HomeMy WebLinkAboutBUILDING PERMIT APPLICATION> �A APPLICABLE INFO MUST BE COMPL
ETED fED FOR APPLICATION ate: TO BE ACCEPTED
l � � �
Permlt Number:
SCANNED
BY
St. Lucie County RECEIVE®
Building Permit Application JUL ®� 2Q18
Planning and Development Services
8�rild. and Code Regulatlon Division
COVltglniaAVenue,FortPierteFL34ggZ ST. Lucie Count P�rililtiflc�
P one: (772) 462-15S3 Fax: (772) 462-1578 Commercial s
Residential_
Pi. RMIT APpI.ICATION FOR:
To Select from dropbox, dick arrow at the end of line .
Ad press: 4(� 00 S.
i
iegl I Description: -
s gumQe et0 3
Tax ID #:
n Name: - Lot No._
Block No.
Front___ Back; Right Side: ___,_„ left Side:
e� 4 Out' p(B' 6 N i 2.e. C,/d1gc.
»� Ne1 m1s -- cseac all app y
HVAC � Gas Tank ❑Gas Piping Shutters
❑Windows/Doors
Electric Q. Plumbing 0Sprinklers Generator
Roof i
Total Ft of Construction:
Cost Construction; $ 147 (1 , q S . Ft. of First Floor:
Utilities: 1jSePt1c Building Height:
city: - State:
zip e. h 2 52 Fax:
Pho Na. 2? --l- wq-.a7 QG
E-Ma 1I:
Fill in, fee simple Title Holder on next page (it different
fr01711�10 Owner listed above)
iF vai of cOnstrucmn is WOO or more, a RECORDED Notice o1
Name:
� Apr
Company:'1•
Address:
City' State:-F-1-
Zip Code: z a .-- Fax: 5Cy1_ S Cep
Phone No. 5- / - - 'u � -
E-Mail: "-"-
State or County License:
Commencement
State:
— Phone:
SIMPLE TITLEHOLDER: „ Not Applicable
ne:
ress:
•
Phone:
MORTGAGE COMPANY: _._. Not Applicable
Name:
Address:
City; State:
Zip; phone• —i-
BONDING COMPANY:
Name: NotApplicable
Address:
City.
Zip: Phone:
I Ceeiy that no work or installation has commenced prior to the Issuance of a permit.
St. C �e County makes no repre�entation that is granting a rmit will authorize the permit holder to build the subject cture
whl is In conflict with an �( ppllpbie Home Owners Assoc anon rotes laws or andcovenants that may restrict or prohibit such
stru ore. Please consult wit your Home Owners Association and review your deed or any restrictions which rn a
In deration otthe granting o€this requested permit, i do hereb a pply.
Ina rdanoe with the approved plans, the Florida Building Codes and S ee thatCountyAmendp ens$perform the work
The allowing building permit applications are exempt from undergoing a full concurrency review. room additions,
a ry structures, swimming pools, fences, walls, signs, screen rcioft aria accessory uses to another non-residential use
W NINS TO OWNER: Your failure to Record a Notice of Commencement may result In your paying twice
imp Movements to your property. A Notice of Commencement must be recorded and posted the jobsite
twobef re the first inspection. if you intend to obtain financing, consult with lender or an attorney before
ncn work or recording our Notice of COmmenepn,ont
siglllisture of Owner/ i essee/Agent
STA'�E
CODUUUUUNiY OF
The oing Instrument was acknowledged before me
this day of _ie,kn-P___J boy
of Notary Public= State o
Jly Known OR Produced Identification
Identification Produced_) �P -
No.
07/15/2014
FRONT
COUNTER
JSW CARUSO
Notay Public — State of New York
NO. 01CA6284706
l
re of Contractor/facense Holder ' S
STATE OF FLO j
COUNTY OF
The fo oing instrument was acknowledee efore me
this day of v i 20 / _ by
(Name of person acknowledging)
41signatuNa ry Public fate of Florida )
Personalty Known �� _ OR Produced Identification
Type of identification Produced f
Commission No. Y pUB oo��11i}
•.._�i� (SWIAYOUNG
My Commission Expires Jun 24.2021
EREVIEW
ING SUPERVISOR PLANS
REVIEW REVIEW
* * MY COMMISSION # FF 951069
yfeOFNO" 00ndsO 7hM Budget Wary Servieee
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW