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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �L Date: 1 rtAf 0-'2 J_2'o IF SCAN ' Permit Number: ` ] � ©`� QZ� ` -- Ur BY RECEIVED e St Ludo Couniv l8 Z��� Building Permit Application Permitting MAR 0 Department Planning and Development Services St- Lucie County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL'34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Aluminum t:w 1 o GDrGi'�FG , I Address: q5V I tF L,(/I ", 6,VL A- 4;;;?- f I"Z-4-c �Q` ° � 3 `l qS- Legal Description: �L�4_t Ca lr L�r I ' �' "! > u- I t J^' o � I I I,, y-0- L4 a ,�-v •-S I ) Property Tax ID #: ; 3 l ' 5-b -2- — n2 D-D-U - 1 Lot No. I � -) Site Plan Name: Block No. Project Name: col orse6 �I Setbacks Fron Back: ! Right Side: �;9 Ce ide: -�1'5 , x - t n5A- ,11 c,,r-, aCvumint4.rn Sc-r-eeri fool erci ost-yfe, t of t''1' 6 51a\> by pab► cor�p4n�.1 �u�a .Y—'A.r�.'Sl `3r-'r"T.�'�. "K:S.,�� T ''r'�..�'� .ai3 '3+��x7�'`%�'� rs+'£+.'4 r',2r ''�~•��`-p-" � uT^ 5 � 1G" R °t°ona wor to e e orme un er °sperm -c ec a app y: �HVAC �, Gas Tank Gas Piping Shutters a Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: I Cost of Construction: $ S . Ft. of First Floor: _ Utilities Sewer FISeptic Building Height: a ;e`zss 4 .% OvirrE�s�� � f. z�-rTr{" .,,, s '.d�'4�.�=-�ar"-� .,s�,.c..•��. u;2�a�e s a_ z N�rAoy �, ♦ ``�yf "i +-.:.,� �`*h ' c7a S4'•'% 'lir JWs, Name NDbe,r•F I rn Name: �i'l I e_,hae,l 3 P Le) rnan Company: 1n i c, n eer Screexi CID . 1 r,G Address• C, 501 `aG i YieZ, vw, G� City• C4 - P i e. r C c State: Address: 1 63cP- Si,) 'B'r 1-i'm yr e Zip Code: 1 Fax: City: Y6r'F • &-� • Lc gi i State: Phone No.. `� `� Zip Code: 3AL84- Fax:-,-2Q'6, 4'I, ,9'ly E-Mail: Phone No. ov A i7• ¢-3 Fill in fee simple Title Holder on next page ( if different E-Mail: Q°,; rf-zrSCrc-e-D 0., r'r'51► Car» from the Owner listed above) l r' State or County License: i< < ( bCo(oq I R I� If value of construction Is $2500 or more, a RECORDED Notice of commencement is requ°rea. �y{'y,$c`r C'd' -t41? '7 .✓..4. "`'.c' v` Y- FA'p'{"y Y^ :'Y'.'y"k'Y+.r'FC'K-i"fY% .�r""S'3'3� Yt Si PF�.E E r ly�oN i'R 7 N�Lf �1 ►� [ F 4 x' -{ RMNiT N�: Ni.:,3 -• ,ar d'`id 4 y, � .x.Ds yA: L DESIGNER/ENGINEER: Not Applicable i MORTGAGE COMPANY: _Not Applicable Address: �•D• �.�� rbb� R ' Address: City: ✓ State_ City: State: Zip: .3 Le 7 q P one: i 5"T 9 q I Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: of Applicable Name: I Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I i 1 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 obtainlfinancing, consu with lender or an attorney before commencing work or recording vour Notice of Commencement. // I I Signatureo' finer:Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF I The forgoing instrument was acknowledged efore me this 3R day of � . 20 ) by � (A-V P-4 d-n I vn 0 ;c-, re of Notary Public- State of Florida Personally Known # OR Pu� dents i tion Type of Identification Produced � Commission No.RA USNURNANDEZ MY COMMISSION #FF1(2419 Revised 07115/10_" ' STATE OF FLORIDA I COUNTY OF a• The forgoing instrument was was acknowledged before me this 01 �a day of 20 _!I_ by (Nam7of person ack powle_dgi ) / ($ignature of Notary Public- State of Florida) Personally Known V OR Produced IdentNicatio Type of Identification Produced Commission No. "' AMR D HERNAI, )L �o=, 64 MY COMMISSION #FF1 390.0153 REVIEWS FRONT ZONING I SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW CO 3 PLETE INITIALS