HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED
ftu- OW50
BY
Luc
St. ie County
RECEIVED
M"
JUN .2 5 2018
Building Permit Application
Planning and Development Services
Permitting Department
St, LucCounty
and Code Regulation Division
23000 Vjrr linfo, A ve nue, Fort Pierce FL 349.82
4452-,L57'�� ,
�772; 432-L553, 772-
D 1: P Nil IT A 1) 1) 1 1 r AT! 0 KI P() P -
'.PRO.PO.SED'-:fMPROVEMENTLOCAT'I
Address:
gal, D le es.cription: L
Prove rtv Tax I D #: . .. .......
./ - It, __. -,, o/_?, Lot No.
... ... .. .
Site Plan Narne. Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
F
C 'TRUC-TION. INFOR A
6NS,
E.
HVAC Gas rank L__iGas Piping
Electric Plumbing USprinklers
L-4 Shutters
LJ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: — Cost of Construction: $ Utilities: EE.] Sewer[ Septic
Add
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City: i-AZ_X4 C i Eli state: FL
Zip Code: _34Y-iO Fax: KpljA
Phone No. 91 7 60-:Rv
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I Name:
Company:
Address:
City: ,!�
Z_Vvifldows/Doors
Roof pitch
Building Height:
Zip Code: yFa
?none NO,
f
i State or uourty LICense.
if valueofconstruction is $2500 or,more, a RECORDED Notice of Commencement is required.
State:
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i
SUPPLEiS/iENTx1L CONSI"Rl1CTlbN LIEN LaW iNFORi1fIATION
t "ter L;' /: '�' t . , - ----- -- i lYi��t ` vex < .i 1 �t id E"Co` 4 ��- - — � 4 A p p zuil L ----
�i Name:_�-1
(l I AridraGS.��� ��' �_ _ _ dr . i^,/ .1.. ` - -----
State;
- (Ad p.
City 3City: . 7t:�1 - State: PI
.Zip:3'� Phone// �l Zip: S 2-ii; Phone; ,')RY r� S�'� �-0
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FEE SIMPLE TITLE HOLDER: _N(,' Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
City. City:
Ltj3: Y�`50118: Zip. Phone.
CSiii/NER/ CONTRACTOR AFFIDVIT` Application is hereby _.
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 permit holder to build the subject structure
which is in conflict with any applicable Home Owners 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.
0`7 VMS C ; ,i'p., s vO" agfC-_ ;'%: s•w;ti} �� al4.CeSP—ACTS„ef?'+LP01i t'2e WDf<
in: accordance w%th the approved purrs, the Florida Strilding 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 Co mencement must be recorded and posted on th . bsite
before the first inspection. If you intend to ob In financing, consult with Ie er or an me of re
commencing work orr�cordin>a-ir Notice 9mmen cement. 7 /�
Ctor ac ont fnr rhainpr I Cion�ti�
L.Inlrinr
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me
l Namn of nm prcnn aking ctaa temnt
Personally Known OR Produced identification
Type of identific ion
Produced L�f/ 3 C --
The forgoing instrument was acknowledged before me
Wks Hal of_
1 Name of nprsnn making atntpmFn
i Personally Known OR Produced Identification Type of of identificati_____
Produced n a �._
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