HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLEINFO MUSTBEOOMRFrEDFORAPPLICATIONTOBEACCU'f®
Date. \�1�1 1� Permit Number: �$ a' dad 2�
RECEIVED
o -
Building Permit Application DEC 13 2018
Panning and Development Syvices ST. Lucie ewii , f?2rmitting'
Building and (bde legulation Division
2300 Virginia Avenue, Fort Rerce R-34982
Phone: (772)462-1553 Fax: V72)462-1578 Commerdal F�sidential�_
PBdVI ITAF'PLIC4l1ON FOR : To Select from dropbox, click arrow at the end of line Oa
PROPOaDURUVBIII NFLOC MAN_
Address: I FSS'O 3 N(4c/i One Dr • �S[- 3Y 4k 7
Legal Description: Sec f !S �7a �� 3G5� e- 3$B Zgot AG S-
APro j c-rtS C-0E Z
Property Tax ID#. 3a lS - tf0 (— d0 ali'- 000 - O Lot No.
Ste Ran Name: Block No.
Project Name: a ner -reL
Setbacks Ront Badc llj Rght Sde: Left Side:
DETAILID DaMFmoN OF.WOW-.'
I S' x3�'. 6 , ,i,-4e 5,P1fini05 oo w( SCANNED
3dk SI' Cmecre-k DCe(t GOA &4eb BY
St. Lucie County
CO►VSTR1MON INFOEa111ATON:
i ion wor o e P orm un er is perms - a apply:
OHVAC LJCesTank ❑GesRping _Shutters OWindowslDoors
O Bedric El Plumbing 08prinkl&s EIGenerator Fbof
Total Sq. R of Construction: / S 3 v R.R. of First Floor:
Cost of Construction: $ Sd , Om J Utilities LJ Sewer 0 8aptic Building Height:
CMER LEA
OONTRACTOR
Name ,e F F / r- r" rY7 e i
Name: 5. M n
Address 14SS6 3 01 - c On a be
Company' S.' i'h r("' •
Oty: P f 51. L".e; e sate: F(•
Zip Code: 3Y 5?s 7 Fax
Address: aC as 5W Wt414.e ��-
City: f a (wr '1� 3ate:1
Phone No. 3a07- 7G
ZpCode: 3YQF6 Fax
Phone No.7 7 A a $6 7o 33
E-Mail:
RII in fee simple Title Holder on next page (if different
from the Oxner listed above)
E-Mail: S tC C Po ( S C.- M a; j . CO YvI
Sate or County Lioense: C- PC ir `l s 7 7 <yS-
Ifvalue of oonstruction is$2500 or more, a f® Notice of Commencement is required.
19JPPI..EMENTALOONSWCTION Uev LAW INFOMAMON: III
Name:
aty. -r k a V" ((, a. a e- Rate. f I
Ap:?al('a one:772 .oYVY
FEEsmFLETITLEHOLDER _Not Applicable
Name:
Address
aty:
71p: Phone:
MORTSAGEOMPANY' _Not Applicable
Name.
Address
City: Sate:
Zip: Phone:
COMPANY: _Not
Name:
Address
City:
Zip: Phone.
1 oertify that noworkwork or installation has commenced prior to the issuance of a permit. S�
regre rrpprofllbittsuah
dnirture. Ream consult with vour Home OwnersAssociation and review your deed for any restrictionswhich may apply.
Inconsideration of the granting of this requested permit. I do hereby agree that [will, in all respects, perform thework
in a000rdancewith the approved plans, the Rorida Building Ocdesand 3. Lucie Wunty Amendments
Thefollowing building permit applicationsare exempt from undergoing afull concurrency review: room additions,
accessorystructure$ swimming pools, fences, walls, signs, screen roomsand aooessoryusesto another non-residential use
WARNINGTO OWNER Your failureto RDoord a Notice of Coommencement may result in your paying twice for
Impprovernentsto your property. A Notice of Commencement must be recorded and posted on the jobsite
beforethe first inspection. If you intend to obtain financing, consult with lender or an attorney before
Thefor�pinginst entw admoWedged before me
this3gdayof.r 7 7s' 20 Y
�'_TCF� Y (APyj9'2 el'
(Name of persRn acknowledging)
Type ofIdentification Pr „rn MNOTARY Pi
y Comm
Commission No. 0Bld
Revised 07/15/2014
��� s
9gnatureof ntractorlLicense Hoder
SrAlEOFFLONDA
ODUNiYOP 5 -*. Lv c�e-
The forgoing instrument wasadmowledg� before me
this,�dayof p s c 20 _by
(Name of person acknowledging)
Type of Identification PI'o
oEM AWJUE
Qummis9on No.cornmtsg
Ommlbg em , , i
EXPIRM
BendedTlWNotVy PubrWUndemdte5
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