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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 l Date: Permit Number: SCANND BY St Lucie Comfy Building Permit Application Planning and Development Services Building and Code Regulation Division St.Lucie LoUntY, F4 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building Address: 13943 BRAZIL Legal Description.. 6/7 34 39 all that part lying northeasterly of 1-95 Property Tax ID #: 1306-111-0001-000/0 Lot No. Site Plan Name: SPANISH LAKES FAIRWAYS Block No. Project Name: Setbacks Front 42' Back: Right Side: 46' Left Side: 16' I • � W© SINGLE FAMILY RESIDENCE (replacement home): 2 BEDROOM / 2 BATH / GARAGE DESIGNER/ENGINEER: _ Not Applicable Name: BRADEN & BRADEN Address: 417 COCONUT AVE. City: STUART State: FL Zip: 34996 Phone: (772) 287-8258 FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: _ _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: 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 work or recording vour Notice of Commencement. dc;__� I s _ Signature of Owner/ Lessee/Agent Signature of Con ractor/License Holder STATE OF FLORIDA/ STATE OF FLO�1DA COUNTY OF � " c c 6-COUNTY OF J r /-u C cc The forgo,J�''r;g instr ment was acknowledged before me The forgWi g instrument was acknowledged before me this jgE ayof -C�»+6C_X 20 Lby this is 'day of 20 17 by (Name of person acknowledging) (Name of person acknowledging) LOA Q4:L J&'�_ I a -.,— (Signature of Nota y ublic- State of Florida) (Signature of Nota Public- State of Florida ) Personally Known !/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification- Pfp ,,.;.�a? DOROTH N BASKIN ,� ;=;:`Yc.�,; DOROTHYANN BASKIN Commission No. •• Commission No. COMMI GG 030145 1Y COMMIS(a$)GG 030145 EXPIRES: October 2, 2020�: EXPIRES: October 2, 2020 . ._. .._.__ ��_a .�e,� •F •..z:: anndadThmNOWTVPUNCUnderwriters Revised 07, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE I�REVIEW COMPLETE INITIALS I ILA" I