HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
All APPLICABLE INFO MUST BE COI ETED FOR APPLICATION TO BE ACCEPTED 1
Date: I Ik' r(' Permit Number: 1
!l�
. _ a RECEIVED
Planning and Development Services
Building aind Code Regulation Division
2300 Virg;nia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit ApplicatitNovo 7 2o�s
T. Lucie County, Permitting
Commercial Residential
PERMIT
APPLICATIONFOR:
p (0) D COD
D D r� 4 t a�.9.:rF19$�
•�l1'-
Address: C9
Legal Description: _
12AV t L L A APILA7,4 B/ 9 k. LO 7-5
1.0 4 11 Co. aq�c
Property Tax ID #: o� �(oZ g D `p ®d d O Lot No. I 1 Cry
Site Plan Name: Block No. d
.Project Name: AAdeg C e1v^
I _
Setbacks Front Back: Right Side: Left Side:
e4 C f.s �As-h• k 4- AEPA91 w � V c-/ze `nP ,,�
IV
.ci L '4/r4 / R.&Vr 4 lace w �D//Ars' S�
Additional work to be performed under this permit- chec
—Mechanical _ Gas Tank , Gas Piping
Electric _ Plumbing _ Sprinklers
Total Sq. �Ft of Construction: 42 34"d
' oy
Cost of Construction: $ /Di 9)I0.
aii that apply:
Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
Address,�, 17..Q-%�!uy:c'c�.1'.14+�-•
City: `h p. eK CL- State: le-(
Zip Code: 3'� Fax: �-
Phone No. ?7a '1 • �a►70
E-Mail: 0iA! OL 4 KA- Old. Cd-P%
Fill in f I e6 simple Title Holder on next page ( if different
from the Owner listed above)
me
Windows/Doo1`rs Fly./ ��
Roof M2, Pitch �`
Building Height: ( Z
L
t
Address: r` I Y S� • f'E'7141't I -'C. ld '% / -
City: )0 • s� L • State: kc/•
Zip Code: L f Q s� 3 11 Fax:
Phone No %W - 5-I
E-Mail lR o Y p ('4Lg to �'�-MA; I - ctpy"
State or County License CCC W 313.2 6
If value of construction is 2500 or more,.a RECORDED Notice of Commencement is required.
L i
�UPP.: flT L ChiNNIT1UCll�t�l' �i A IC*0►1.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address-
Address:
City: State:
City: State:
Zip: Phone
Zip: -Phone:
FEE SIMPLE .TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
`rules,.bylbws
which is in conflict with any applicable Home Owner's Association or,and• coVenahts•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 consideration of the • rantin of this"re ue'sted perm �l d-' hereb"'a ree that'I'will, in all res ects erform'the work
granting 9 p' Y g p ,P
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'`hon-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 aftorhl,01y%efore
commenc,Wg work or recording our Notice of Commencement.
Signature f Owner/ Les" a/Contractor as Agent for Owner
Signature of, ractor Licens Holder •_. ;; ;.,. r
STATE -OF FLORID • ` ;,
:'`
:STATE•.,OF. FLORID'A.;!, :"
COUNTY OF Sr li tJt; I
CO'UIVTY OF" 1 0 t-t
The forgoing instrum��ent wa acknowledged before me
The forgoing instrument was acknowledged before me'
a
this � day of /!/Oy'tMb 2-r 20by
this day of W VeVM hV' , 20 I by
C
,(Natne'of person -,acknowledging)
(Name of person acknowledging) .
x�
(Signature of Notary Public- State of Florida)
(Sig ature of Notary`Publ,ic-•State,of:Florida )
Personally Known V
Personally Known
Type of Identification ,µrryy� Notary Public State of Florida
Type of IdentificationE
ary Public State of Florida
Produced +� Brandon Smith.',.;
Produced ndomSmith
'My ommission GG7137433
�xpues08123/2t121
ommIssion GG ,t 37433
iges 08/23/2021
Co'mmission
Commission No.e I
REVIEWS
FRONT
ZONING;: ::
SUPERVISOR
PLANS
VEGETATION;:
.,SEA TURTLE
"MANGROVE
.COUNTER COUNTER
REVIEW '
`t•REVIEW
REVIEW
REVIEW
'REVIEW,"" -
DATE
_r .,
., '" ` .
; • t,..:
RECEIVED
DATE
COMPLETEd4
ev. 7/2014