HomeMy WebLinkAbout1706-0247 - BUILDING PERMIT APPLICATIONo
ALL APPLICABLE 1INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
y -1 u
Date: 1 - / Permit Number: / / 106
s ' + RECEIVED JUN 12 2017 RECEIVED
Building Permit Application
Planning and Development Services /a j Q JUN j °k 2017
Building and Code Regulation Division ( l/ o
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 is
Address: J 7 /aIy„e i/ v / 2'i "/- 'Pr11,e /` 3 V %
I
Legal Description: Z11-e, 4)v irs n; —'68 026 Lo A 33 E' 3Y
C62,50 - 32600 SF (1114 31/0 0,e 39W-2533,W-a916 o.
W-.?#3C0d_ 606-1 -DD 3VPrpSID: Site Plan
Name: /7`!/cYcl s n , e Block No. 026 Right Side:
02v-3 Left Side: oZ r/e t
v Gan 5 A-&-c /vv, C T G/ s j-/,i j %e Favh r y / DS l cl HG 4 Additional work
to
e performed under this permit— check all tnat apply: E1HVAC Gas Tank
Gas Piping 1:1_ Shutters F]Windows/Doors 11 Electric 0
Plumbing Sprinklers ElGenerator 1:1 Roof Total Sq.,Ft of
Construction: S . Ft. of First Floor.: 2309 Cost of Construction: $ 3 .
ay.&% oo Utilities: LJ Sewer ®Septic Building Heig yq.. #, '} d .3• r
Y k3, 7 t •. 3 „ f »rh'.
5 ! i`fii 'r It 4 $rsi r`} .s4'€. ,xb, d, rr Hlxa fs e E OUVN,ER/LESSEE t3,f,at;r"
I+ E. vt.s'Hw.>s %... T1 3 '. K
3 ,d t d ! S ! a:'i a My S t Y'r ° `fy. 31 -pl R } k fi I ICONTRACTOR u.§.Y.':', x, a•C.ti.N d. ,. hr'.it r4 r?a-,. k.. .x..a e yr „ Name ', 14e,,,;e Ps
Name: i/b e Ise ee Address: '7 706
J!/
NSE f 13/el Cornea Ise Z,G^, oHs. IHc Addre'ss:4 l?
i City: State: /cL yOeZip
Code: r2-
Fax: --
City:,' ! Y
i '`.' State: FL Phone No. i72- -3 70
Zip Code: y%/9 Fax: E-Mail: /014, AvO/,/!i?
tle 4" ,Gov Phone No. 77,7" 02 / 6 - / 3 D g Fill in fee simple Title
Holder on next page (if different E-Mail: Izeelse AA cV i1,,4,e.,, c vA_T from the Owner listed above)
State or County License: If value of construction is
sz5uu or more, a KLLUKUtU IVOUce or wnunenmcmu— Ia l cyuu cu.
a:..::syd.„ ..a.2.i' :,n, xz ..rrTp.!rtir .L j ;%
3 M i , ( S i 9ji iL LL ,! '1 i. ,r'i I,
t ENTA x,CNSI'R,UCTI4NLIEN 1N4(FE3RMA7"fON, r is,,, , 3, SUPPLE%t, a!
x s r b,.Sa,ir.A,'sN. t,
ae
Y , = Pu 'z..,a r 1,. (n. rb.. ..4asr' DESIGNER
ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: ,
c1 i 1ec/- Z.,-C . Name: Address:
906 Pe-16t eye A% ,e Address: City: '
Fl. State: /LL. City: State: Zip:
3V25-0 Phone: 77,,Z- 3/60— 77S/ Zip: Phone: FEE
SIMPLE TITLE HOLDER: Not Applicab a BONDING COMPANY: Not Applicable Name:
Name:' Address:
Address: 4W6 5v„se t 161/1-1/ city: , "
0" r, -,, e iG I City: Zip:
Phone: Zip: 3V9TX Phone: 77a - 3742-_2V 2— 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 whichisinconflictwithanyapplicableHomeOwnersAssociationrules, 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 `1uilding 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 beforethefirstinspection. If you intend to obtain financing, consult with lender or an attorney before commencing
worlfror record4ag your Notice of Commencement. re
of Owner/ Agent/ Lessee STATE
OF FLORIDA 11 + -- - COUNTY
OF r, L,(lGl e The
forgging instrument was acknowledged before me this_
day of 2011by Ca
eIF • }uafd lQ s v1 , Name
of person acknowledging) 9
Signature
of Notary Public- State of Florida) (Signature of Personally
Known OR Produced Identification Type
of Identification Produced Commission
No.&Cqp2-16-0-7 (Seal) ANGELAR.
HELSETH MY
COMMISSIONS Or, Nr
c EXPIRES:Sep%ffW21,2= Revised
07/15/2014 9jFOFfv' Bonded nr,ewptNowyS ioN Signature
ofContractor/License Holder aa•* •., A
YSTATE
OF FLORIDA,, oa COUNTY
OF9°4•"; The
for oing instru nt was a knowledged before eL x this
Q-day of 20by r a c .
vmox
n
e l e4 Name
of person acknowledging) v N v
E2 Public-
State of Personally
Known OR Produced Identification Type
of Identification Produced Commission
No. Seal) REVIEWS
FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER
REVIEW RE IEW REVIEW REVIEW REVIEW REVIEW DATE
COMPLETE
INITIALS