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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �I �� (©�� Date: Permit Number: RECEIVED S510 t �'CLE 46 l 2021 Qw4w , Building Permit Application Stc ie n� . St. Planning and Development Services Permitting Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: xa Yx: •aa••• axax,.x xx. a.'.a•aa•. v7 a� uZ xx a.la, vavxxa: vE kva ow".xx • wnt,x •u' : v , x u .x .. ... •H '.p.� ,,.,pp��v' •p R •uR:. R• y .x •..y&vvkx axz � aaxa yvh.. :� uaa: ssu�v�va,�x,, ax k Svaa avv �v���txi°np-g . Yui.. •n :Y 5'•t � A EFRP .5 . .1Rv.Y., ii S�G1a�( 4•H !txxxssxxvv' yxCxx aaa 11pp i... + layy� aaly SS "k 33 xssa%tytx x Y.; x aayyp.�x��v�vaYx�raVxEtye.�xuLy<� t�\fiR�. (pi�aM q v x. Rr :: Ei at ixi?�x St,.lta 1. \via\ axa3aa 3 E1a'aYC�wxax x xxn exx3RI x 4a�W` \ Sa &Ru�va Y yy aaxxxaxa x x 'v a' •�Rv , ffnx ag'sx , .'ka \ l x{x : ay STa, a � wxxu aRw a, a, -ex 0 i v�'a :v. � A° $ �s Address: J 66$0 S. OCr-4✓-3 D2: ' t i f 0 Property Tax ID #: y,;) - 5)6 M'17 - 600 - 6 Lot No. Site Plan Name: I jLAt-JD CAEST Lc�oi L)ox^ t tJ/V\ 1(1) Block No. Project Name: GAM6u c, (P,9�5)VFJJCC ,Fx .. ..• ,uKHxx�yaw,xeF:exx Z l -@.vxy eR•R:. �xxu� , " v n aaa aia - xx x zv x%xx auu K �' an a�: E`y �'. p 3 li�x�xassvux�xx,x.,gr;xxr;Yxv� aY •Rgia"i :Y�q, ti � . '. �� � F u & xxa �xxxv4xxTvssxxaxx ssx�.tvexGuxxxxCx xxxxxx xx�.v as Rau a �' � .' :. � G x xffit � ; C ». Yti'�c�xF:' ���4;� � a. \a � d' fi g pp ,E�,z3 3.:'•@4 �:�..C'.�Cfx.x�'x���xuxCCx:..ur`n :x.�. �xa� �(' E({x xxxv..xx: 'ssxG x;Y ssxa-,���Waal Fqn�{s.E`exvRY�xxxp..;..., a.H RRaS`E xkkFxaxxk.Z •' ppe'xRa av'HY:YRaR. wu:eRa• x & 9 ' xgxi vx.Y.xxxxx a:. 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' y��' i[[ PP �j 'v& ppy �l�'a�'t�v� � x' a; •xx ; eaxx� x'x: vs xu, k : au.3, v�.• �x. S �[1 � xuk a xaxxxxaxxxxxxuu Q y a au S � ax..�` �kxxx �.avvxx �ssxx \ ,�kxvx ? ,>f, 5 ex, a•a a„aav�S��iuuxevkuxxxxxaxxx�R+xySa...aaaaaaaxS .x ZY x;.EE, v.'•�aTxxxxkixxxkxya+avua xJix .'vaa� ..,t�.. va.<.iau 'takulaxxaau�'Cu x a�axa-xxxauuxRx xau�xxu�xzareakiE• N �exaxxxx xaxxxxxxxssuuxaxxxaatavu aaxxaaax�t� a x�vxxd xxx�xxx "Eat �: �aixeu • ax.� � �2 �v as ., lq:v.Rvxv� �vxxxxxv�Tvvxu�vxx, ...... ....; � S� .. . :.::.., asxxv::xSagax xaxxuxvxxvRaxgxgea�.; eaggxyYR � �� , a, �aa�apexx�$xx4eu 'tveveva«vwaki gvkRR��Ss�� x�k�k#a`4vR , xxxxax� �exxax, �exx x Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $=T�jq,�a Utilities: _ Sewer _ Septic Building} Height: ppee�gqee il.. x.' Zua A yv, xu M Ry3'WiY�t �' vA ��3i.*ii� iYE va`"ai�valxx xa.YY`y R��C3C a•\E'E a. S t�.:'J{{'Fk F`�Ck qq xxxyyR xxi7:e uxx3 `NEy[t��`yk@YIII 77�'CaT31 `.�'S 'UN vL 4 as \ .ye. , Y'� °t�;t ah•'u vx Nt.y _. SRv�c eS3 m°:Ekux'S 'a v .Readt�.xx3xaxxxYa�vawxx.4�e All uxYa.4`�xR a. `.a:u^avv xa ... F$.i54v°'h"e .ui4%0�ev?Lta.. b�aaya�txxSx xBy xx, "'e .'aavu xkxxx .ss ..SR a' x i x. 0$. .., i aE. ..�t. to v .a»�3 .YY•SC�u.. lexv v.R. a' HR ' .. ,Ra, �.w yvi xlaa R. . Name ►)F�nJiPt22 GaM!bitL_ u, Name; CA6 2ocGc,e5. Company:- CO*sjr/- PCUM800r, `Address: 97/ Sri a y_,EHu�esr- DP_. T Address: _ l0GZ0 5. OCCAtJ Lam, ci1o, r City: JF_N5 � i' AU 1 'State:''"fL City: 'P.5.1-. State: CL Zip Code: -34PSI Fax: Phone No. W 1-7 -71 6 E- Zip Code: 3 c 23 Fax: Mail:(�R,v,b►�t,.JFN��P�2i�Con�cAsr.ti Phone No 73,i940-114LI Fill in fee simple Title Holder on next page (if different E-Mail 3 0 State or County License Orv,4 1(408 a from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HA VC is $7,500 or more, a RECORDED Notice of Commencement is required. xx, xx •x •x tl , yxxG7 .�exxC'eY'vx,x'.J x;p., x k' l: •• xx: x .xxx xxxssvxxxxxxxy�vx.xxvxxx�.yxx�. vxy .x: xx, a xtl . gg CCixx xxxxlxxxxxx�Cl.xvxx.aa..x..-:x.x:Sx�: v�9 . Y y�• 4 fix. '�. k. ev Y. ' � ..y , xx..,�..,:. x a��l<� ��Za�u'�:e��� ..xx INN, x::. •xx• ••x . ax.i a.x xa@�.x �i -`{ :4v vxxx':ve'i xvi4 y u� FFr�y 'a : ax��px.. Nqy �".• •.@@• �yv• viaxwv 4:ivvnv'�uvi ie°xk xv�vKx'.�uuuu'vza��viux'xawFu 0.0ieT 4 F) 4.ayxv�vvvaxz a'A e�'1e u>xivavvr'u ss awxa �uxa 'a �, iw... y`F .y' n x..y�x .xx�i, vxxxxxxxxxxx.x7.x!:xfxx.x �: aF �yix� � .pp .� L x R .�:y .v gg x:. ix �xx�xvwavxa�e � A�.vx.�:x:�.a: x. a l��i:� .� X F� �..)a .� x� l F aaa� .. .. a yx<:.3C. � � �� .��:x' au�'t�?F �GFa.al��y k Sl�F.��� �� �. FY �.��1 yv � '. ... .... .,. .4x Hl:::..:... .. Av�Skx��ui� N xxyayyv�-. �. v����'xv>�evx ssxNaxx�Yau�vi 3G �.��Y+%a, 1 �.�,xi: ���5 ���� x:xxx�.�evi� i. ..T E.: .. fiu .l.. xx.M. 9. DESIGNER/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: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of`Commencement. Signature of Own e essee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF a Sworn to (or affirm d) and subscribed before me of X Physical Presence or Online Notarization this 3_ day of IT 20 ZI by C-mi c, Roc Name of person making state ent. Personally Known OR Produced Identification Type of Identification Produced 491gnature of Notary Public- State of Florida) Notary Public State of Florida Commission No. (Seal) TRACY CARVALHO �.:v1� My Commission GG 950192 OFpd� Expires 03/22/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/21