-.u-ectionP #f yc�u �i{� �nci c��tain f}�ar�c�ng, �:� �� �t� ley�aer oran �t�r��ey b ft�re
commen�r �r�d0- r re c r ing ,your tice of Commencemen,� P �
low-
4' ol owner/ "Leg e/Contractor asAgent' �r,-CDviiner
STATE OF FLORIDA I
ISTATE OF FLORIDA
4
cCOUNTY OF
�5-
cog;:!= y
The forgo'ing In r m was acknowledged before me",Ore me
z
•da t
Is day of 20 a4_1 hv
WPMMMPL
NQ---me ot"person makIng statement N a ni e o f personrr, a ki ng sta te me nt
Personally Known
iticat on � �0�
iy OR Produced K%vV.vIlca- ion entj
Tvpe of Identif ication R CIr
ypgz of lkpo
IdenI.-,ification
Produced
�J
(Signature of Nota
}r6,,0
.e z
igna
_Admh -
1'1■arT.a—•,o- �.wo-rtsi7 ■■yyay 'R'K_ _� a _.�. a�+R_ _ - {` _ , - - - _ t ure
: ti }i`f�'�L _. _ - vF•+4. -
..?M k-e��'tfitlS5tf'�!"f CIO.
��+r�rT•._�,.vr-r �..,.+.+k•ti� �.-.�v a.,.•a F•+w �r f-..�y�T �z.��'-.. �_ ,-�.r,..•a.�„�,r.. ..,.
r'�''''� w�L� 1-'� +ri'F+--tea,+-�.�-a��*.~,c �,.+T,••' _z�- •�--.—_D1""=�►y��k'�'`�_� a.�_.•r�� �.��.�r.,, _#rLY�.lilyi+21�'`•j'�"'•`-�,+-�ti,-�.t��. ...�.��__a._ti_r_„��+�.w•+�V�
--+•T,�,z.�•+•�•+„rz--..x ' - �+ - -c�+4 a++--�ti