HomeMy WebLinkAboutBUILDING PERMIT APPLICATION- is,NEIL
ALL A PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat -6 Permit Number:
pf
D DI
11 Building Permit Application
Plan r ing and Development Services S E P 19 2018
Buildin 'I g and and Cd Co Regulation Division
23001Virginia Avenue, Fort Pierce FL 34982 Permittin Department
P or,' lel: (772) 462-1553 Fax: (772) 462-1578 Commercial Re g1tia
Cgunty, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO,RjOS ED IMPROVEMENT LOCATION
Address: 36(96 104) Xr-jell-C
Legal I escripti o n: ( Vt li,4yj C-i6 G7.3iQ� L
Prope Tax ID #: t?03-0c>7,t,Q0,0,00 Lot No.
Site PIt qq2
Name: bw4c." Block No.
Projed Name: "ts s4m, ve"'e.-C,
_J*4�
c I
Setba!*s Front d6w kr) I '1k k: I -.T-qLight Side:.y -keft Side: ydl
DETAILED DESCRIPTION OF* ORK
,.s; c�� 1 2�5 of y' �(�r�l.. A
CONSTRUCTION" INFORMATION:
A ditiDnal work to be performed under this permit — cneCK all apply: VAC Gas Tank []Gas Piping Shutters a Windows/Doors
I.
lectric ElPlumbing []Sprinklers ❑ Generator Roof Roof pitch
Total Sq . Ft of Construction:
,
Cost of Construction: $ -,,730D. 00
1]
S . Ft. f First Floor:
Utilities:ln SewerF]Septic Building Height:
WNtR/LESSEE
CONTRACTOR::'
NT
Name buc:,
Address: 3D58 &Ahik LJ&4
Name: AA ta&e A I J-e-rk-e..—
Company: 1jY, "r- " rimt
�r4da-ps /r. e-
city: �111 Val*- b6 State:(,-'
L
Address:.?100 I..-) 6>rraw-(, 4r-
Zip cc'l '6e: 3qlqL( Fax*
City: 15t,
State:
Phone No.
Zip Code: -3 Y?' 3
Fax: -77,7- 1? q
E-Mai
Phone No. 491
Fill in fee simple Title Holder on next page (if different
E-M ail: C & C.. 4 (kroi ow%.
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from t. I e owner listed above)
State or County License:
If value,,of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0
DESIGNER/ENGINEER:
Name.
Addr'1,1
City: I
Zip: 'I
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
I State:
Phone:
FEE SIMPLE
Nam(I:11•
Addr
City:
Zip: 'i
TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
ass:
'i�
Phone:
Zip: Phone:
I certi:1 that no work or installation has commenced prior to the issuance of a permit.
St. Luc County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct 11ee. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In conll��deration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc " dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
ii
The fo i owing building permit applications are exempt from undergoing a full concurrency review: room additions,
access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WART IING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impri ivements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo 'e the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrencinR work or recording your Notice of Commencement.
of Owner/Lessee/Contractor as Agent for Owner I Signature
STATE OF FLORIDA ^ STATE OF FLORID4
COUNTY OF "5 / w r~ r 0 COUNTY OF 'r11c,
The forgoing instrument was acknowledged before me
The f I�ir oing instrument was acknowledged before me g g g
this � day of 20 Ley this day of �� �,1T= 201�_ by <
of person acknowledging)
!71`2
(Sign', "ture of Notary Public- Staff of Florida )
°•�.,�
Per fall KnoOR Produced ld�'l�/• 4Vi
t
Type'wK
tificatio Producedpps
.;
Corrlission No. ` (S,e
ON 093823
f . 9'• dZA��ded two v -Cam,
Revised 07/15/2014 ��i�j,'te['b�+c unea* •�o`N
REVIEWS FRONT ZONING
COUNTER RE IEW
DATE 'I
COM ; LETE
INITIALS � • ,
N1111111NION
Pe ovally K wn OR Produ iRR
Ty of I ntificat- n Produced \ ' • • •'' • d ♦�i
>F��ommission No.��6� : �( al) °� =
a s*;
s OW MA23
� y are u�d� . • o
JPERVISOR PLANS
REVIEW REVIEW
VEGETATION I SEA TURTLE""j'MANGROVE
REVIEW REVIEW II REVIEW