HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'All AP ICABLE INFO MUST BE COMPLE� `911 APPLICA, TIONEID BE ACCEPTED
Perm
, - ,
p ti
..,RECEIVED
MAY 2
3 2018
Building Permit Application
P)anning and Efevelopment Services�s}\/ei YNCD
guilding and Code RegulationDivision
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Bu.
// Virginia Avenue, Fort
i
Phone:
46 462-1578C 0
PERMIT APPLICATION
st Ri-?_._r ,.� F-�.Legal `�:•.�^�
Description:i f f tlt -
Property . 60A i ` 1 is
ProjectSite Plan Name: Block No.
'4etbacks Front Back- W q2RIght Side: --L Left Side:
•;•""-'.�---==5 :�i. i�.s�'-T'>'�5-,'r^Cb ^T �'.x_
Le I? A. L -.s lU =�
�..•�F' � 4 , _�3^�-�''e6i,� ��•-2'S.-ice �:n�
Addipnal work.to be pertormed undertrns permit—ci
_rElectric
hanical _Gas Tank _ Gas Pip
_ lumbing _ Sprinkl
Total Sq. Ft of Construction: i VD5
Cost of Construction: $ i�� �m I I
IN
City: �- � State'
Zip Code: Fax:
--
Phone No. r7�— �p1Ql
i
E-Mail:
Fill in fee simple Title bolder on next page ( if differeIn
from the Owner listed above) `
If value of construction is 2500 or more, a RECORDED Notlo
an tnat appry:
Shutters indows/Doors
_ Generator Roof
Sq. 'Ft. of First Floor: 2 l�
s: _Sewer _Septic Building Height:.
Name: ViW SaIN���� j
Company:
Address: VJ k8k-,
City: ,W, Stater
Zip Code: .,t���_ Fax:
Phone No. f inP qq
E-Mail: -Ljflf®
State or County license:
of Commencement is required.
b
Pam. �Pc�
mQ,� 1•cc�n
v, 23, 2018r. 1:30P
o, 0231.P, 1
Not Applicable
FEE SIMPLE TITLE HWWER; � Not Applicable
Name;
Address;
City;
Zip-, _ Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby rr
.1 certifythat no work or insiallatibn has commenced prior to the
St. Lucie County makes no representation that is g�rranting a pperml
which is In conflict with any applicable Hgme QwFrs Associ8tion
structure. please consult th your Home Owners Association an(
In consideration of the granting of this requested permit, I do her
in accordance with the approved plans, the Florida Building Code;
The following building permit applications are exempt from under
accessory structures, swimming pools, fences, walls, signs, screen
WARNING TO OWNER; -Your failure to Record a Notice o
Improvements to your property. A Notice of Commenc
before the first inspection, if you Intend to obtain flnar
co'mmencine work or recording vour Notice of Comme
of OWhet^kent/ Lessee
STATE OF FLORIb /
COUNTY OF - L \) C i`Q—
The f grg m
lnstr ent was acknowledged before me
ay of t'a 20 by
(Name of person acknowledging)
UL\) —J� --
(Signature of Notary Public -State of Florida )
Personally Known A
Type of identif)cation P odu d1eD4"°""'�
MORTGAGE COMPANY: Not'Ap Ica le
Name:
Address:
City: U
ZIP: Pbn�:' .1,"1� Wilt�s�' a
BONDING COMPANY: Not Applicable
Name:
Address,
City:
Zip: Phone;
to obtain a permit to do the work and Installation as indicated.
ince of a permit. ;
:e the ermlt holder to build the subject structure
or anscovenants that may restrict or prohibit such
deed for any restrictions which may apply.
by agree that I will, In all respects, perform the work
and 5t. Lucie County Amendments.
;oing a full concurrency review: room additions,
'oorrs and accessory uses to another non-residential use
Commencement may result in your paying twice for
!ment must be recorded and posted on the jobslte
;Ing, consult with lender or an attorney before
of Contractor,
STATE OF FLORI
COUNTY OF - LO�. c
The for�Ig instrum�ntw s acknowledgedbefore me
this Myof— by
(Name of person acknowledging)
(Signature of Notary Pu r -state of Florida)
Personally Known OR
Type of Identlficatlo rodUcej
"• jy 2020•
Commission No. ££L6b8 Iss]H0 s,' W,a 11 Commission No. _ )lama 12,
Olin T13Ii0IW w(i `� ,R, 6chd�dTlvuh0YFdn1"—& 0a90d•T018
I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I,r.
'.� Cominlsslon # FF 949733 Commission # FF 949733
}$°p = Expires January 12, 2020 ' ? Ezplres January 12, 2020
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