HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AP13LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (��-\ 2
Date: Y Permit Number:19,1 � UJc
SCANNED RECEIVED -
BY ��s��}���,p�� AUG 1 4.1017
Building Permit Application Permitting Department
St. Lucie County
Planni' g and Development Services
Buildi► g and Code Regulation Division
2300 ►rginia Avenue, Fort Pierce FL 34982
Phon . (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERK
IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED
IMPROVEMENT LOCATION:
Addn
Legal
` 5_(6 o S ; 50,, cS4 eon!'
ption:
Y5 Y'b Jw 1
`F-i t 1 e1CQ , r
Prope y Tax ID #: 2y33 '333- DOO/ 060 Lot No.
Site PI in Name: t�uac..-s ��- Block No.
Projec, Name:+-S,,.cc
Setba ks Front30'+ Back: 4" Right Side: 4-6" Left Side: 4-6"
DE` AILED DESCRIPTION.OF WORK:
14�r Y,-cr ll:`e,-ze -F�r Qoo, t o, ►.� L s; 7,', Aea,,
�JC�s G�1c.G, es 2 SY
6-A-fPIS s Fein r� Y t t ,v c-f 611-2L v rd,? mc- tpW Z 1,4t
[�CO+,TRILICTION INFORMATION:
Add it Iona I work to be oerformed under this permit— check all apply:
Total
Cost
IVAC L _1 Gas Tank
lectric ❑ Plumbing
I. Ft of Construction:
Construction: $ 2300.00
[]Gas Piping _ Shutters Q Windows/Doors
❑Sprinklers FIGenerator 1:1 Roof Roof pitch
S Ft. of First Floor:
Utilities:]Sewer Septic Building Height:
OW ER/LESSEE:
CONTRACTOR:
Nam
Addr
City:
al 4 -
Name: Michael Alderman
ss: S�Kc�i7( cv� a.
Company: Veterans Fence Contractors Inc
Address: 2100-SW Conant Avenue
Z5S S ate: LL
14161naj
Zip
de: Fax:
City: Port St Lucie State: FL
Phon'
No.
Zip Code: 34953 Fax: 772-879-1009
il:
E-M
Phone No. 772-678-2358 r
fee simple Title Holder on next page ( if different
Fill in
E-Mail: eddie.alderman@yahoo.com
from,
'
he Owner listed ,above) '
State or County License: CBC-045563
If valob of construction is $2500 or more, a RECORDED Notice of Commencement is required.
>. tpp MORTGAGE COMPANY:
:
DESIG ER/ENGINEER: _ Not Applicable PANY: Not Applicable
Name: Name:
Addre Address: Al 4
City: State: City: J V 111t State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: I Name:
Addre ' : Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is n conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consi eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accor lance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folic wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessoi V structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN NG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro dements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befoW- he first inspection. If you intend to obtain financing, consult with lender or an attorney before
com ncin work or recording our Notice of Commencement.
i s
Signaturo of Owner/Lessee/Contractor as Agent for Owner Signature ofContractor/License Holder
STATE pF FLORIPA STATE OF FLORA A
COONfyOF 5 - Lv c- COUNTY OFFt ! ,
The for'
oing instrument was ac mowledged before me
The forgoing instrument was acknowledged before me
this
day of Av GS 2014ny
this 3-- day of aQ6 v S 20 L�' by
ae
(Name f person acknowledging)
(Name of person acknowledging)
G�, -
/44.
(Si
Notary Public- State of FI I �INN'f
KAlj //,��
(Sign e o tary Pub ic- State of Florida )
P on
:K:o OR Prq�Lce'ia�an '_
P rson OR ProyttC;
Type
ification Produced •. $
Type of Identification Produced a� oN•''•
Commi
ion No. q 34 a'!,• _ (SeOl 'O
CFO V.
Commission No. 6 3 ;• ( al) `Y' ;
i Z •• o tJ 0 • ��
Z "600n lot
Revi d 07/ 15/2014 �,,',U o ;\\ Aura V
REVIE,
S
FRONT
ZONING
SUPERVISOR
PLA
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATE
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4/,"
COMPL
TE
I
INITIA4
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