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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAL km N1 L J APPLICABLE I FO MUST BE COMPLETED FOR PPLI�ATION TO BE ACCEPTED D a� �G� �Oun Permit Number:1� Ite: RECEIVED w Building Permit App.licati n JUL 10 2018 I Pl nmg and Development Services Bu ST. Lucie County; p1'tilixGing ding and Code Regulation Division 23 Phi 0 Virginia Avenue, Fort Pierce FL 34982 ne, (772) 462-1553, Fax: (772) 462-1578 Commercial Residential Ix PE F MIT APPLICATION FOR: Select from dropbox.,,cl!ckrarrow at the'end of lineR,c, wTo I� .�.,.�, f "' Nc �q'; �� PR, "POSE IVIPROVEM�E`N�TL Wit... .F �,` dx Add ss: _LO)Aq a iniiU� of i'KAI ..1%r+ (6- , -PL "'-tq�t5 Legal Description: 34_ .35 . 39' -E `•.120.5 FT QF W. 11O .yzT aF S 1'l'l �'r O� N to Prop rty Tax ID #: 2'coo -2 Lot No. Site P an Name: ` I Block No. Pr t Name: tC11GP i Setbal ks Front Back: Right Side: Left Side: i m Ciy""'T` f D.ET ILED DESCRIPTION ®F�WOW, RX f Y .�'�. ,.�a.wr�u'�t.trrn. e .Ec.� _ n n +� ;:v ...%z .e <lwl'm+x. �' .� ..... L.J . a. . .., . e....e ..,.aa Gc .. e. ROO 'nn- - Rernnov (nct shin 9ie roo IriSta�li I" ��aPloclZ �1�'alroolt^. �o�}on v�l y tia �o siar } _ ,.,7. ORIVI�1'ION g .� e: CON TRAUCTION�INFNr �� s.t Additi na wor to a err orme under this permit — checK all apply: VAC 1:1 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors lectric 0 Plumbing []Sprinklers Generator Roof Roof pitch Total S . Ft of Construction: Oki S . Ft. of First Floor: Cost of onstruction: $ Zit .000 Utilities: OSewer 0Septic Building Height: [� OWNGRAESSpEE C©NTiyRACT®R Namebc vtcl .1 Macre. Name:Tim M2ha�rt✓�u� Company: MehwP(-e_Lt l,)G,+(Gn Geeu0 14 Address:35toM SE 'DiXfie. Hwc� Addres c )041g9 mue-tier 9d City: jtnri- lei+erG� State: EL Zip C04. S6414 5 Fax: City: snitijC rf State:Fij_ Phoneo. "1 2 — a 'rJ 2-12: Zi Code: i Fax: p E-Mail: Phone No.-n7-- %4j%-11o00 Fill in fe simple Title Holder on next page (if different E-Mail: r' ' from th I Owner listed above) State or County License: CC, C 3:60&mtp If value o construction is $2500 or more, a RECORDED Notice of Commencement is required. I S PPLEM,EN�TAL CONSTR,UCI',®N LIIEN LAUV lN'FOR+MAT�IO,N: ` D MORTGAGE COMPANY: Not Applicable SIGNER/ENGINEER: —Not Applicable N me: Name: dress: A Address: CM y: State: City: State: Zi Phone Zip: Phone: FE E SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable N me: Name: A, dress: Address: Ci y: ' City: Zi , Phone: Zip: Phone: O IINER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. Icettify that no work or installation has commenced prior to the issuance of.a permit. St. cie County makes no representation that is granting a permit will'authorize the permit holder to build the subject structure whi h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such stru -ture. Please consult with your Home Owners Association and'review your deed for any restrictions which may apply. In c nsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in ai cordance with the approved plans, the Florida Building Codes`,and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, acc sory 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 oflCommencement may result in twice for your paying im irovements to your property. A Notice of Commencement must be recorded and posted on the jobsite ' bef p re the first spection. If you intend to obtain financing, 'consult with [lender or an attorney before co menc' ork or recording r Notice of Commencement. I ALess"ee/CAgent ighature wner/ for Owner i Signature of tractor/Liven Ider ST TE OF FL I A % C UNTY OF��(f STATE'OF FLO {�� %��/��� k%d COUNTY OF The forgoing instru 'ent was acknowledged before me The forgoing instru ent was acknowledged before me th day of 20,a by this �� day of 4%JIU by L Name of pers ry�rraking state 'ent �sonally Name o pers `ing state;Tent P Known OR Produced Identification Personally Known OR Produced Identification T e of Identification Type of Identification Pr d ced i Produced I i (S ` attire of Notary Public- State of Florid;; (S g a ure of Notary Public- State of Florida ) C .B, RYAN,LYNN COa Y mis ig:%IR::.. Commissiori N » ., • _ MY. COMMISSION #F 1702 7 October 21, 201$ .,• , R:YAN LYNN COL.LUpY 'Q.. EXPIRES •••,OF PL�•' 0 • My COMMIS i� �� ,'Qi MMISSION #FF170 (407) as-0153 ',FOFFtiq,.••" PIRES October 21, 2018 VIEWS FRONT ZONING SUPERVISOR PLANS V +5EhaR9KNRice ;AN ROVE COUNTER REVIEW REVIEW REVIEW REVIEW RE EW DATE R CEIVED e D 'TE C MPLETED I , Rev.8/2/17 i f 4 i