Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION_ _ s ALL APPLICABLE; INFO MUST HE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Date: 1��3 \� Permit Number: 4 " =RECEIVEDON ENIM Building Permit ApplicationPlanning and D@Wgi ment ServicesBuilding and Cod€ Regulation Division 2300 Virginia Avenue, Fort Pler€€ Ft 34982 Phone; (772) 462=1553 Fax: (772) 462=1578 Commercial Residential 7*1 PERMIT APPLICATION FOR: - ,A 1,01A /-r a cy is��Lt-o cv s 0k/z- PROPOSED IMPROVEMENT LOCATION: Address: ?,J 00 C-7KA040 ®HN AJF_. SCANNED Legal Bewriptlon: So JT�10rN 64K BsTAfe-T 4 o%r 3 6 BY eie oun , Property Tax ID#: 71Y°`f- 7/0- 00Y1- 00o-95 Lot No, 36 Site Plan Name: Block No, Project Name: So�Ff��,tf ©MKS Setbacks Front Back& 5 Right Side Left Slde DETAILED DESCRIPTION OF WORK: z7'6`r x 39' MAC4,SAA-D 9r'Arz(br4 /V06F POOL r-A4C/,QS )Pft CONSTRUCTION INFORMATION: III HVAC I- J Gas Tank Electric Q Plumbing Pl. Shutters Q Windows/Doors I I nkler5 Gen@razor 0 Roof = Reef pitch Total Sq. Ft of Construction: -/1 O73 ` S _-F_t_.I of First ioor: II Co56f Construction: $ / Z r O0 0 Utilities. I -Sewer u5@ptic Building Height: OWNER/LESSEE: CONTRACTOR: Name LYNX _',, DA I GAAi4 Name: -S:E 2 MA6# LS r-H41ra- - - AddreS z3oo CaffAda 0415 f}J• Company: ,i S �,44JSTferrr•J City: FT' PfP-Rclz State: - ` 7Ip Cod@: 3091 Fax: Phone No. 7T2 - 3>0 9 8 66 Address; 1379 S, ul, a L f/`f0,4� f- e 7. City: _Pe J�r �S—/ L oe le- Zip Code; _ 3 `!9 83 Fax; _ Phone No. 77Z" t3l?- F=Mail: cRAIyFArNJ�Z ad00 a G7"+ort• cow. FIII in fee Simple Title Holder on next page (if different from the Owner listed above) €=Mail; iSA ALAS / r4 D (AOL• c o FA State or County License; e cx rso76Lfz If value of construction Is $3500 or more, a RCCORDSA Notice of Commencement Is required. 11 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Ff3c- ACh-tS g 1°ef&9jzz2r'4 City: Zip: , I - FEE SIMPLE TITLE HOLDER: Net Applicable Name; Address: / City: Zip: — Phon . - --- MORTGAGE COMPANY: _ Not Applicable Name: Address: / City: State: -- Zip: Phone; BONDING COMPANY; _Not Applicable Name; Address; City: %ip; 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. e theJpermit held% to build the tiubject s>hugture Xrea for any restrictions which may a�ply.lblt such In consideration of the granting of this request%d 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 peels, fences, walls, signs, screen reams 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 as STATE OF FLORIDA ST_ 11 J G c 2 COUNTY OF The forgoing Instrument was acknowledged before me this Wday of QQV 29&by � T. WQ9zC a uL1 E Name of perso making statement Personally Known OR Produced Identification Type of Identification STATE OF FLORIDA ST J 2f� COUNTY OF L The furgein y estrum% tp was acknewle-0 W before m% this In of y91 b Nam% of person making statement Personally Known - 2� OR Produced Identification Type of Identification (Signature of Notary Public= Ste F i pp�� (Si nature of Notary Publlc= Btate Commission No. / _ —. �9MteleeKing�rootFbrl �% mission No.� _- �n7'�t %aneleary eKingblic �te ` My Commission FF nExpires 10127/2019 REVIEWS I FRONT ONING I PLANS CON T€R I ZEVI W S R€VI€WOR REVIEW I VEGETATION I S REVIEW I MR V €WV€ Rev