HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO IVIVST BE COMPLETEDFOR APPLICATION TO BE ACCEPfEiY
te: PerrnitVumb6r:
SiCAN NED
By
Pip
Bull 6010 Mhp lication
_U
tEC
AUG 2 8 2018
Planninq and DevelopmentSetvices LST.Wcle County, Permitting
Building and Code.Regulatibn Division
2300'Virginia Avenue, Fort Pierce FL 34982
Phone: (7721,46241553 Fax: (772)462-1578: Commercial 'R0Mdontial
PERMIT APPLICATi(ON FOR: To Selectfrom drcipbox.,, dick arrow at -the -end of lute.
I Descrilption:&t1d; 61 VD A IJ' Wl-e,-Orb,ed Col- le? ;ft- /.2- 35,3q- tV 12 0
ierty Tax ID #:0319- LotNo,
Plan Name: -Block Nb.
Bet Name:
mcks: Front Back: Right Side:: LeftSide:
FAILED fPT I
of SW-nq 1c, -1-e. -sWay e- ov, P; W-W 4) 0(s IF IVOA 1, 16 -,/6`?`/`_5', / 0,
fqa� A,-Ch aea 16 ,A 170&FjeA,'_,bV,'j t
fr" j)0; j+ F11)& Nola - r4 16OP-1-
_jl!VAC, L.IGas Tank. "Gas.,P!
Electric Ellumbing
[]Sprinl
Tc :al Sq.:Ft of Construction:
cc�t of Constructiow.
911
�ng, DShufters
r s _16enerator
Windows/'Dppr.s:
Roof Roofpitch'
Sc Ft of'First,Floor.
Utilitiest"llsew,er []'Septic
Building Height:.-.
!;,e
N
A
C1
Zi
Ph
Er
Fiji
ft
�n 6 1
Name:
dress. S-77 I � "eve It At
Co'mpany.A;%d-)nej Rciof,'nj
V: v e-, 'State-..&.
Code- Fax:
'7
n e No 17- 2IC- 3LIZ
Address- 160'pl 15L.>.
Sq
dty:Nfe(Z6 r%etcjl, Stater
Zio Code
Phone No.�')')A, !�k, 9
ail: 171,10, 't 1,100117
in fee simple Title Holder on nexf'page..('If different
7 the Owner listed abov46)
E-Mail: M'fe.,k4V A-1,.t d 4.1,6-dw1
State or County License:
If volue-of construction is 525,0P. or more, a RECORDED Notice ot-,Lommencemeni is, requireu.
DESIGNER'; ENGINEER:
_!Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name: .
Address:
Address:
City:
State:
city: State:
Zip: Phone
Zip: .P.hone _
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY:`
Not Applicable
Narne
Name:
Address:
Address:
ICity;
City's
Zip: Phone:
Phone:
OWNER/ CONTRACTOR AFFIDV,IT:;Application is hereby madecto obtain a permit to do the work:and'installation as.,indicated.
I certify that.no.work or installation has. commenced prior to the,issuance of a,permit..
S Lucie: County makes; no representatiomthat'is granting -al -permit will, authorize the ermit 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.sdeh
st ucture. Please consult with your Home Owners Association and review your deed for any restrictions which mayappiy..
It consideration of granting of this requested,permit, I do hereby>agree that l WillJn all eespects,.perform the work
i accordance'' with the approved plans, the"Florida Building Codes and'.St. Lucie County`Arneridments.
T e following building. permit applications are exemptfrom undergoing a full concurremcy'review: room additions,
a Icessory structures, swimming'pools, fence's, walls, signs,,screen roo,ms'and accessory'uses to another'non-residential use,
ARMING TO OWNER: Yourrfailure to Record a.Notice of Commencement may resuit in your.paymg twice for
i provements to your property,. A, Notice of Commencement' must be'.recorded and; posted on the f fib
bieforeahe first IW ection. if you intend to obtain'financing, consult with I63der'or"an attorney before
commencine�uuM•cir recordirie vour Notice.of. Commencement.
OF FLORIDA. I� - STATE OF FLORIDA
rY' OF 4+— C, i.L COUNTY OF bt.C-L
e,for ing.instru ent was ackn wI dged before me
s day of d [z by
rMfnGi.
Name,& person making statement.
rsonally'Known'' OR Produced Identification V
T.hefo�rrgg�oing instru nt was acknowledged,before.me;
this (_N'day ofC` 20 l`by
M . C%/ID..P../ 14 ,Jlcry 1/c
Name of -
person making; statement
Personally Known_ ORProduced'Identifcation
Type:of ldentifica on
Produced
(Signature
r . Noy P�uhl1t -State of Florida
mmission No: 4t Commission No.$ea taryPubhc Statedl
i ion;CG09991�
y u Commission GG 05
,ep r My,Comm Expires lv,ay,7, 2021 v O- My Comm. Expues'May
,,.,;.•• Ba�C:dthrcu�rhaii„er��ctary,�4sr� ��;•;��' paa;>cdttaogah:A'aiiccalNc
EVIEWS FRONT ZONING SUPERVISCiR PLANS1.
VEGETATION SEATURTLE MANGROVE:
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
TE
8/2/11