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HomeMy WebLinkAboutBuilding Permit Application i I ARAPPLICABLE INFO MUST BE COMPLETE[Y FOR APPLICATION TO BE ACCEPTED i Date: (� - - Permit Number: p v� Burl i all If*pplicaton Pl4nnrng and Deveiopment5ervices Building and Code Regulq�#ron Division. Co•1'merclat_ ' / Residential V 2300'Virginia Avenue,Fort Pierce.FC 34982 Phone.(772).462=1553{Fax:.(772),462-1518 CBDG Funding : . i PERMITAP.PLICATION FOR: - PkC} 'OSEE iIkiFRO`F/{ NIE T{' ,■`� !. l, 'L 4` 'h itz4 F k .R. -r"' 3.. .4,' _ '."'',3'�,� }.L gi" j,.. 7,,.� n.r.L;nu' ts�,ro '*3s,. Address: -- c�• �, F.�s�o -;I r PropertyTaxID#. 4�oZ:6 , L Site Plan Name �f �►�-r fE Z�" . . Block No.. 1 Project Name: ID,14... DE7`AtLE©`DESC( IP `tC l ?F Y11tORK* Rom' - 3 €t: r a ti ,K ,7r.F�ssF„ '?F w. _ 'cE .4;r�, • --x e cz�,, �i,-`' x ,,,�: '�.}' v r r,}"t�} �a �' .��,x" S '� y`s•� ' �°, �° c,�'� -x 1a- � �r r k. - ..,•n. a�,, a ,x��� ,. ..ash .'�1v.,e, w..,4 `, �, �&�s��.w''�;-..,�,�s ,.ra . I j New Electrical Meter. . .. Second Electrical Meter 1. I (Affidavit required} { r S `; Las - �,r 9 1 r yf 4 g. ; 7 ' - :y* ar� `� .�F „ s�. . . .. Additional work to be performed under this permit—ch"eck.a01hat apply: j _Mechanical': Gas Tank —Gas Piping _Shutters —Windows/Doors Pond Etectric Plumbing Sprinklers _Generator 'Roof Pitch i Total:Sq..Ft,of Construction: Sq.Ft.of Fir"sL.Floor; Cost of Construction:. Utilities:, _ I Sewer _Septic Buildingaieiglit �n� \�R���V���4 Y f %'��E �'f•E� �3,.PoS � ; 51T (r 5 CA�4i�i�F'--L .v` �'�.•"��j 6'S�L'wka��. �,'7if§� xyt�} '�7. Name: '3T�✓o.. C Address %SZf! +{fj�[ i�o 6vsl��j tl Company_ , I State: Address Z2Z� Zip 04W. 1_ T� Fax. City: State/ Phone No. :S6/� (Q—�Zp 2 E- 2�p Gode � Fax:,3 , Mail: .. . . /r76. ! Phone No . Fill In fee simple Title Holder on next page(if.different E-Mail vT from"the OWh'001Aed above State.or.County.LiceriseJ 1r•�SY�"Z . _ 3 If value of construction Is 2500 or more,aAKORDED.Notice of.Coinmencement,is required. If alue:of HAVCas$7,500 or:more a RECORDED Notice of.Commencement is°required. . ! i- - f d ,.r'K,. •�?� � n� i,, .,'•' "'fin,-`�-y> � f-_ �'w�».�.. z s:..�.-3�,..�;#�.� �:'s�'if'�"'�"ta`�'.:�k.�w S�a 'n:.�*:� ��..� .s-�s-r�e l;i ,''°'-.sF -:. DESIGNER.JENGINEER ,Not Appttcable MORTGAGE COMPANY. ,; Not Appllca.ble i Name '^' ;� Name: _. . Address - . --- Address: City r� a State:: City: State: . ! , Zip:.,j�,Z E� Phony J a. Zip,'. : Phone .. .. FEE SIMPWTITLtHOLDER of Applicable BONDING COMPANY: _Not Appltca;ble Address:. ....... . Address: City: city. _. Zip. one: dip . :Phone: OWNER/CONTRACTOR AFFIOVIT Application lshereby-made to:obtaiWa permit to;da the work and►nstailafi n a's vindicated.G' !:certify that no work,oe installation has commenced prior to the,issuance of a>permit. St.,Lucie County makes no representation that is granting a pernilt wilhauthorizethe;permit holder to build the subject,structure which confEicts with @AY applicable Homeowners Associatjon•rules;bylaws or and.coven..ants that=may restrict or pro,' iblts fch structure:Please>consult wlth your Homeowners Associattonand review: our deirii for any restrictions:whicfi,may apply,:: In consideration of,the,granting of.this.requested permit;Wo:hereby agree that will,in al[respecis,perform the Work. in accordance with the'appro`ved,pans;theFlortda BuiidingCodesand St Lucie County'Amendments. The foliowing building permit:.apptitationsare'exempt:from-undergoin&a fuffconcurreikq review:room addrtlons;; accessory•structures,swimming pools,;fen,cesfwatts,sign ,screen cio►ns and accessory usestc�another non-,esidenfiaP:use - -- s WARNING TO OWNER:Your failure to Record a Notke of Commencement may re iltln paying twice for improvements to quc property.A.Notice of Commencement must be•recorded in the public-records.of St, Lucie Copn `osted on.the 1obsife,before the first'inspect on.,if you.intend to obtairi financing;consult With Jeri r or, attor a before-commencin virork.or eecordiri our Notice of Commencement pp _ -' ; na , of Contra r-or-i:Owner Bui der°as a lical3le ` STATE OFTLORID COUNTY aF_ j . Sworn to oraffir' ed'and subscribed'befo;e me-of YAP i Presence:or. Oni ne Notarization i` 1 _ . ysica_ =this( aay:of. Zoe by Name cif;person making statement. 'Personally Known -R Ptoduced Identification_ Type of"identificatiort Produced jo ;(Signature of No ary Public-State o#Florida} ` - - �� Commission No. (Seat). ,�� P C1iRISTOPHE'RLPOYYLES$. MY C6 MIS 1014 9 WPM, F.?CPIRES:JiiNe 18,iD22 I'raodr.?`0.B�Ndetl11 ru Qary 0, 10, m'-w this REVIEWS FRONT ONIIVG; SUPERVISOR PLANS VEGETATIO .;'SEA TURTLE lV#ANGRQIlE COUN7E.R REVIEW REVIEW REVIEN! REV1E1A%' REVIEW REVIEW ?' DATE RECEIVED; DATE: J COMPLETED.- .._.. - ev