HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONis _
.%LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCAT NED
r,at. BY
Sl. Lucie Counjy
i..," RECEIVED
Building .Permit Application
Planning and Deveiopment Services
Building "and Code Reguloflon Division
2300 Virginia Avenue, Fort Pierce FL, 34982
JUN 'a B 2018
Permitting (Department
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Address
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Prooertv Tax ID #: — `T,1.__-4Y.4_._._ ..�- - -® CiCi_ .____..__. Lot No.__._._.._.-------- Site Plan Name: _ Block Na.
Project Name:22ISiCiN 1
Setbacks Front_ Back: 3J� Right Side: 4A0 Left Side:
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f� QHVAC r Gas rank Piping
Shutters
Windows/Doors
Electric L� Plumbing `USprinklers
Lj Generator
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Roof pitch'
Total Sq. Ft of Construe:
Sq.Ft. of First Floor:
Cost of Construction:.$ Utilities:' � Sewer Ll.Septic.
Building Height:
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Address: d ia• r C3c�'L2i1
Company:.
City: �f}LM G /?1/ State: FL
Address:
Zip Code: 1�1® Fax:A%h
city: _— 'n�
State:
Phone No. a
Zip. Code:
.01
Fax:
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State or County -License:
If value -of construct on is'$2500 or' iMore, a, RECORDED .Notice of Gommencement.is required.
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C f Name: P i�i`a3me. aeY1 04e-[.6�hi•. N,A , p
AC�IirPSS' -� �v
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City; - tate City. J�', , Stag {1�
Zip: P:ho. jp: 0210 Y Phone KRd ,,VPSD
FEE SIMPLE. TITLE HOLDER:. Not Applicable BONDING COMPANY, .'Not Applicable
Name:
-Name:*
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Cl "styty:
li I'ZiP: Phone- �
OWNER/ CONTRACTOR AFFIDVIT: Applicationis: hereby made to:obtain.a permit to do the work and installation as indicated.
it certify that -no work or instaltation..has',commenced prior to the issuance -of a permit.
. no representation that is granting a permit will authorize the, permit holder to:build the subject structure
St. Lucie Counfy makes
in Horne Owners Association rules, bylaws and
which is .conflict with any applicable or covenants that may restrict or prohibit such
for
u any restrictions which may apply.
structure:. Please.consultwith your Home Owners Association and review your deed
1, cep
'vhe'wor,.(.
+n acccradar<ce vurtti ttte appewecl pla ns, tlYe Flosrda Buifdirig Codes and St Leic a iraeurbty Acnen�(c rents.
rt The following building oermit aniolications 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
NG TO OWNEW Your faiiuie to Record a Notice of Commencement may result in your paying twit fflr
l!llIARN
improvementsto your property. A Notice_of Commencement must be recorded and posted onth" 5 bsite
,before the first inspection. If you inter obtain financing, consult with lender or an attorney f re .
jcomme.ndn . k or cord' OUr pti a of COnmmencenient. 141
II I1 Civnotn rc of fhpinor/ accuo/f not a r �e A6ant fnr h%A1 or Cianat� ra of ,nn+r?r! "r!1 �anen Unlrl I
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF LIJG,M COUNTY OF
I The forgoing instrument -was acknowledged before me The forgoing instrument Was acknowiledged before me
}.: t'is Ada of S b"4this day qt
r
Name of nPrcnn makina.;tatemont Name:of narsnn making statf'mPnt
Personally Known OR Produced identification. X Personally Known OR Produced Identification
Type of Identification Type of Ident'ificatiorb
I .Produced l�% 'Produced
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REVIEWS' FRONT ZONING PLANS VEGETATION. :SEA TURTLE PKit,
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