HomeMy WebLinkAboutBUILDING PERMIT APPLLICATIONM
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) ,
Date: • o� - SCANNED Permit Number: / Y
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St Lamp Caanty -
Building Permit Application - MAR 21.` �018
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 Residential
PERMIT APPLICATION FOR:
To Select from dropbox, click arrow at the end of line R
!PROPOSED IMPROVEMENT LOCATION - m
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Address: P trzA-rams coyC_ L,--4 Lc•F Fti- 3`�4ti9
Legal Description.:c7c-_A.rJ oP5
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Property Tax ID#: t1A\o - Soa,-03�y - oho^ 7 Lot No. 3l!�
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Site Plan Name: 1` Block No.
Project Name: 1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK:
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A P PC -V fv-,-,3 9F-L.- A r49 LAD cZ% o
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CONSTRUCTION1NFORMATION::.
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Aaaltional work to be performed under tispermit-c ecK all t= apply:
11HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric Plumbing []SprinklersI Generator &oof L4'� Roof pitch
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Total Sq. Ft of Construction: 6'i S S . Ft. of First Floor:
Cost of Construction: $ 1-A3 c,10 , Utilities: L_=1 Sewer []Septic Building Height: Iy'
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OWNER/LESSEE: /
Pee,
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ONTRACTOR } ' ::.
Name cc of. r+A�i-�- b--�S�rv�i-
Name: John E. Murray
Address: 1$Sc*, 1-<N-r-r i '6' A N1 T_
Company:
City: Pyzrr s�r-_Lyc�� State:�L
Address: 941 SW 8th Street y
Zip Code: 3 H9 S-7 Fax:
City: ?ompano Beach State: FI
Phone No. 3l'7 ti�3 - C�66�
b33U69� ��� •. -
Zip Cone: Fax.' 954-782-0995
Phone Np. 800-226-6677
E-Mai1:Mgo- u'I rose (,P & 1-. CU s4'%-
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
aFe o e sr S Yf-i Veil vNPJ T-r c .
I IT vame or construction is :�zbuu or more, a RECORDED Notice of Commencement is required. II
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S'UP,PLEM,ENTAL,CONSTRUCTION `LIEN LAW
_ -
INFORMATION:,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_,,X, Not Applicable
Name: JamesElushouse
Name:
Address:3300-NE10thTerrace (
Address:
City: Pompano Beach State: FI
City:
State:
Zip: 33064 Phone: 954-956-2203 I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
Not Applicable
Name: 1
Name:
Address: 1
Address:
City: (
City:
Zip: Phone:
Zip: Phone: 1
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 Oyvners 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 obtain financing, consult with or an attorney before
commencine work or recoainl? vou.r Notice of Commencement.
as
STATE OF FLORIDA'
COUNTYOF 5A Lv6t
The forgoing instrument was acknowledged before me
this 27 day of kc J 20 )_8 by
STATE OF FLO
COUNTY OF err
The forgoing instrument was acknowledged before me
this day of 20 lir�- by
M-, (. V --'S a n C 1�, 0 J IL John E. Murray
(Name of plarson acknowledging) ' I (Name of person acknowledging)
(SignaturWof Notary Public -
Personally Known OR
Type of Identification Produce.
Commission No.
Revised 07/1
Identification '(`
ANGE170KARt GRISETTI
Notary Public - State of Florida
My Comm. Expires Sep 26.2021
(Signature of Notary Public- State of Florida )
Personally Known '><_ OR Produced Identification
Type of Identification Produced
OSPR r•;�i
� ; • • � ALAN MILLER
Commissiw
MY COMMISSION # FF 195499(Seal)
EXPIRES: May 5, 2019
N111FOF F%Pe Bonded Thru Budget Notary Services
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