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HomeMy WebLinkAboutBuilding Permit Application (2) l ALL APPLICABLE INFO,MUST BE COMPLETED FOR APPLICATION TO.RE ACCEPTED. Date: . �"� Permit Number: R C E 1': D APR 28 Z917 I 9A - , C v Building Permit Application V-IA s3_ Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 ..Rhone:�772)4624553 ;Fax:,772)4=624578 ,cornmerciaJ ,ResidentiaJ X PERMIT APPLICATION TOR: Building I PRQPOSEE? iMPROUVI� fT Address: C24 Canal Road lb cis Legal Description: 24 36 38 NE 1/4 less E 70 ft to SLC and less that part of west 1/2 of NE 1/4 LYG W of existing.road(less C-24) together with that part of N 112 of SE 1/4 LYG E of existing road and N of c/l of existing canal less E 70 ft to section 205�199AC or 3885-2348 Property Tax ID#: L ��3224-1110002-000-2 Lot No. Site Plan Name: t: 1 el h r2G�hG, I Block No. Project Name: 6f,5iLed es Setbacks Front Back: Right Side: Left Side: I DETAILED":DESCRIPTION OF WORK s '�� `� � � �3 � , I Additional work to be p eorme under t Is.permit-'check a apply: X HVAC Tank _Shutters OGas ©Gas Pi Windiws/Doors Piping Q ®Electric Plumbing Sprinklers FI Generator © Roof I Roof pitch Total Sq. Ft of Construction: V S . Ft.of First Floor: rr�'' ' 32 'Cost of'Constraction:$ �f 0 11700 -uti,fities: Sewer0 Septic Building eight: OWNERLESS k I�i RACfi 0 Y t E f_ Name La Potencia=II LLC Name: Address: 4036 F`4aya Circle Company: w `JIlNL (r5 y. Boca Raton City: State: FL Address: Zip Code: 33487 Fax: City: YOV Cla. k State: Phone No. �` - 5�- Zip Code: �2 Fax: • 1 �?� '•t(fib E-Mail: Phone No. 13(a ( ' Z� • 2� Fill in fee simple Title Holder on next page(if different E-Mail: JQn tW*0(_0- II/yl(,t,r,( . l from the Owner listed above) State or County License: C If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I it E- I DE�I�i�fi�R�E� 1k��R: _Net A�p�Ica•hie .., . , ���€ 'Q��>E°C� �'A �m 'I x dot t�p{�iiCa•�3$e ' Name• FlnnvoldArchlteGure Name: Address: BDDDtd Fedarel Hwy Suite 118 Address: City- coca Raton State: FL City: State: Zip: 33487 Phone, 561-3064285 Zip: Phone: I FEE SIMPLE TITLE MOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: 'Name: Address: Address: City: City: Zip: Phone: Zip: Phone: certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder tolbuild the subject structure which is in conflict with any.aopllcabte.Rome Owners Assoctation.ru:les,bylaws or and covenants thatImay 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,1,do hereby agree that l 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 Commencement May result in our paying twice for WARNING TO Q�lltl�#ER:Your failure to record a Notice®f Corrnrra y Y p � � improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite b6fore Vhetr!t h!spedlon.1f .uin-tend fin obtain financing,)consult Wth:'kender or an attorney before commencing work recording our Notice of Commencement. 1 C' s Signature of Owner/Le ee/Contractor as Agent for Owner i natLffe of Contr for tense Holder I STATE®F FLORIDA STATE OF Sfi• LU,Gi COl9NTY®���II COUNTY OF I gent was acknowied a before me The:rday ing,instrument was acknowledged before me The fq��oing instr g this__1_�dayof 20 _Uby this of ,YTf/1� ,20 by W J ommts 'J'V (Na a of erson acknowledging) (Name of person acknowledging) i • I I � I ? (Sign Lure of;Notary;Public-State of Florida) (Signat a of.Notary Public-State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced ldentification Type e of Identification Produced Type of Identificatitn Produced i 4 Commission No. V �S Seal) Commission No. 4 KIM AN ,:z KIM7NOTORIS da Notary Public a e W-0, My Commission Expires May 9,2017 ?�evisecf�7/1S(20t My Commission Expires May 9, Commission#EE 884154 ssion#EE 884154 oFI„ REVIEWS FRO ONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEWREVIEW REVIEW DATE ,COMPLETE i J INlT1ALS , I