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Building Permit Application
i All APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Date: / Z Q 2 1 Permit Number: I r 0 >i IE c Iv- 0 D" -r" Building Permit Application Planning and Development Services 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: , PROPOSED IMPROVEMENT L/OCATI-O/N: �-p!-c_7�' - p ali-j Address: ~7.5 7 /S, ,, U�s2 � !/��' !� �. 5�- (Y 7G� Property Tax ID#&' /T 2,7 �?7O1 D020 D OO Lot No. l / Site Plan Name: Block No. / Project Name: Dfl)ILED DESCRIPTION OF WORK: �m v ve rC12 dCc /D X �� e C o vLc -4-n - i r oC i ye G✓CL L/ ZI 7LA-4Z� New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: 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: v a) Sq. Ft.of First Floor: Cost of Construction:$ 214;0 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name l 0 �h Name: i es Address:7S 7 &//, Com QS O/2E Cam' City: S State: Address�,�8 �� /�/. Ol'r Zip Code: Fax: City: �-S — State:�� Phone No. 772.. E- Zip Cod Fax: Mail: Phone No 772 l Fill in fee simple Title Holder on next page(if different E-Mail U COf2C Pr eC i��- from the Owner listed above) State or County License ZS O77-/Yi C 4/r7 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. r � SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 our Notice of Commencement. Signature of Owner/Lessee tractor as Agent for Owner STATE OF FLORIDA COUNTY OF - � o . Sw n to(or affir )a d subscribed before me of Physical Presence or Online Notarization thi day of 2(�1 by Name of pe_rt making statement. Personal y nown OR Produced Identification Type of I e tifica 'on Produced (S natur of otary Public-State of rida) Co t Of zs WCOM k4kQ N f GG 2?= E)PMDewmber20,2= dnyyNOUY Undaroniters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 5/20/2 Maps 757 SE Hidden River Dr _ �� ,• � t t � v � 6 F f 4f AM f �!`�I p 1�1V '7`�S�'� l _� _., _ v, � � i'z � .�r •'� ����� k tii.: $F�+ - a � 1� "�1 y°+.t � �� � °.,Ga � / a s � ��. �t2�C� �I d x ir,� E � �� � ,may;,., � � • »..•, mod: t •� •rq1 � ro� :{ t43�' is m .. ...a��*'"'"I' ^ • �'-' +t �+;. .•i 7 �a�� '�k� °`�Pew "�t •� � + r, + �;•.•,� �� ++. w 5p.•y" � • .a . Fs ,r..r._. .+•'!Y� a� � ,,:;� � �.t¢¢��t ty usl:,^. :. �a., kr.,x.0 .�.,. �� ',dU 3t'1 JI-`�. - h.e 't! .�+rk"�Fd .>d a..m Y,.„, Ik }11 �`t^d .. 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SETBACK Q �• Port St.Lucie,Florida FRONT Google C SIDES I 7_ A CNRSIDES F1; = Street View-Dec 2014 REARg4 ZNG. TECH. , t` SLAB — THICKENED EDGE FOOTING SIZES General Notes: 1. 6"x6" 10/10 WWM or Fibermesh added concrete 2. 6 MIL Visqueen vapor barrier required on termite treated soil when next to living space or under habitable space. 3. 'Compaction test required when fill exceeds 18", 95% minimum compaction required. a' SLAB/FOOTING USED 4"THICK SLAB MIN 4"THICK SLAB MIN 8„ 18" 45 DEGREES 45 DEGREES 8" 2-#5 REBARS ® ® 12„ 4"THICK SLAB MIN , 4"THICK SLAB MIN ® 4" NON STRUCTURAL (NO FUTURE BUILDING)' Slab/Footing updated 12/16/14 tjv File COPY eE 1EWED IFUh CODE COMPLIANCE ST. LUCCIE COUNTY b)BOCC i