HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLE INFO MUST BE COMPil -.� V FOR AP U1
Date: 2-5 - 11 SGANWtU
Building P I
Planning and Development services
Building and Code ReeLdaffan DWon
23W Virginia Avenue, Fort Pferve F1 34982-1
Phone: (772) 462-1553 Fax: (772) 462-1578 Co
PERMIT APPLICATION FOR: To Select from
Address:-/:) Cp(o M, Q. _�jtJE&'r13AY CIA.
Legal Description: - IMA-0 cc & TiDde
(OR ';vvog — ;Lq
PropertV7axID#:.44-
AG Sq!L- V
Site Plan Name: U-05EPA P. cluit?4*0
haly
Project.Name: UZSg& QjjnS%,0,Lyg
Setbacks Front__j 0 Back: /0 Right Side:
I TO BE ACCEPTED
Permit N,umber,
E.
E�D
�v
APR 25 2018
Appliption
ST. Lu
L cie county, Permitting
ial Re'sidential V
dick arrow at tlie enq.-6f fine
I NAA M
1) ei, S 4 or; -4-
Left Side:
Lot No.�
Block No.
OAk —rA, J'X -7:
Ce tj 4 t?r f;), 1Z fjodAL& 4AS Qftr-l�
111L — L;"eCK all Ur ar appiy:
u7Gas Piping Shutters
'U U"ur
WAC Z .....
Gas Tank Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. of First Floor:
Cost of Construction: $ --a-q00q1-0 Utilities: Sewer Sept'
ic Building HWight:
1, NEW189EU
Address. "I', f- 4. U - -1Z LJ%9= C, It Corn
City: P&Ljq e-, State:
-8 �d.r
zipC+:*'St14?0 — Fax City.
PhonAo.
:0% - 48 141 - --)A S9 zip col
'E-MailQuEd-IR jjA.A2.PMr'ES . CQ& Phone
RII In fee simple Intle Holder on next page ( If different E-Mail
.Y.
U4 Cl ly State.
Fax:
'E)Q-
wain we Owner listed above) State ol County License:_ ys'"41
-7
If value of construction Is $25W or more, a RECORDED Notice of Commen1ment Is required. - . --
0,ESIGNEPJENGINEER.-
N
E ot A i" licabl
MOIRTGAG COMPA pp e.
Name:
Name:
Address:
Address:
City: - State: I
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE 96LDER: Not Applicable.
BONDING COMPANY: Not,APplicable
Name:
Name:
Address:
Address:
City:
city.,
zip: Phone:
Zip: Phone:.
OWNER/ CONTRACTOR AFFIDVIT: Application is here4y made to obtain a permit to do thework and installatio"Was indicated.
�certify that no work or ins6liation' has commenced. prior to �he issuance of a permit.
St. Lucie Countv. makes no reprp-sentation that is granting a pi
which is in conflict with any applicable Home Owners Associa
stfucture. Please consult with your Home Owners Associatloy
In consideration of the granting of this requested permit, I do
in accordance with the apprWed plans, the Florida Building C
The following building permit applications are exempt from u
accessory structures, swimming pools, fences, walls, signs, sci
WARNING TO OWNER: Your failure to Record a Notic
improvements to your property. A Notice of Comm
before the first inspection. If you intend to obtain fi
commencing work or recording vour Notice of Cam
0
STATE OF F1
COUNTYOF
Theigrgoing inst�uyrgent k owled
t wp ac n !ad before me
20yr by
of persdh acknowledging)
(Sfg—n-atura—d Notary Public- State of Florida
Personally Known I I I A IN T IN
Type of Identificatt
Commission# GG 190282
Commission No. My COW%n Expires
n1twill authorize the'permit-holder to build the.subject-strbcture
in rules, bylaws or and covenants that may restrict or prohibit such
nd revii6W your deed for any're9trIW6hs*hIch'�may apply.'-
areby agree that I will, in all-sespects, perform the work
es and St. Lucie County Amendiiients.
ergoing a full concurrency review: toom additions,
!n rooms and accessory uses to another non-residential use.
of Commencement may result in your. paying tvAce for
icement must be recorded and posted'oril 1661*0' 6site
3ncin& consult with lender or'an attorney, before
STATE OF FLORIDA
COUNTYCIF �9CVV VV
Thef oing-instrWentV sacknowledge ore me
bV
this'i day of 21 rby.
'��knm'j bAIYRA�_
(Name of person ackribwledgi5d)
(Signature ofkotarjAbIIc-�,State, of Florida
Personally Known Q1 ei;gdIjcFad lrjpntiawg�
Type of Identification ots
BRITTANY, REE)DIN
14S
t8te of Florida -Notary Publ
Commission No. Commi ea",GG190282
'i;'A"N My C31,M168lon Expires
Fahrupry26.2022
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