HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLEi® FOR APPLICATIOM TO BE ACCEPTED q
Date" i 13' `�% ` Permit Number: O 1 d d 1t
- - tiREC-EIVED
BI�ald811g P��'�71t Ai�pl1c�IPlanning and Deuelopment.Services y0V 4 3 z�17
Building and CodeRegulation Division23DO Virginia Avenue, Fort Pierce Ft 34982 (� a rtm entPhone: (772) 462-1553 Fax: (772) 462-1578 COi11mercial�irttUl p
.PERMIT APPLICATION FOR: To Select from dropbox, click 3. k tetell—WIll
Address: BtXf�p5 . , a(C C*J P44•0k.1-9
Legal Description:
Property Tax ID #: 19 U /. -- U
Site Plan. Names
Project Name:
Setbacks Front Back: night Side: Left Side:
INSTALLATION
Lot �I
Block No.
0
?V,YIVMf.�4.Vy6:4vfw ■tv� viact ��i tv�v :a t Y 7.�^ -..
i iona wor to e e orme un er is permit- c ec a apply
OHVAC E] Gas Tanis OGas Piping, _ Shutters F] Windows/Doors'
Electric O Plumbing OSprinklers O Generator O Roof Roof pitch
Total Sq.,Ftof Construction: S Ft. of First Floor:
Cost of Construction: $ � � Utilitles Ft.
0Septic Building Height:
{11rtifl�,iER�LEE ,`4
, Y4i ,•i- ."if1: �-lb,"'
•F!_Dr .d, ,J � i � h k I ,.� ria 7 alfr
Name f� �G CA � ' �
Name• BARRY MILLS
Address: S oce4"v vkt'�'o
Company. CRYSTAL POOLS OF INDIAN RIVER.
City: " t► -SQL R0-State: `
Address-. 4680 US1
Zip. -Code: 301 Fax:
City: VERO<i3EACH' State: FL
Phone No. 1� - a t - W
Zip.Code. 32367 Fax: 772=770-5961
E-Mail: MAR a 4 *V &AJ 13
Phone, No. 772-567.3067
Fill in fee sirople Title Holder on next liage (if different
E-Mall: JiMMYR a@CRYSTALPOOLSIRO.COM
from the Owner listed above)
State or County License: OPC1457120
of conAmetionIs $2500 or inare, a RECORDED Notice of Commencement:is required.
Im
DESIGNERjENGlp1EER:
+ Not Applicable
MO UGAGE G A
Nol Applicable
Name:
Na e;
Address:
Add 9.
City:
.State:
City n
Stater
Zip: Phone:
Zip:
FEE SIMPLE TITLE HOLDER:
_ _ Not Applicable
BONDiNG COMPANY:
____Not Applicable
Name:
Name:
Address:
Address:
City.City:
Zip, Phone:
Zip: Phone:
i certify that no work or installation has commenced prior to the issuance ,ofa permit.
St. Lucie, Coun makes no represer tt�ation that is granting a pern* will authorize the permit holder to build the subject structure
which is in convict with any applicable Home Owners Association rules, bylaws or and covenants that'may restrict.or prohibit such
structure. Please consult with your Home Owners Associationand 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 ail 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 anothernon-residential use.
WARNING TO OWNER: Your failure to Record a Notice of Core mencement ttiayresult ire 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 inteyrtl to obtain financing, consultwith lender or an attorney before.
STATE OF FLORID
COUNTY 01=/i?1 (�'"'
The ping 'inst" nt was ac owledge ore
_me
thi�day of 20 %1 _nY
__e'&4u 4 V -
(Name of person acknowledging)
Notary Public- State of Florida)
Personally Known . rpdu(
Type of Identification Pro
Commission No. s.•
Revised 07/ 1512014
STATE OF FLORIDA
COUNTY OF .S`T Ly4wt.
The f omg lnstru ent was acknowledged before me
this _ day of S r , 20 6 by
00A
(Signature o Notary Public.- S f Florida.
OR Produced Identification
EXPIRES: November 4,2020
REVIEWS
FRONT
ZONING-
SUPERVISOR.:
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
jj
COMPLETE
i INITIALS
I