HomeMy WebLinkAboutBUILDING PERMIT APPLICATION• MUST BE COMPLET-eR• TO BE ACCEPTED
Number-Date:Permit - •
• •E ,
_ — e ' gee •
.$CANNED
Planning and Development
BY
Building. . ..
2300 Virginia Avenue, Fort Pierce FL 34982
esi
Phone- • Commercial • .
�*ERM IT APPLICATIONO� 1
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iperty Tax ID #: Lot No.
!'Plan Name: 1—Edr'*6V G�Z/� u,(; Block No. _
eject Name: zAc& GP
tbacks Front Back: Right Side: Left.Side:
iMi 4TviR E
na
Mechanical
Electric
LF lou.PSC LA-) Z �C
unaer
Gas Tank
Plumbing
otal Sq. Ft of Construction:
ost of Construction: $
d^�
eery'"` n
permit— cnecK an tnat apply:
_ Gas Piping —Shutters
Sprinklers _ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
Utilities: —Sewer _Septic Building Height:
City: 797- < I - Li f lr StateAz
Zip Code:.166�7&"' Fax:
PhoneNo.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Company:
Address: of ,U S• S)O-/Zz—
City: State: fL
Zip Code: Fax:
Phone No. ,Iq .1 �`D%
E-Mail:
State o County License: l',,Qe /%15%^z3
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: —Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: %b°e, Vr4 e,0/4 G& 0441o,
Name:
Address: R x wo
ddress:
City: o arc State: ?51 .
City: State:
Zip: ,� Phone:
Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable j
Name: 7YA N gmAal AI dae- lbs.
Name:
Address:
Address:
City: ST.
City:
Zip: Phone: a -YI&4 zo�ff
Zip: Phone: j
OWNER/CONTRACTOR AFFIDVIT: Application is -hereby' made to obtain 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,covenaints-,that may restrict or prohibit such
structure. Please.consult with your Home Owners Association and review your..deed for any restrictions which may apply.
In consideration of the granting of this requested permit; •11d6 hereby agreethati•wiII'Jn`all respects, perfdenfthe 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 concurr,.ency 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 &`rn! nencement*may result in your`paying twice for
improvements to your property. A Notice of Commencement must be recorded -and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
r
jello
Signature of Owner/ Agent/ Lessee
Signa of,C ntractor/Licens olr}er;:<
_.
i
STATE OF FLORIDA
TATE O FLORIDA
COUNTY OF 5� Lvu�
UN OF
The forgoing instru ent was acknowledged before me
The forgging instr ent was acknowledged before me
this 11911day of sv 20� by
this r day of key-20_ by .
464
(Name of person acknowledging)
(Name of person acknowledgi )
14
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida)
Personally Known OR P
rsonally Known OR Produced 1111,11
Type of Identification Produced ,•�ti"%y"''••, ANNAMARIE�REEtT
T pe of Identification Produced M
E ires.August 11, 2018
Commission No. FFwli�DO y2, aoo3ae
' pRu. ♦ Thm Tmy Fan Ineuronoe
�� ,= Commission# FF 120 8
,G mmissid'n"IVo , ll2(�O,r �e%I�iresAugusil1
m�
Ineutenoa 80038`�1
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Bonded Thtu Troy Fein
REVIEWS
FRONT
ZONING`. '..::,SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW y. °x,
REVIEW
REVIEW_
, REVIEW ' :.
._ REVIEW_
REVIEW
DATE
RECEIVED
.
DATE _. . ,
t,
COMPLETED-.
ev. 7/2014
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