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HomeMy WebLinkAboutBuilding Permit ApplicationSep, 21. 2016 8:43AM CoparfLL Ft, Pierce, L o t 8 6 No. 5 12 8 P. 2 " N ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I u I O,3 V 7 Date: eIla Permit Number` �� E f Vto -- - -- Building Permit Application OCT ? 2- Planning and DevelopmentServlces P E K"41 I TT I'M G Building and Code Regulation Division St. Lucie Cou ty, FL 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: /--? 3 Alel-l-tle-s &1l�e • ye,� �/ la— �yclS Legal Description: ��y� © r %V e� ��Of✓ / e Property Tax ID t#: Site Plan Name: L�, Project Name: /r- 7 •e Setbacks Front, Back: -1/I ,fl-eJl o ('— Lot No. / 30 r Block No. ito, Right Side'Left Side: �Y`Ti �� e y •.� � ,�'13' '-t�,C t � Y r� o war k y`�s-`µ' 'F1 j' h T�� 2 �,a ter}�y�`h� f � 4tr�c�,�,7`` YLj'd FL.L'wm r:3 k � m.�3,rJF -1 c ia."r. r :91 'r, i' ���a 1 -.: .'Ia r Additional work to be DertorMed under tnis permlt — cnecK an apply: ��1JHVAC Gas Tank F]Gas Piping Shutters Q Windows/Doors LJElectr[c LJPlumbing E]Sprinklers CGenerator Roof Total Sq. Ft of Construction: 5 . Ft. of First Floor: Cost of Construction:;$ Utilities: Lc: Sewer USeptic Building Height: Name Hu r I Name: Address: 130 3- 6&Nc e, R IjJ- Company: City: C% SGn l?j eu V k State: F. Address: zip Code: 3` 1 s=-7 Fax: City:1 'Phone. No. /72q - y61 — 370 Zip Code; 3`l Fax: E-MailMa: C od"� Phone No. 7 ?-Z ' '70 Fill in fe ,simple Title Holder on next page (if different E-MaiLf►��vi��awn /+zo�oJ/eGfpf.rs' �' from the Owner listed above) State or County License'��f /l0/l37 If value of constructlon Is $2500 or more, a RECORDED Notice of Commencement is required. .n cio/-L •Sep.21. 2016 8:43AM­ , Copan, ft. Pierce, Lot86 ------- - No, 5128 P. 3 .:,Y \ sb'%. �f.$ �.,.^r:,.=•�krai..r:e;•: �riu) +�y.� v ...v;s�,�—.:.—:�+r'+i td! DJ•� [l� f-rC� rw�l� A4 Cl� ^G' C �ilr '1 1 •-. 1` 1p 11 F.: PF.i`x ...1i rl r.:[��1 j•tt1�fS �� �ntt �t •-' � � •-�: ^Y F..� • �:.- �tiJ..."f �- �.�.�L�Tf�� �fil •'Y-.�L�.\�.=.- Y.�� „y^rr.._ �ot��w xrt•+ {�v. 14. TY J ?�'4Hir !•14 Y�"`^�Y' yr 7"'' }f�5�, �,�.•£ `r- sY' 4 r`` 'T,; i.r-": �.7 auI •-: ....•i..Yrrt.��i � ��r � �;�,,�I ,�.�.., 'h Mi 1lW M=•/+��Mc�-�. '+ ..a .��..µ vU! ,r,<z ,•n�,..;KyfI e"F•TXs � .+]hn.'a I -�j �.-'4.. li.E'�.-.�`�L...t;•.1�1 .7��f l.� - Address: r / City: Phone; State: • Address: I certify that no work or installatlon has commenced prior to the issuance of a permit. St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may 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, 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 concurrenty 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 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 lender or an attorney before commencin>£ work or recording your Notice of Commencement. Lessee Signature of Contractor/License Holder STATE OF FLORIDA STATE L�� CONTY FLORIDA G COUNTYOF The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me this a`) day of �� zo 11l by this l I 'day of C�C�1-a!�� . 20� by dose-Vh 14ur1eU ������� � tin (Name of person acknowledging) (Name of person acknowledging ) (Signature o Notary Public- State of Florida I Personally Known ✓ OR Produced Identification Type of Identification Produced Commission No. FF oRZfo CRYSTAL HILL +'a EXPIRES: October 3, 2019 Revised 07/15/2014 n,' ;; '' Bonded Thru Notary Public Underwriters (Sig a of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced � � (�3 Eg !Commission No. Nota Pu State of Flodda li ?pt,��; JulleBafrd EKpi(WW25/2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS