HomeMy WebLinkAbout2349 GonzalezALL APPLICABLE INFO MUST BE COMPLETED FOR APPi3CATIOIIN TO BE
Date:
�uLldingiPermit A►pp
and�DevelopAient services
,I
Number:
Planning -. .
9� • , u n D�vrsiob ' `
Buildin' and •K2S, ,.,
2300 Vrginio Avenue, Fort Pierce Pt 34
Phone: (772) 462-1553 Fax: U72) 462-1578 Cof� mercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address
Legal Description:
t,Jh�~-�-t G'c k�/ s w 13 a /'Lie
So Lot No._Z ,q
�
Property Tax ID #: 40 3 2—
Site Plan Name:
t z.e.btaCh o••' 2a lE Z Block No.
Project Name`
Setbacks Front —
Back: Back: Right Side: --t— Left Side:
A itiana worrto e rrned un
�HVAC _Gas lank Gas Piping �_j Shutters
�
Plumbing oSprinklers L =! Generator
.Electric
Total Sq.
Ft of Construction: Sq._Ft of First Floor: _
utilities! Sewer Septic
cost of Constsuction:.$ _
Address_:"
1�'T: • fy;, State:
C erode: Fa_x: =L
�
one
E-Mail:
e T-�ie
Fits in fee si�Tnpl -Iiokler on next. page (if djifferent
from the owner fisted above)
A o'H1
Windows/Doors
Roof Roof pitch
Building. Height:,_�:
Company:
Address: Box
State: _FL
City
Zip Code: l z;, 993 Fax:
Phone Noll
E-i+±'lail:
CCC16W17
State. or County License:
tf value of Cmr�
n is $ or.Tmre,-a FiECORDEP, r t3iTEd.
Name:
Name
Address:
Addr-ess`�"
State: City:
City:
_
gyp: —Phone:
:.. P�igne:.
Zip:,'
FEE SIMPLE TITLE HOLDER*
of Applicable I BONDING COMPANY:
Name:
Name:
Address:
Address:
Cry;
City:
zip. — . — Phone:
Zip: Phone:
Not Applicabley
State:
, Not Applicable
certify that nowork or installation has commenced prior to the issuance of a pecm,tp.
permit rules,
,.bylaws or and co a ants thalder t may. ildthe
or proh,ct b{t such
w Lucie County cakes no re applicable Hnme Owners Assgoesation rotes,
which is in conflict nsu any applicable
structure. Please consult with your Hor�Owners Association hereby agree that l�ll�in all respects,eperfo whichns � may the work y
In consideration of the gand review your d
ranting of this requested permit, Y
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,us
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential .tiai e
iwite or
d on the j site .
WARNING TO OWNER:
property. A Noce of Commencement Commencement
be r rd d and ult in ' r ��
improvements y
before the first inspection u intend to obtain financing, consult w' ten r or alto ey be re
commencin work or re rdin our Notice ofLommencemen
Signature of er/L see/Contractor ent for owner. -ggt1aw�
STATE O ILORIDA
STATE OF L RIDA CO ii ® °--ve
couNTWY Fge before rrie
The fo of nsuume t was acknowledged
Therk
' gin rumtnt acknowleZge�d`befyre me tthis� ay' of _ -✓_ �--= 20 b Y
this ay o _h �
Peter A Calem III
Peter a Cafaro I i (dame of personowiedging )
(Name of person acknowledging)
1 {. ignature of otary Public State Florida )
igna re o otary Public- Sta a of Florida )
'11 Personally Known X —OR Produced Identification
Personally. K own . x _ OR Produc • identification Type of. identification' Produced
Type of Identification �--- —�
Ken Commission, No. _ M RIWOW
Commission No. My C sal
505s�••
�adA� Oif► .
Revised 07/15/2014
LANS VEGETATION SEA TURTLE MANGROVE
R G ONVE
REVIEWS
FRONT ZONING SUPERVISOR REVIN REVIEW REVIEW
COUNTER REVIEW REViE�N
COMPLETE
INITIALS