HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONARAPPLICABLE INFO MUST BE COW,,
Date:
FOR APPLICATION TO BE ACCEPTED
RECEIV,go Permit Number:
APR.,2 5 2019 /491du�l 01
,milling Drartment
64@1� �
st!
Building Permit Application
Planning,dnd Development Services
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:.(772) 462-1553 Fax-- (772) 462-i 78 Commercial Residential
PERMIT APP.LICATION FOR:
WPM,
g
�IWVMV
Add res . s: -30.1 Z APPrOCILLk .5 �10 4 LAJ CLLJ r U C1 C' r-L .3 4 9S2,
Legal Description:
Property Tax ID #: 7____> L-f
Site Plan Name:
Project:Name:
Setbacks Front Back:
-? - 0 --,?9 2 , C>C)C�) ,
Right Side: Left Side:
-Lot No.
Block No.
Rei-notre cu,3 fe_plctce� ari gel.c, tn .1-Vq Move
_cLAer bctih Uan' 12�
C111 j4MiY1VvkA_ wooll f_�OorSA9_ernove ancl V_,esp_� walkee bect-ki- -to
5el (--L be-cl S pa� f 14 E Y) + t, ar-
FcLA-6% b-61 I niA 4-%e c(A W ot ctrtd 4eAl -1-S LO 2(15 or' 'AcT`
Ke0yr.-e- F
Additional work to be pertormea unaer
—Mechanical GasTank
Electric Plumbing
Total Sq. Ft of Construction:
— f-har-Vmll thnt n niv: ' -
Gas Piping tt rs
Sprinklers Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
NameRobe,rt a4 Joanno- Mcr4tnarnie_
Address:501 ZAF42roack 9�� ujq�q
city: Pox±- + JA_LCA'-_' State-FIL
Zip Code: ::�L� C�4_1 Fax: -
Phone No. -732- -3-0.2 - 36,Y6
E-Mail: memevamie ID"4c6tn
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Wihdows/.Doors
Roof Pitch
Building Height:
Nam e:Q� nep
Company: eMC14�41 (!e_sj-LoriSr_'Tea,,,Co,-V
Addr s 191* 9�J MQr_V-fn7-Y- S+
City:T"*fA Sj' "L_ State:
Zip Code: 3Lt cl-S 3 Fax:
Phone No. '192 -S'l9-G780
E-Mailzw �i� VXen S 6—:1 q enoA \ - C— rN--\
State or County Licensecac i S Q 65
If value of construction is 2500 or more, a RE�CIRDED Notice of Commencement is required.
NGINEER: - Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable�
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Ad d ress:
City: Statei
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to. obtain a. permit to do the work. and installation as indicated.
I certify thai no work or installation has commenced prior to the issuance of a permit.
St. Lucie.,Poqnty makes no representation that is granting a permit will authorize the permit holder to build the subject. stru ctu re
,which' ' is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that ftiay restrict -or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In considetation.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 acces�ory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your Oaying twice for
improvements to your property. A Notice of Commencement must be recorded and.posted on th,e jobsite
before -the first inspection. If you intend to -obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
ature of Owner/ Lessee/Contractor as Agent for Owner
�Ign Contfaict&/License Hold-e?----..,"
STATE OF FLO A
STATE OF FLORIDA
COPINTY OF U, c�&
COUNTYOF
The fo�
.going instrurnentwap acknowledged before me
�,Clf_ 1W
The forgoing instrument was acknowledged before me
day by
this:;�JL day of by
this of 20
gab
)I&A'BREWER
me of person ackno y
""'mrnission # GG 0
C 59691
(Name of person acknowledging)
J
My Cornin: expires Jan 17, 2021
mwe -
(Signature of Notary -Public- State of Florida
(Signature of Notary Public- State of Florida
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type -of Identification
Type of Identification
Produced
Produced
Commission No. (Seal)
Commission NO. (Seal)
REVIEWS
FRONT
ZONING.
SUPERVISOR
PLANS
VEGETATION.
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
-COMPLETED
Rev. 7/2014
.............
TA 'NO FORIMP 111fin
N I [M SM M
IM,
DESIGNER/ENGINEERi �ftt A0 !iCable 4MO*RTdAGEtO' Nbt'Ap'licable
P MPANY:.'�: P...
Name: Name:
.. ... . .'T Ad drqss:
:Address..,-
'S
State: ... .... a e:
city: city:
Zp.
Phone.- Phone:
p*
zi, ------
FEESIMPL&ITLE H . OLDERie' Not, . App . hicabi . e, JIBONDING COMPANY:�, ..��Nd.t,Aop.HcO.ble-:'..'
Name:
Name:., 7.
Addrd�s: Address:
city:
Zip,
P
2ip: Phone" honie':
-hereby made t ''obt a -Permit to do.the work and installation as.I_ndicat6d.,'
OWNER/ WNTRACTORAFFIM.IT: Ap 3.116aition is
0
nce
-nenced pr.!o,rto . . s
:.'I &ttifV that no W. rk'.o,r installation has c6m thel sua' of 'a perffi.it.
k t ill Authorlze.th6 Permit holder to build the subject sttucture,
'Lu F� _
St.- �ie,iQqp ma es no representa, ionth. it is.grantifig a- erml w
id-With.ahy-ap' Fa Jctoe*o�bhlbit, ch
Ms In ttintr 'lleable'Home Owners Assoc atiorii rulesi bylaws'or ar � _. A.....
whit p id covenants tH6t fnAV, restr . . .
struddird.. Olbbi6 consult With Your Home Oviiniert-Atsodatidi.h.'and review youJr deed for'a6y restrictioihs which -may app V.-
-do hete the wo&
In cohMddr6t1;ori.Qfthd grantin' of hi ed permit, -I !by-adree that I 'will, in all. re�oects'Aperfdrm .
g q t is requ__ t
d St. Lupi' County �rnendrhents
In accotdanc�'with.ihe a p*prove'd plahs,:th'e lorlda. Bvilding.Codet an e
onturrenc rev 'dditi
The following bUildin' ermit A li n- 6xempt.from.unideiriding a',full,c ieW: to(.irna .. ons,".
g. p pp icatio -;res"Idential use
f Walls'. rdo s And
accessory structures, sWimming'pooils; ence signs,* sce6an' m accessory uses to.another rion
Your.Tallure Ord a.Ndtice M. ay result Ifi Vxiur-OaVing twice for
WARNING TO OWNERO of C9 ' Mencemerit ' M
u . r prope 'N-gice.oUCommiencernefit m'Ustbe c6rded*ihd.06stedon-th-e.'j�.b�.ito-
im rdyerrimints:tO yd re - -b'f "' �" :`�
e re the first'ibspeiction., If y6U.Jht hdAo-olJtaih_finan'c1.ng,�qn - le'de '' ir�.afi attorney q ore - -
b su''ItWith n ro
mencing work or'recotdifig-vibur, bitice of ComMencibment...
co rh
'Holder
'-of Own�qr/ gent for Owner Sidnati#eelffohtrador/Llcens�
ture Less6e/C6fitractor
as'
STATE OF KORID
COUNTY. OF. C_
The,fotgoinig Ins Th
trument. was acknowledge before me e*ting.InstrUmeht was acknowledged.befdre me
d
I by t is ay. ot:.. by
tfi S!NL'. dpy�
�,'1'4�A�BREWER
CL
on _e' P AA_
T — - G 11
I y POOR., vickso. M.M.,
ro ".. . . . Nime4P-emk
me,of petsoh-aftow ackno v�dging)
himission 0 GG 059691
..My I
omrh. Expires Jan:17i 20.21
�HOLLYS A. FILOMB
N�Giwy FW6116. Mail 8 C f f
(Signature of Not ry-Pu a)� ss # fF 9. 16
a blic- State of Florli �Signature_ i� �Comrfii' bn "
0
y Comm. Exp pr 27 202C
a Known
ion . . — .— — ;
Personally Known OR Produced I I.entificat' Person Ily =
Type of Id ntificatl
Type'& Identification _10S
Pro dUc'ed.' Produce. O'Ll 0
�.(Seal)
C611111mistion No. Seal) Commissibih N
REVIEWS -FRONT. ZONING SUPE . RVISOR VEGETATION., '8EAT.URTLE MA - NGROVE
EVOINJ REVIEW REVIW, REVIEW REVIEW '.REVIEW'
COUNTER R
DATE
RECEIVED
;N6
COMPLE'
DATE
TED
Fe—v. 7 ZU14