HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAY-WCABLE V6011UST BE COMPIkO'Kb, �RAPPLICATION TO BE ACCEPTED
Bate: ' I`� b] Permit Humber.
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Builds
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
9�AN�
By 7REC—EW—FD
St Lucie Cats*
Permit Applikatton 13 2018
Commercial
S-F Lucie County, Permitting
Residential
PERKT APPLICATION FOR: To Select ffrm dropbox, click arrow at the end of fine G °► S
MOT,
pp.
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Address:
Legal Description: _
2314-
Properkyl'ax
Lot Mo.
Site Plan Name: PA110 Block No.
Project Name: -- PATIR--Ck Sw�, G,,,2 K.P
Setbacks Front / G ' Back: 1 10 Right Side: / d.�_ Left Side: / O
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itiona wor to be7perfa un
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er t is permit i c ec a at app y:HVAC
os Tank
—Gas Piping
_ Shutters
_ Windows/Doors
_ Electric _Plumbing
I
_ Sprinklers
—Generator
_ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $00
Name r&Tki till. *-S kQ&, JS%Ak CL
Address: a s QCog
City: SErJSt: r4 &
Ak State:
Zip Code:14 `�5`� Fax: -
Phone No.
E-Mail: .
Sq. Ft. of First Floor: —
Utilities: —Sewer Septic
Fail in fee simple Title Holder on next -page (if different
from the Owner listed above)
Building Height:
Name: Nf4"wL & EYZ 'oN
Company: C4 u PROPArje..
Address: (e SQ M4jtrjf4 flUj y
City: P bLK C iT{ State: FL-.
Zip Code: -N_g S fl Fax:
Phone No. "4_+a—a$_+11900 EYT' jb/S
E-Mail: _Mw Cp COAatic Ri b& • dt'L
State or County license: OSS6i 1 191 / Is
If value of construction is $2500 or more, a RECORDED Notice;of Commencement is required.
DESIGNER MERMIEM. Not Applicable'
/ _ —MORTGAGE
Name:
- -
CbM PANY: — Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable.
Name:
BONDING COMPANY: NotApplicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to 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 grantingl,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, II do hereby agree that 1 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: toom 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 obtainI financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
- ONE
STATE OF FLORIDA STATE OF FLORID"GZ�
COUNTYOF COUNTY OF
The fprgoing instrument was acknowledged efore me The for, oir g instr ment was acknowledged efore me
this/ day of , ��,�� , 20 /A by this' ay of Cv� 20Apby
(Name of pers n acknowledging) '(Name of per on acknowledging )
of Notary Public- State of Florida )
4/onally•Knowrc�<^ OR Produced Id
Type of Identification Produce noo0l AA
�= JPublic State o36p70
Commission N'Pda� ; NotatY tss►�[G 2020.
s= My C om ' E -pNa ion t N 1a�`1 Assn
(Si a re of Notary
sonally Known
Type of Identification
Commission No.
State of Florida )
OR P
NoC �m U. # u�er
My c0mm n�N(�atNota�'
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DATE -
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DATE
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Rev. 7/2014