HomeMy WebLinkAbout1711-0294All APPLIC1AB E INF MUST BE COMPLETED FOR APPLICATION.TO BE ACCEPTED / I
Date: ll Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: b 95
Legal Description:
Building Permit Application
Commercial
Residential
Nd y 13,2017
St. Luaje�Coi ING
Property Tax ID #: DOW Lot No.
Site Plan Name: Block No.
Project Name: 1sgal!l',�ri
Setbacks Front Back: Right Side: Left Side:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
'Utilities: —Sewer Septic Building Height:
$QWNERJ.ESSEE
CQNTRACTQR y
Name 0%*JA,�
—�
Name: i� LQLC-
Address: 3 5 U"il�,(f- '
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Company:
VI.G•
City: f;cff-
State:
Address: a 363 �;\AA kKEGi.
0 ,
Zip Code: Fax:
City: ' 5+- l tto—e'
State:
Phone No.
Zip Code: S4q Fax:
,E-Mail:
Phone No ls� 1 .1(P 2> d
\'I in fee simple Title Holder on next page ( if different,
E-Mail ID Ifewe-,e'I/14—
t - um
�; the Owner listed above)
State or County License
of construction is 2500 or more, a RECORDED Notice of Commencement is required.
c R'�F h"TSk $•® .?�` Yak Y�^
S 1PPL M N;TALC > r� c E lEI lNFr�RMATI{ l l:
.AW
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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 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 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 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
commencing w(Ark or recording our Notice of Commencemen .
se Holder
`
01�gnature of 0wne essee/ ontractor as ent for Owner
Sign Lure ontra or/Lic
STATE OF FLORIDA
STATE OF FLORID/e, f I . "
��
COUNTY OF
COUNTY OF `— U.c
The forgoing instrum was acknowledged before me
ICY
The forgoing instrurlien�t was ac owledg, before me
this 13 day of 20n by
this � day of 201by
(Namg of person ackn ledgin )
(Name o pers nowledgi )
(Sig ature of Notary Public- State of Florida)
(Sig atu��reA r�y Public-__St�o�to f Florida )
ftuNeLhd
aaot�``N,,o,tt,�
Iy�C.t:�l( weizewPersonally
Known 0Wtif ion
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced .�"�p^�°Y •• ME
��^Y'P�a•,, MELINDAWEAVER
MY CCM6
==WEAVERProduced
,•Fr�CiS18
Commission No. '"; Bo
'#; :+_MY COMMISSION # FF 157216
Commission No. EXPi�IsS_: S9ptember4,2018
Bonded P� PublicUndewiters
uters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
RE IEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 712-014
T
o
SAN LUCIE PLAZA, UNIT ONE
(PLAT BOOK 5, PAGE 57)
CHEROK
REVOCABLE LISCENSE AGREEMENT
BLOCK 1 A (ORB 1064, PG 2420)
SAN LUCIE PLAZA 0
>
I F
DRAINAGE DITCH (TYPICAL)
CLF
WHISPERING CREEK 4 700
SET 113 7310
-vvPP wp
w...
METAL'
BUILDING _j WPP
CLF i.10-- wpp U. E.
PT. A (ORB 1040, PG 287)
Fc I
Kl-
wPP
R 1 4-
SEE DETAIL "A"
\\ !A
TOTAL AREA = 24.45+/— ACRES
PARCEL 2
WPP 686,07' E 1/2, NE 1/4, NW 1/4, SECT 33
12' UE ONE STORY CBS
ORB 467, PO 2616) POOL
1 (NOT LOCATABLE)
TOB SHUFFLE BOARD
COURT
NPP SEE DETAIL "B"—J
ANNEXATION AGREEMENT
PARCELS 1, 2. & 3
ORB I0D4. PO 1888
U. E. & INGRESS/EGRESS ESMT,
PARCELS 2. & 3
ORB 122': PG 2906
AT&T EASEMENT INOT LOCATABLE)
( DEI 136, PG 534 )
WPP AT&T SPECIAL AGREEMENT
( DEI 232. PG 162
(NOT LOCATABLE) P.O.E
--ASET IB- SET
S 00'41'47" W 308.:
N00*41'47"E 401-92
C-Ala
q 12' U.E.
(ORB 381. PG 2675)
6, go
Lo
000
0 AT&TATEASEMFl
4- ( D8 136. PG. 13
IN LEGAL DESCRIPTIONS
PARCEL 1
12' I.I.E.
(ORB 467, PG 2618)
(NOT LOCATABIL
(NOT LOCATABLE)
PARCEL 3
2 01'17""
Lo
i.
R = 1
l' 559.20'
-')e
L = 4 T.81
SET 10 XA
001
k
ST LUCII! COUNTY
BUILDING DIVISION
REVIFWEDi
FOR COL4py CB
, .
REVIEWED BY
DATE
PLANS'AND PERMIT
MUST BE KEPT ON JOB OR
NO INSPECTION WILL BE MADE