HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPL'.;��'1 FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I-M. 0 06) -7
R E C k�,• PV E D
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:
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Building Pe'rmit Application NOV 3 2017
Commercial Residential
Address: IV49 zzvlee /111-71 1-111-el-0e
Legal Description: S 3 lea.-2 c 4 (A 67V-0,14of I (S-.07,4C -,;7-,?Z _S
(6)x y9MZ-2-870
Property Tax ID #: 2317 — 700 Lot No.
Site Plan Name: 5c.>,ee,"5 e*% 1cle"s 1.�Ile ne, e 2`1 Block No.
Project Name: Sarea sei,
Setbacks Front I I - Back: 67, 71 Right Side: ALV_fLeft Side:
J -0 `biEThIL1ED_: bEt"C"RiPT-11N �? FAW Q
10 7V 00
e lec Xel i
.41"
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RUCTIONINFORMATION
I work t6"be performed uncle rt hi
s permit— Check
all
1(le
—Mechanical = Gas Tank
—Gas Piping
— Shutters
Windows/Doors
Electric Plumbing
Sprinklers
— Generator
Roof Pitch
9WO
Total Sq. Ft of Construction'.
Sq,Ft-. bfFirst Floor:
Cost of Construction: $ i'iZ�6)
Utilities::'' 'pwer Septic
Building Height: C
-4,
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Name Oisli ~1
Name. A/C /15.14
impany.:Ile-, . 15 A Lo"5_1_
7.Z
Address: 19�2 5' Se".4wa6 AqqgW
City: e - State:
Zip Code: 3 5f 94/, Fax:
Address.' , 'Yz2 /,*I A -) ,,Pe
City: e State:
Phone No. 7 -lo?- - S-1 cl RL 6 6 7
Zip Code: —3 Fax:
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Phone No 7 7,2-- -,2-,/30
E-Mail 16 'Q e a'2 yz
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name: XI'11,41,lee
Address: S06 e )
City: F/. e
Zip: 3 `J 7 5o Phon
FEE SIMPLE TITLE HOLDER:
Name: savvy a cry e
Address:
City:
Zip: Phone:_
e
Applicable MORTGAGE COMPANY: _ Not Applicable
Name
Address:
State: FL. City:
60 — 775/ Zip:
Phone:
State:
of Applicable BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madefo 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..Homo Owners• Association rules, bylaws orand coven antsAhat 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 th•at`I will, in all respects, perforin•the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments: ,
The following
building permit applications arse 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 Corrimencement may result in your paying twice for
improvements to your property. A Notice of Commencement. must beIrecorded and posted on the jobsite
befgq the first inspection. If you intend to obtain financing, corisUlt'with lender or an attorney before
cor>rr encing work or receding your Notice of Commencement.
p. ture of net essee/Contractor as
Agent for Owner
Signature of.Contractor/License Holder
STATE OF FLORIDA
STATE.OF FLORI
-COUNTY OF S' L,tc.c,le
COUNTY OF
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The forgoing instrume was acknowledged
� day
before me
by
The forgoing instru ent was acknowledged befor
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this of oVem r• 20/,7
this -9. day of • 20L7 by
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(Name of person acknowledging)
(Name of person acknowledging) �s
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I RICIq,c//i%i
a
(Signature of Notary Pubic - State of Flori,��:
�y s�o !yam
(Signature of Nly ublic—State of Flor da )
Personally Known ✓ OR Produce
ersonally Known R Produced Identification
Type of Identification <
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3ype of Identification
Produced'•,
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Produced
Commission No. (Se�G}tpFF1,�
Commission NO., (Seal)
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE,
MANGROVE
COUNTER
REVIEW
REVIEW
REV!W
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
O�
DATE
18
COMPLETED
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