HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ate: rj -o�q' I U Permit Number: 1 � �} V rl
LIVED
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Building permit Application7 2018
fanning and Development Services
uilding and Code Regulation Division y, Permitting
300 Virginia Avenue, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
iRMIT APPLICATION FOR: Pool inground
P�t
.
�.. OPOSED
VI
IImPR�OVEMENT`LO;CATION
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dress: —aX
;al Description:
i r (20' PIG[+
i+ is
Y C'-toyr- K -I
P perty Tax ID #: — I I,^or Lot No. 1 �'
Side Plan Name: �a r 1` ouy PLOW, Block No.
P l ject Name:
STtbacks Front Back: 1 Right Side: p
�_ g a�a. 3 r Left Side: �I�• SJ
munal worK Lo De errormea under inls permit— cnecK all apply:
1HVAC _ GLas Tank ❑Gas Piping _ Shutters Q Windows/Doors
/7Electric RIP'
lumb`
ing Sprinklers Generator � Roof
I Sq. Ft of Construction:
of Construction: $ 50 cm
Sq.
of First Floor: _
Utilities: L__ISewer D Septic
Na11 me Name: t J
A dI'd res : oZ F Company: >r
Ci i s lA State: r l Address: I0 OLA2_6,
Z p Code: 0 Fax: City: I Q'e
4
P1 One No. Zip Code: '34 O
E'J ail: Phone No. 7
Fit,I in fee simple Title Holder on next page (if different E-Mail'. E
fr p the Owner listed above) State or County Lic se:
If 'rlue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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CN A I .,C r. to r
Building Height:
I i I v L -
State:fj
Fax: 77,9 4t'o '- h
{UPPLEMENTAL CQNSTRUCTION'LIEN'LA1N
INFORMATION
DESIGNEER"w/ENG
PPame:
NEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
L3ag
tfv_
Name:
i
ddre s:_ di0 F.�tb1k IV L_.
Address:
ity: State:.
City: State:
p: Phone:
Zip: Phone:
FEE
SIMPLE TITLE HOLDER: _ _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Aame:
ddress:
Address:
c1ty:
City:
Phone:
Zip: Phone:
Zp:
that no work or installation has commenced prior to the issuance of a permit.
Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
rich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
•ucture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
e following building permit applications are exempt from undergoing a full concurrency review: room additions,
cessory structures; swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARMING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
1provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
!fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
,mmencina worker recording vour Notice of Commencement.
of 0,w6er/ Lessee/Agent
'ATE OF FLO
)UNTY OF
nstr e t acknowledgiblefore me
Of A 20by
person acknowledging)
attire of/Nbtary Public- S of Florida )
��// TRACEY W. MCGHEE
finally Known OR y lftVAZe1ftMMC
of Identification Produc _ FLORIDA
WlrIo?
Cornet# FF24.1M
nission No. Gres R/10/2019
07/15/2014
STATE OF FLORIDA
COUNTY OF
The pAing ins
this day of
rise
acknowledgedefore me
t�L_J 20 by
c) Lc� r
(NKme ol per nowledgin )
(Signature of o aryPublic- a of Florida)
Personally Known OR Produced Identification
Type of Identification ProducedEY W. MCGHEE
NOTARY ?, RY PUBLIC
Commission No. )OF FLORIDA
,o
Comm# FF241935
EVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEq9TATION
SEA TURTLE
MANGROVE
-COUNTER
REVIEW
REVIEW
REVI W
VIEW
REVIEW
REVIEW
DATE
C61APLETE
11 1ITIALS