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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONRv3! REM OCT 012018 • • •Ailon ' • . r . I "fill r r r r • r• - r r r I r ,,, •T APPLICATION.� u� iqP •8. �' f 4 C,�!Pr ,� 1 4 , .,ED Ne f ••+�F •n..� �.�... �, a�yi..� �. Ck ''"ds• ����y 5$l.,yy, :1 'rkl �Ya}FI��(4[, --� 1.,� t<�,"�'eft1.��._` 41*� £ 3 1 -'a' s �: �' FjV.fl � ��� �D 11y�� �` �� ,�-���'�"`".' �t�a` �i��'r �;t"•�5+�"#�v L� �^ yr `! ��'' � c -E. -`- -. ��:.c-�. a ..-elvr.�. v�Eb: .:.r' r,.rk:23v.�-'.�3, L• �., .''c..u-'�.Y�i. ..'3 . z:X1si�+5., F_.:r9'`�.ai.J.:..'k.S�1_`�''-a..l�i'�+1.F3.�..�'�A.a."f�°'FC 'fu �'�-'.��it.� t_?.,��.^ - 3t :41 _J._��t:�cl j ..- � � •� I� ' fir � ��, � , ""6 .'.6lt.l..:.. ,t, _ �C _. �j� �3 �} r•� a� .l� _ 1 _ .1' 1-{ ly�'� A'4 "•a"F�'1'� k�v'�"�4 w.?'3; (3*f Ti=57�: i '47 ,# �r Wit' +1 ?'+LI ,x.N1 x' } �. �.a,...- " .. -� ',,>�i''+af'4 ~1---".1� t-r3.k�..a` -i, OUAe.'RS Y>,o- }l •w:.v 1. --+ w t.. '-_ S,e ... 5... C.J. .. r a+i'�..,..1 .� TMIar- (?r �,"' ti �y cFc��Ary 7c.Yi �VV ��gg��4� 4dY��3 �3 �'�'� i�`-k..'Ft`k `Zv-_i� �,}.. 'Y} fiT'4 +: -� f t 1" f� �".e 1 1` S'".ei � 9 -. ',• L.� '4. �'� .ijy i 4 ^'tr '.:"-.a = l '^C• Y_�LweL '' WJ t.t:.F m.ui+-.ue ..�"• �. Yi.:�-�.�•.�J ��-'. �! _i�F:P' r r - .ud�rh,d.�.ems'-.�.s..�'.�'•v��;''._:a.3-�.Yx,..�..,,.�;-=.....v.:���y,.-e�L.m,=sx�� aa?¢s. �-�,. �-- ""1°.a iC1 yY A,�if ��j3�ti ���11✓�.t4 571nv} rf H�q t`. L .Mvy 1 [ 'ttddl5 9 Yy.^a ?u�A-u.�4Y.w-..ii�-.�e.FiSi r Y i �I'j.-t Ii �..._�.E �� vu�+_..=CaLL.1=�L.r .SS��uSLe� � �' ar u..J__�u._-..-_t�'..1.��—��• N me city: State: �.• P •. . pis Code:Zip ffih,5&clel� State. No. Code:Phone Zip HolderFill in fee simple Title .. '■ ' ..Ii .1 zi from the Owner listed above)- , CiLLOYrn 7 39 MW GNER/ENGINEER: _ Not App Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address_ City: Zip:, Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to 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. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such structure. 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 accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory 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 improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. s. Signature of Owner/ Lessee/Contractor d Agent for Owner I Signature of Holder STATE OF FLORIDA STATE OF FLORIDA ,/� COUNTY OF 1 V llt'47COUNTY OF �1� 4 The forgoing instrument yias acknowledged before me this day of © 20 X by r (Name of person acknowledging ) (' ature of Notary Public- State of Florida ) Pe sonally Known V"' OR Produced Identification Type of Identification Produced JUtfINbAVIbcokk Commission No. �( ': "I)hublic-StatrofFlodde 5 ova Commisslon N GG 196519 y,oF ,.• My Comm, Expires Mar 14, 2022 The forgoing instrument as acknowledg efore me this day of r✓ 20 by < (Name of person acknowledging) o+ry $ J5 ( nature of Notary Public- State of Florida) x a:�++ a E E Personally Knowny / OR Produced Identification eO Type of identification z M No. 5 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.