HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONIV -
ALL APPLICABLE INFO MUST BE COMPLETED FOR
Date: 3 -14 - / Qj
IPPLICATION TO BE ACCEPTED
Permit Number,
_�..- AR
Buirffl)l;&.,.mit Application MAR 19 20418
Planning and Development Services
Building and code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 /
Phone: (772)462-1553 Fax: (772)462-1578 Corer iercial Residential 1�
PERMIT APPLICATION FOR: To Select from drop b
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ox, click arrow at the end of fine G- O S
PROPOSED IMPROVEMENT LOCATIQN r
U r i
S
Address:N"- rQr4S,,SN cia ?ALa CaY FL 3ygg(D
Legal Description: - _RA96 cn sAz 11& E- Ply'/9 - �Kv Narovt IIAGt Lori/
Property Tax lD #: 4 4Ai, - % 3S - GO 2 J - 000
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Site Plan Name: R, cNA a - `-1-%ee.-,m Y 'R,-rar , t K
Project Name: i e W Ae a *-- _ A `( 1.7OTnl i [ k-
Setbacks Front / O Back: �_ Right Side: �_ Left Side: / t7
Lot No. %
Block No.
10
f_)U ST. SIG G R • ll k ccoecr o N -Pa APPROX. 3S fT' % fEED A/ t W d Ex4W4
----•----. -.- . •. �-- -... I � Ny 1-1G" }UIIUaI 6111J ilCI IIIIL — cnecK au znat apply: —
_ HVAC Gas Tank ZGas Piping I Shutters _ Windows/Doors
_ Electric _Plumbing _ Sprinklers G nerato�e. Roof Roof pitch
,gnu
Total Sq. Ft of Construction: Sq.Ft. of First Floor:
Cost of Construction: $ _p0 Utilities: _ Sewer _ Septic Building Height:
a - x
-
Name �C$ARi� �`. � � �dI'iJit1�C
Name: AN oaf
Address. I�•r,%. $�7Tc7td uSK C�2
Company: f�' 82U
City: All- Crr�'/ State: F1
Zip Code: _3yiio Fax:
Phone No. 11, . -
E-MaiI1S Q� Q7%1 i- K a /YET'
Addres 1 5
City: PJXLM city State: rt .
Zip Code: 13444T o Fax:
Phone No.I - Q 4 ^ 73 3 S
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: AV I-o L &C / aFicA lu Cp/K
State or County License: _
!f value of construction is $2500 or more, a RECORDED Notice of Commencement
r
is required.
r-�
6E51GNER/EIVGIIVEEId: _ Not Applicable I
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address: I
City; State: I
Zip: Phone: I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable. I
Name:
Address: I
BONDING COMPANY: Not Applicable
Name:
Address:
City: I
" City:
Zip: Phone: I
I
Zip: Phone:
OWNER/ CONTRACTOR AFFII.DVIT: 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 granting a pern
which is in conflict with any applicable Home Owners Associatioi
structure. Please consult with your Home Owners Association ar
In consideration of the granting of this requested permit, I do he
in accordance with the approved plans, the Florida Building Codi
The following building permit applications are exempt from undi
accessory structures, swimming pools, fences, walls, signs, scree
WARNING TO OWNER: Your failure to Record a Notice i
improvements to your property. A Notice of Commen
before the first inspection. If you intend to obtain fine
commencing work or recording your Notice of Commi
rivne
STATE OF FLORIDA
COUNTY OF G%
The forgoing instrument was acknowledge before me
this%�&-day of _ 2&k�z— , 20%d by
Da-17 /1 q
(Name of perso acknowledging )
of Notary Public- State of Florida )
14 /nally-Known?0 i 4
Type of IdentificatiortProdu JANE L. CONNER
,Notary Pubic
,? 4 # GG 036070
My Com
Commission No. Co Xsires Dec 10, 2020
Bonded through National Notary AM..
REVIEWS I FRONT CO NTER I REEVI ZONING W I SUPERVISOR REVIEW
UAI C•
RECEIVED
DATE
COMPLETED
twill authorize the permit holder to build the subject structure
rules, bylaws or and covenants that may restrict or prohibit such
I review your deed for any restrictions which may apply.
eby agree that I will, in all respects, perform the work
and St. Lucie County Amendments.
-going a full concurrency review: room additions,
rooms and accessory uses to another non-residential use
F Commencement may result in your paying twice for
ement must be recorded and posted on the jobsite
prig, consult with lender or an attorney before
(cement.
ATE OF FLORIDA
)UNTY OFG�
for going instrument was cknowledge �efore me
day of 200 by
of per on acknowledging)
of Notary/Public- State of, Florida )
e of Identift
�, •c. - CommtJ�slon DD 0360
No. - Comrtr'g►teS Dec 10.2 020
- My h National Notary Assn.
••,;EOF_F;�r� Bondedthroug
W . VREVIEWAS ON I S REVIEW 1 MANGROVE ,