Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONN LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (Date-9F A CANNED Permit Number: 1$a4_ �dd� BY saY',Fy�l County `t. Lucie RECEIVED Building Permit Application � � JUL 0 2 Lu18 Ianningand Development Services uilding and Code Regulation Division 300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, POphl ing hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re Wential P �� RMIT APPLICATION FOR: I' ': Mi i,;:tr..:n:.,, ..ri;y, .. �".:( 4 {,.'1+. t'-�y; r.'U. .7Yt.•x ;.;vr Yt f73✓,1'�i,4s7�1 f' 1 Y,..�d42'' .Y KYI 1 ; ti:.. R4 V. '..j G' ,3q n�m l 7A l' 3 '. i;, t Y& 1i..: Fw��', � : t s „ -., a' ��. ly , F,a� r � , ,.�; .•�i! � �3C ,: � �a;4 t�� bn'i'#>,�,.. �`� �;�,. � � x�y �m�CSfrt, fs frrw�z<fks ! >ry ;tta'�1 �' �!}=��M ��� , 1.���7������v�s,..y.,9..� � S s'r?�3{� �i`O Y� �id� yi �� i. z,1�T Y�� x+r, � J�r 4 d'° `' �,; X�t� . � � �C➢ � {'y( �h1'F '{`f+9 ,�i\������ ..T �d VI Y'N%• �+ Aress: n v'1-M d t Legl I Description: 7W e S©orfdFasr }y or- T-i4E S'vcn-o eA-5 r a r 774€ .SoirNE44-5r w r o / O F TNT rrcls r /uS �' 1 d ESQ TitE �=gSr S/O � AP Ra¢O Pact Pro erty Tax ID #: 0 3 f a ^ ` `f Qi - o 0 0 a - o ao - Lot No. Site [an Name: PA riLz:c g . to i3 A a A Z..t4,J6.Lr Block No. I Name: a Proi ct Set acks Front / Back: ' S(c Right Side: Left Side: �„ : � ��•��lF't tt$.,I�ir � DESCRI��7'IdN t� t 7 , � } - � 9 r�! t f 3iw'.�,ut�• rt it � 2 t. } i.r� �i f } y t OF`1J�/QR � s7f � a`s;2�`,}c` �Y" ,i.0 z,";, �f�y !Q3ttt'Slt�D ':.":)quit 54 k3 �v �Y'�3 }N,.. 4.: '1« v dl�;:,:Ae�•\0 .t�F, YiA7 I 5c.4�}•,=,7., sy� n 4�,,(1t�{?N>`te�; t��Yt��J ,;f�.,t rr�� x" Y <.Y h.7.�'Sd f!tiw �:� -',a. %{l, Pe,P ,.. b4D Wut'b,?'�,'YJ;x_� �. Ai 'f3\rF.:Skk Ti1<x r1 5,..'-. fi,% 1N5 Y1o,.o-iA,. RA „{�I.Y. fi;, t5d .. •.�.IA'S.V �.�.R 9. `.c ,�iSrgLa..r�J ►4 CR2oL_rrjA 04ILP0R-r' QnClAz .4 J'k:isS, . `mot �:..1 ?.1'%_n4t {t Y 1{A:x k�'YL,'j,>4<."r7-�N.e,. 4F�4`5 1 P 3 �S, �•ii`j Mrf Fi (''?iT�t, tFJ }.... 3� tad' r' ,[n':,345; +:�4 iffr �f..�.(. ;4 3 A� N .: °'$ :T hYl•� �. tl,.7{' 4 'l 'r 3.: ry::±;3 "7;>: 3� sFl�..-4r ii��Gyf ofii gr 4�4yA'i4' f �s.� 2tj /I•,�'h tl lyd� �i -c.. icy. f7 f�c�. t f� �r....r�l°t >rr,,,:�,�c4,d<i,!s.>t.avaes2:�i,,3ySr�+stz!.)1�,��' k`�.�✓�:h?�..�✓� �,.�.:�,�n�4 >.�'`+=t:�t , ��S�sz.. ���.,,o ,.>a<,C�.a.�wmrr,�.�z"d.' , £ltD ,��.,�v}��mUx,,�razr; ttp'ona workto e e orme under this permit -check all that apply: ❑� VAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑_ I lectric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch 0 Total SI . Ft of Construction: o S . Ft. of First Floor: IConstruction: Cost o $ S?S eo Utilities: Sewer ❑Septic Building Height: �.Y�:y �lr.}i �4i kn'i+�t i" �q/ a 41 }v „n:i•. yt.,tt n 1 ${,k 2l .ia ,� a' .:. S ] if 1 :e�+N,77' f . f > �r,f '�5 'tit , •+. 3<. Vv�7t1.a,& Y4 y '�.t ]k.Y"!rA,,J.:n.,�'�/}n•<AY.... 4�F :::(Y�%.,, t ,.v nt',(dflk'i .,,xki,\ti {xf f3"+n:`•..TfYCl..�T'S if..Fik Tli.,t; Name 4A G_Z9 Name: R oA E.iLT• b 2Ew r (4- Addres r BSI S, ?-IE )J <Z70,S P-w- & Company: 1,5#,644 c5u,80o►u'r-AAcrJrL rJC City: 2C, - State: Fl- Address: ya � 5 rn,+ i -Y G T iA7 d F_ TT Zip Cod .3 "M 5 L Fax: City: % rLr P .L,E 2.c iy State:_1L_ o. '79a Zip Code: 3y9 eA Fax: �7a-yc.o.-a6sl ,Phone E-Mail: P.T -eiAL 0L Phone No. 77a 906 a Fill in fe I simple Title Holder on next page ( if different E-Mail: 8 o b b re � .� bye 'l I Sou�"qq-(i , n e`i- `rom the', Owner listed above) State or County License: C Ce G o L Q �Q 1 value of construction is $2500 or more, a RECORDED Notice of Commencement is required. otd 16 gs Q;5:i, ' - � i' 1 � �yy�d,i �:{. � f C'-'. '�. ;:: { j[. $ _��,�y3}�"�.J�Y�e '�✓k�3��st yt� hL�l<�.. tl: i��ly� G1�5�, }' Ski ,�YfY,. , t'it.;$t b���tk 4i'... , �4}dtYtt.Yk.'-'rv�fi45Ya1'�(�SZh� ESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable lame: Name: dress: Address: City: State: ty: State: �p: Phone Zip: Phone: FtE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Dame: Name: address: lty: Address: City: �p: Phone: Zip: Phone: 0 NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I c rtify that no work or installation has commenced prior to the issuance of a permit. St. ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure w ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such str cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. Inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in ccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. TM following building permit applications are exempt from undergoing a full concurrency review: room additions, ac iessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use W' RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for irr brovements to your property. A Notice of Commencement must be recorded and posted on the jobsite be fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. of Owrl'e-r/ Lessee/Contractor as Agent for Owner I Signature of C or/License Holder 'ATE OF FLOPDA STATE OF FLORJ A )LINTY OF 4N LV c 0, COUNTY OF "r. Vy e, e forgoing instrument was acknowledged before me The foor(going instruro2ent was acknowledged before me s �- day of .Sv , 20l by this �F day of Jy ly 20JN by 'dia e,r A► i e, +u e �' was e;'e ..rw Name of person making statement Name of person making statement rsonally Known OR Produced Identification Personally Known OR Produced Identification pe of Identification Type of Identification )duced 'r L 'O 1.r L Produced F'L 1D A- I Ignature of Nota y �, 9ARIEGIVEFJS (Signature 1 .��yp '..,I ,�<IAVF '�•. DEANNA MARI GI NS MY COM I S ON # GG 022023 S'4, A, � iNh91SSI0N # 0� 23 l ommission No.`EXP1R:5R�rembar16,2020 Commission ik`35�� S :Decembe 1- FI-1e ublicUnderm"' I ,ems o, �o?, Bonded 7hru rY p F� — ti FbFF� ,. ••.FOF F��' Bonded Thru Notary Public Underwn:!:'e +.vti+m,.xc r�'.zsiiw EVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ATE DECEIVED ;ATE t, L i 8/2/17