HomeMy WebLinkAboutBUILDING PERMIT APPLICATION"r
BY
ALL iPRLICASLE-INFO MUSTSO COfi9 PL97ED FOR APPLICATION TO BE ACCEPTED
Da t ; z01S <'.i�% Permit Number: (�
C A ,
Building gPer it licati , �' St
� J 2 201$
Pla X.
and Development Services
eal ing and Code Regulation Division Per i I tt l n [ a rt m e n t
23d 0 Virginia Avenue, Fort feree Ft 34982 g
Ph one: (772) 462-1553 Fax: (772)462-1578 Commercial � �'td��,�ra , FL
PE WIT APPLICATION FOR: To Selecttrgrrl dropbox, dick arrow at the end qf line
Address: e fv-� yle tu Li T5- 1, f /
Leg Description: Lot 13, Block 157 0f Lakewood Park Unit No. 2.
Pro �rty Tax ID #: 1301-614-0013-000-6 Lot No. 1----- 3-=�~
Site Plan Names Block No. 157
II
ro t ct Name:
Set acks Front 38.96 hack: 375 Right;Sldez . Left Side; 1
3 SrtiI an zamly
HVAC �� Gas Tank E]Gas Piping; Shutters Windows/Doors
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Electric L=! Pluplbing SprirJkles GeneratorZRoof Roof pitch
Toq. Ft of Construction 2023 5-. of First Floor 1555. .
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Co � of Construction: $ J D o� t�tiliti� : S lnrer Septic Building Height: 14'
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Fort Piercee FL
Address:.
Box 4343
Code: 34948 Fax-, (772) 461�Q095
City:
Fort Pierce State: FL
one No (7721216-8900
34948
pcconstructiontcaaof.comPhoneN
• :•10
in fee simple Title: Holder on ne xt :., r.
• • • • , o •m
the Owner listed above)
State or qounty License- _QGG 056649
If �PIUO'Of construction is $2300 dr'More a'RECO IDEP Notice of Corrinaencierdaent iq requited.
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RFCF-0'Fo
q�Po1e
"', - -_.. �111 46 %
DESIGNER ENGWEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Na e• Paul Welch, Inc.
Name;
Ad ress: 1984 S.W. Biltmoore Street. Suite 114
Address:
Cif(: PPort St LL,cie
State r. El ,
City: State:,
Zip k 34984 Phone (772) 7
5�988Q
ZIP: Phone:'
FEIf SIMPLE TITLE HICIII
Not Applicable
BONDING G®MPANV., _. Not Applicable
Na'l
e:
Name*-
Ad
ress:
Address:
Cit.
City;
ZI Phone:y�
Phone;
, ..,,:
OW0, ER/ COft!'�RA6& t 51I �lPT:' Application is hereby made to obtain a permit to dsi the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St I-Ocie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
whic� is in conflict with any`applicable Home Owners Association rules,'kyiaw, or and covenants that may restrict or prohibit such
stru re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In c 'psideration. of the granting of this requested permit, I,do hereby agree that I will, in all respects, perform the work
in a cordance with the approved plans, the Florida ®wilding Codes and St. Luple County Amendments.
Y.
The ollowing building permit applications are exempt from undergoing.a full concurren y review: r9om additions,
ac sort' structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Id
W RR9dR9G TO OWNER: Your failure to Record a-649ctiee of Commencement may result In your paying twice for
irti 'i ovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
be re the first inspection, If you intend to obtain fitian;ing, consult with lender or an attorney before
�ensnnienn.e.nrL nr rnrnrelino . lit Rinfirn of r r%mmoriraminnt
i
Signature
of Owner/ Lessee/Co ' of a5 Agent far'Own�r
`SignatGre of Con rector/LlcensE Holder'
ATE OF FLORIDA
STATE OF FLORIDA
C
7.
II LINTY OF.. St Lucie..
COUNTY 4F. St Lucie
T
t
,e fno�`�going instru ent was acknowledged before me
i � day of g 4'1
The forgoing instrument was acknowledged before me
this ,a,, ,_ day of,, . 40..,.:. by
iI A )pcq,uin... , :..... ...::..:........
' Che . l A Jac uin .:
P
T�ipe
Name of person making statement
. rsonally Known. ,.OR Produced identification ,.,.
of ldentification'
Name of person.. making stet@ment
Pprsonally Known �!.,,-OR Produced Identification
Type of Identification
P
educed
Produced
(
Commission
ignature of Nbtary Public- State o .1 r
r ,s� Pu Notary Public State
No.�r zo?,I �1 S ;°��l ) Alyssa Modine
04/14/2019
of N ary Public- State of Florida )
Florida
Cogmissi No.,, z,2l 7",ealt,ry Public State ofMyCommissionFF 064 ssa ModineExpires
Commission FF 2pires 04/14/2019
REVIEWS
FRONT
ZONING
SUPERVISOR;
PLANS
VEGETATION
SgA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
:
REVIEW
PREVIEW
REVIEW
q'ATE"= .
„ ._ .. .
RECEIVED , ....
.
DATE
COMPLETED
8/2/17