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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: III luImp Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: -7,J SE_ R'I(JC7Z- (2:T_ Legal Description: Property Tax ID #: 3'fZ7 -70 f Q(S '/ 000 6-( Lot No. Site Plan Name: i9iijule'— ^ (__ Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: n S7A — 22d 6 9rO C c© 0i1t7M ri `'l i "rU�" cL �,s►7� SS ` CONSTRUCTION INFORMATION: kdditidn�wor to e per ormec�un er t Is permit — c ec a Mechanical Electric _ Gas Tank Total Sq. Ft of Construction: Cost of Construction: $ Plumbing Gas Piping Sprinklers apply, Shutters Generator Sq. Ft. of First Floor: Utilities: Sewer _ Septic OWNER/LESSEE: CONTRACTOR: Name )%fJC- Address: -74..1 SC (zkUe—_ft-- G? City:,-�I-Z .-f 1_0c.e, State: LL Zip Code: 5'415 8 Fax: Phone No. -7) Z` (_ E-Mail: ILQ (ST14j?6-g_6A. Q ,MAILC C-'-"- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Windows/Doors Roof Pitch Building Height: Name:s-'.AJC_ Company:_C-E,JCC-iQ I.-J �— Address: 27-7c-13 YW '00cX14fle-7 St City:State: 9 Zip Code: '3q1 : Fax: Phone No -foli `T E-Mails-�G�L?1� 6`t�C��ps State or County License- 30�0'-1 If value of construction is 2500 or more, a RELUKUtu notice vi — 4-1 - CiESIGNER/ENGINEEit: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: ' Address: Address: City: State; Zip; Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: ' Address: Address: City: City: Zip: Phone: Zip: Phone: W VV 1acn/ %..viv d r[Fu..t UK H!•ri13V t E : 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. whichis in Conflicmtawth any applicable representation Owners Association rulesabylaws or andpcovenants that may restrictbor pristructure uh structure. Please consult with your Horne Owners 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, wails, signs, screen roams and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. if you intend to obtain financing, consult with fender or an attorney before commencing work or recording your Notice of Commencement. i Sign Lure of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF i. ( ,j( f'i � V"O'� COUNTY OF o-n t'tl`E? i The forgoing instrument was acknowledge efore me this L4day The for Ding instrument was acknowledge efore me of 2Q�y I this dayof 20y ko\o-Px--,�- (Name of person acknowledging) (Name of person acknowledging) (Signature of ary P bite -State of F da 1 at;t y �al`�t�1r}•; Ili. (Signature of Nota u lic- State of Flo } Z Personally Known OR Produced Idr�iii�i�r�jQn^ • ^-. �,� ` ��rsonally Known OR Produced Ic(�+�t1���° Type of Identification,• .,�j' ,, T+e of Identification��N �)v.'�le, °{yid Produced ------------- Pr�iluced Commission No. S#aj) hth nission No. j�S�aI) i rG63;3o59 r•. y�,• n. i,jf 2441 4 REVIEWS i FRONT fry••a,�i7id=^j I ZONING `id+ �.r4•`�\i\ ilk �� \iLANS VEGETATION j j/��}••.� ryF:7:iv P.��Cn�`•'a �.e�ry` i SEA7ltR'y,`�j •li4iAt�3��'! COUNTER i REVIE i� ` REVIEW REVIEW `'!s, iLEit,r�RE1llEVi! i i DATE i RECEIVED i ! DATE � � COMPLETED 1 ey. MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4967865 OR BOOK 4740 PAGE 1175, Recorded 12/16/2021 11:44:13 AM NOTICE. OF COMMENCEMENT TUBE 'GC�SEtPr3E CRiM Tv OtdRUCTiOVALUE EXCE3s 5� SDl.A3 Oft Art CONDMOW W6 RWAtR OR REPLA.UMENi EXWbs S'Y,r,00 00 PERT ti7 TALC F'000 5tE3tt arFige eia tinty cl8 it River, tbtE unrsetsigned hGreb giv sttatke:th00nproireme-n#`iw11 b made to tta feBC rca &eCnr r Le'A hcha'ofer ii,Fiedttesta es.th rd1104M m s'no : p P ".Ono,,fil ps Y5 PK'<?ui<if?Li to hiSCiOff(='�..GflCi13T encem.66E: '�• SCR�is irii<€ Nit '.i �.., .. 2. GENERAL DESCRip N OF !#1iiPROVEMEi' T: -1A : i i R i1�9�i3RiviAi EE��i exr ii�i QR�t�Fti�i�: i € a� # a, Name: #csr �aF unproven ent) . 's � t� Addy b. Inter ih pr ,opet t: C. Nam orid.adtjjeiss Of gee ie titC� �tr�Ii�er p (if other than owner): 4. CON a. Names: FENCED IN LLG Addfem- I vS3t4T€#JGi•iAi"t SCi* PORT: b, Phone nur ;. #REi`t G[3M A C OF p jkamaj s Cypy athempaymert bond is stiach : a.. mart►€: & Address; b, Phone number.* 86nd.arnount. 6. LEN# EZANMTGAGE A1kIfP€k iYi a. Marne &.Add ess,, - ............. b. Phond Wtnher 7 . PERSONS WITHIN :THE S.€AT OF KOPWA. DWO A ED B'Y OMEP, UFirdm it M NOTIMOR OiNgR:bOCUM€NTS MAY #f: SEidVEt}.AS P#df3lfii�i7 �4' S��3tAi �7�. t� �Y�. � 7.� ?r%[2iiltiA S3�Tii�S: a. !Name &:.A(idrt—SS:.. b; Phejneinumbc!r:. _ f�tX r`ttirrik�er.... a: Owner designates of to recelva a copy of tho.tiendr-s notice as prcvicied'irt sE;GFieitt 7 i3.33{ %} .Eiortda sta€ties:. 5:. Phone riurnber:. (TtiE EXPIRA°liON fl.ATE lS ONE (1)YEA(? 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