HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `l• Permit Number: r
SCANNED
RECEIVED
St Lucie Co> t,nf:V
Building Permit Application FEB 13 2o�s
Planning and Development Services ST, Lucio County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _ cX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Mo
PR OPOSEDIMPROVEMENT LOCATION:
Address: �kn&-\_ rJ E-mLJ4F_s i3 wJ�, r3_W� CAA- t`L- __S LV& )
Legal Description,: cJ1F_-s-rt_Cs sL.Ar► Q 1 r-le. A 11 4540 gr-IN
Property Tax ID #: L-\Sda, Lot No. X51A
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
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'CONSTRUCTION INFORMATION'
ACIClitionaiworKtobenerformedunder this permit -check all that app y:
�HVAC 0 Gas Tank ❑Gas Piping _ Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers E Generator g Roof Roof pitch
Total Sq. Ft of Construction: 1 ) oro S Ft. of First Floor:
Cost of Construction: $ ')16.5- oo Utilities: 0 Sewer []Septic
Building Height:
OWNER/LESS'EE.
CONTRACTOR e'
Name kAtryyL� E Gczoc7 '. C -v0-v. uT
Name: John E. Murray
Address: `7$%o L_C or►(4n A
Company: AMS Inc.M,.
City: C -0eP-Vr s 0 g State: m)
Address: 941 SW 8th `Street;
Zip Code: I*)1AE,-\ Fax: �►1l�-
City: Pompano'Beach State. FI
Phone No. D1° �633
Zip Code: 33069 Fax: 954-782-0995
E-Mail:
Phone No. 800-226-6677
Fill in fee simple Title Holder on next page (if different
E-Mail: maryannp@amsoffla.com
from the Owner listed above)
State or County License: CC C042787
It value of construction is $25ol) or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION`:
DESIGNER/ENGINEER: I : _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
.Name: James,Bust,ous'
Name:
Address: 3300 NE 10th Terrace I
Address:
City: Pompano Beach I State: R
City:
State:
Zip: 33064 Phone: 964-956-2203
Zip: Phone:
FEE SIMPLE TITLE HOLDER:I _ Not Applicable
BONDING COMPANY;
Not Applicable
Name:
Name:
Address: I
Address:
City: I
City:
Zip: Phone:
Zip: Phone: I
I
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 lof 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 ber-,-cord0 and"posted on the jobsite
before the first inspectionl. If you intend to obtain financing, consul !t,h er or an attorney before
commencing work or -recording v�}hii - Notice of Commencement.
as
STATE OF FLORIDA
COUNTY OF' 5'r. L-0c—t
The forgoing instrument was acknowledged before me
thisa`1 day of -''I ANC an—� , 20 !g by
Name of person acknowledging)
Notary Pu
Personally Known _ O�R'Produced Identification
Type of Identification Produced
ALAN MILLER
Commission MY CO MISSION M FF 1951geal)
VWO P EXPIRES: May 5, 2019
95yg�1 f�rF„��,V Bonded thru Budget Notary Services
Revised 07/15/2014
Holder
STATE OF FLQMIDA
COUNTY OF/—rd
The forgoing instrument was acknowledged before me
this I'll? day of 20 I'Ft2, by
John E. Murray
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known Y�,—OR Produced Identification
Type of Identifl!igtiq� Produced
ALAN MILLER
Commission N
MY COMMISSION q FF 19
* aI )
RgS Ma 5,201
yclu) �f�rf OF v%�oP�Oe Bonded Thru Budget Notary Services
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