HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONRight Side: Left Side:
I
Lot No.
Block No.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; ,� • �' o SCANNED Permit Number:
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Lamm
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Res
RECEIVED
MAR 0 2 2018
ST; LU& CAan , PArrrIll ln�
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PERMIT APPLICATION FOR: To Select from'dropbox, click arrow at the end of line
Address: -r4 -r
Legal Description:
CXT. �Ja�-t� s-t� Lvck�c , rE(.
)nG I\) 2Z v E CSTiATES "a I Lio-� A � . C 6 rz-
Property Tax ID #: 3 ,�
Site Plan Name: i I'M C- 0
Project Name: a-wts Vest
Setbacks Front Back:
�t�s�a,11 r,-2uJ
E.x�s-�\'yl� -Tii e_.
0_c,C.•e.5s07y
1AUUMUrldl WUIK LU UC
�HVAC
WC11UMMU
UIIUU1 L1113
❑Gas
Ncllin�—�iic�n
an
NN'Y•
Shutters
❑n Windows/Doors
Tank
Piping
_
_Gas
Electric 0 Plumbing
OSprinklers
Generator,
Roof ® Roof pitch
Total Sq. Ft of Construction: sS sw
S . Ft. of First Floor:
C11 cq�
Cost of Construction: $ o11o4, 0I00.00
Utilities:
Sewer
Septic
I
Building Height: _
1
'OWNER/LESSEE
Name :eP' \)-P- S
Address: TV-
ON TR►TOR
Name: IP43 111Ae:ri N E Z
Company: T0- 1 St2VY1S
City:'ibgst L u cure. State::.
Address:
CA �� Q•
Q
Zip Code: 3^11'g83 Fax::l-q33
City: ENjQL9-t
Stater
Rl_2_803;o
Zip Code: act;
Fax:8_21a-203
Phone No.;262-
E-Mail:
_;�
Phone No. 8ID 30
Fill in fee simple Title Holder on next page ( if different
E-Mail:
`�. S S yn-S
from the Owner listed above)
State or ounty License: CC•C
3
If value of construction is $2500 or more, a RECORDED Notice oT commencement is requirea.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
Not Applicable
State:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: ! Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application'is hereby made to obtain a permit to do the work and installation as inaicatea.
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 ail respects, perform the work
in accordance with the—aRproved plans, the Florida Building Codes and St. Lucie County Amendments.
The followingPidingper it applications are exempt from undergoing a full concurr re . room additions,
accessory stri ming pools, fences, walls, signs,!screen rooms and acces toanothe on -residential use
WARNING : Your 'lure to Record a Notice of CommeVentresult in you paying twice for
improvemeur property. A Notice of Commencement ded and post d on the jobsite
before theection. If you 'ntend to obtain' financing, conder or an at rney before
r rornrriina v Ilr IUntirn of ('r1mmPncpmPn
LVI III IIGI I I Ilavvv INvl a.vi-a w. .. v.. v.. ... �......... _..--•-•---
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Qttur of 0 essee/Contractor as Agent for Owner
Signatu of Con to ense Holder
ST E OFF ORIDA
S TE F FLORIDA �^
CO NTY 0 M�+CZS<�
OLIN OF
T e r g instrument was acknowledged before me
The oing ins ument was acknowledged before me
20$ by
t is ay of ASZ 4 20S by
day of
Name of per o making statement
Name of person making making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
#=
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary <bli State of Florida)
(Signature of Notary Pu - State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
/ tR:Pi;
•, IE
LOVITT
Rev. 8/2/17 e,?. . B., BONNIE LOVITT
�F•, .4"
MY COMMISSION # GG143436
EXPIRES September 17, 2021
°= MY COMMISSION # GG143435
%� � ° EXPIRES September 17, fJ
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