HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLA INFO MUST BE COI{APLErED FOR APPLICATION TO BE ACCEPTED
Date'- 30
SCANNED Permif Number;
-..5 BY��-,
• St. Cues �l OU V
RECEIVED
Building Permit Application
JUL 3 1 2018
Planni Yg and DeveiopmentServlce,
Suildi and Code Reg affon Diiutsion
Ir Permitting Department
ig
2300111 niaAvenue, Fort Pieme FL30OZ .,
St. Lucie County
Phon II• (772) 462-1553 Fax (772) 462-1578 Commercial Residential
PER fin' APPLICATION FOR: TO Select from drlo Pax, click arrow the
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PROP, SED IMPROVEMENT LOCATION
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Prope Tax ID #: 33
Site Pia Name:
Proiect- me. SA -Ai -I
Lot No.
Block No. A_
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_ Roof
Roof pitch
Total Sq.
of Construction: Sq. FL of First Floor:
I
Cost of Co
coon: $ _ �[ C)r] � Utilities:
— Sewer _ Septic
Building Height:
OWNE
LESSEE; r �—
CU111TRACTOR
Cam: -- -C�., State:
Tip Coo: ' QPL, Fax
Phone No. 13a2 - �l�
Tiff in tee ple Title Holder on next page (If different
from the II listed above)
Name:
Company:
CrtY: x�lk. C,TY State. -
Zip Code: 3� Fax:
Phone No.
E Mail: b
State or County License. Q559 4
If value of oo rcEion is $z= at nwre, a RECORDED Notice of t a'f 0
����� Commencement is required. .
DESI
Nam
Addr
ER/ENGINEER: _ Not Applicable
*
MORTGAGE COMPANY: Not Applicable
Name:
Address:
ss:
!I State:
City:
City: State:
Zip:
I Phone:
Zip: Phone:
FEE Sf
Name...
Addrss:
PLE TITLE BOLDER: Not Applicable.
BONDING COMPANY: Not Applicable
Name:
Address:
11 -
City:
City:
II Phone:
I
Zip: Phone:
Zip:
OWN R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a, permit to do the work and installation as Indicated.
1.cerd that no work or instaliatlon"has commenced prior to the issuance of a permit.
St Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which 1 in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu 'e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accoi fiance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll I wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessc y structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befog the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm ncing work or recording vour Notice of Commencement..
•
cur •o • roc o • er - -
STATE
bF FLORIDATATE
OF FLORIDA
COU
_ OF ,\Cl-�
COUNTY OF C*
The f9rjDing
this
instru ent was acknowledge efore me
day of ZO �Vby
The forgoing instrument. was acknowledge efore me
this'i day of = U , Eby
V
� 1 1� k
(Name
;;f perso acknowledging)
(Name of person nowledging )
(Signati
re of otary Public- State of Florida)
(Signature of Notary Out lic- State of Florida )
Persona
i�y Known �_ OR Produced Identification
Personally Known OR Produced Identification
Type of
d
Type of Identify r c d
Commi
•"""'BRITTANY REDDIN
i 4��State of Florida-Nota(oew�lic
BRITTANY EgpIN
H.
Commission Nol :c;c A f Florida- It1� uF� Pi
q rd
•= o mmission # GG 190282
My Commission Expires
=t Commission # GG 190282
%9�oFp��° My Commission Expires
"is�?•'
REVIE41VS
SUPERVISOR
PLANS
VEGETATION
MANGROVE
FRONT
ZONING
SEATURTLE
COUNTER
REVIEW
REVIEW
REVIEW .
REVIEW-
REVIEW
REVIEW
DATE'
RECEIV
D
$
DATE
COMPL1TED
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