HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO UST BE COMPLIED FOR APPLICATION TO BE ACCEPTED �'
Date: - 4
Permit Number; 1
SCANNED
St Lucie County Building Permit Application
Planning and Development Services
Building and code Reg'ti von Divwon
2300 Virginia Avenue, fort Pierce FL 34982-
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMIT APPLICATION FOR: To Select from
Address: -4S90 QuLL 97n Pf At ig
Legal Description: - S t i e CIrA91. gai r, 2 4 3L 4
.I
Property Tax ID #:.--.S41 N - 9b ) - I I I .' � - OSc
Site Plan Name: -rOHN g �Aa(eAtL 14C 14,
Project,Name: Ta Nnl £ bA2Ltr,,lE NC
Setbacks Front 10 r Back: �Q' Right Si
• (3UAt Sao 4&U-aN QAoPA4t,
_ NVAC _Gas Tank _7GamsPiping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ v�3 S O . Uti',
RECEIVED
APR 2 7 29188
ST; Lucie Cnnnt" .:w._
click arrow at the end, of. line
-- .
Lot No:.:_
Block No:.Af
Left Side:
Shutters _ Windows/Doors
—Generator _ Roof Roof pitch
Sq. It of First Floor.
s: —Sewer _ Septic Building Height:
1150111G S ll Name: O
Addres
Company:
State• _ i Address: (a Sl.� w�(
MAC �i
Zip Co�e:349 S� Fax: City. EAUk GTY State.
Phone No. A y - :k4 y - -%, / Zip Code: 7S4440 Fax:
E-Mail i 'M4. K I C1 Cap A=. NEi Phone No. 2L -
Fill In flee simple Title Folder on next page (1f different E-Mail:7LAV 1 < -
$om the Owner listed above) State or County Licensm .� �
If value of construction Is $2500 or more, a RECORDED Notice
;r•
;_i
Name:
Address:
City State: _
Zip: Phone:
FEE SIMPLE TITLE 96LDER: — Not Applicable.
Name: ~'
Address:
City:
Zip: Phone:
Name:
Address:
City:_ State:
Zip: Phone:
BONDING COMPANY: _Not:Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Appilcation is heresy 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 permit will authorize the'dpermir holder to build the:subjectstrbcture
which is in conflict with any applicable Home Owners Associa °on rules,. bylaws or an covenants ,that may restrict or'p'r'ohibit such
structure. Please consult with your Home Owners Assoclatio�and review your deed for any reste1ctions�'whicii mayapply.
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 u
accessory structures, swimming pools, fences, walls, signs, sci
WARNING TO OWNER: Your failure to Record a Noth
improvements to your property. A Notice of Comm
before the first inspection. If you intend to obtain fi
commencing work or recording your Notice of Com
lergoing a full concurrency review: loom additions,
an rooms and accessory uses to.another non-residential use
of Commencement may result in your paying, tw pe for
icement must be recorded and posted on the jobsite
ancing, consult with lender or an attorney before
iencement.
ner,/ I sseesSTATE
ra n e
OF Fwn
ORID
COUNTY OF-° Nt . ��1�
COUNTY OF • � e
The r ing instr ent wa acknowledg efore me
by
The f ping instru ent w s acknowiedge fore me
this' day of 20by
this, of
. .
Name of person cknowledging)
(game of person a knowledging )
(Signature of N ary Public-S to of Florida)
(Signature of Notary Pub'c;State,of F rich )
Persona KnownOR Produced Identification.
Person cation
Type of I .•
I •
Type o d* tior �BGiAW R E D D I N
State of Florida •Notary Public
�' �t;,State of Florida -Notary Public
-* �= Commission # GG 1902`
Commis Commission # GG 1900)
Comm ` n Expire a I)
ommissIon Expires
�� '��°��t"'� February28,2022
ni Februar 2a, 2022
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FRONT
ZONING
SUPERVISOR
PLANS
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MANGROVE
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REVIEW
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DATE -
RECEIVED
DATE
.
COMPLETED
Rev. 7/2014