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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOBAPPLICATION TO BE -ACCEPTED Date: Permit Num - -:_ i'—ems:,. .> , Building Permit Applicatio JAN'3 1 20.19 Planning and Development Services Building and Code Regulation Division Permitting Department --2300'Vrr_9inioAvenue,Fort Pierce FL34AR2 St. Lucie Seunty, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Aluminum .:I�R�� SOS,�Nt�R����.�1I11,��.O�,CA'�l.O�iz��•�,�'"��a �,,,��,���`���`�v����`_ Address: 16183 CARLTON ADAMS ROAD, FORT PIERCE FL B Legal Description: LUKES LOTS LOT 9 I. — PropertyTax ID #: 2236-700-0009-000-3 Lot No. 9 Site Plan Name: Block No. Project Name: SWAIN Setbacks Front N A Back: f , Right Side: eft Side: #F N•"a" ixETpC%451 {� IPTI 'MNM GVI 5��5 by 7 ooZ�erm`I-1— EiF%c t ?car wX r+.3' !3�2""`�s' °x".` ._ ^�.44'> np1i9i rt ""•eFa i d 'Pr." CO,VSTt2€ INFOATf© 'k ' 6� NlxN '.....v..,,. w c"d .�•.w .•Ci +,v. :£a. K .a..'m..a7+.S u�AX+i .•�... € '�..�' Additional workto e e orme un er ispermrt-checka apply: I�HVAC �GasTank ❑Gas Piping _Shutters ElWindows/Doors Electric ❑ Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ $r/ 35o, 50 Util'dies:nSewer F]Septic Building Height: s „�C R/�E� %i k,,,i. 01 ze l 'i V f s sy �•" �'#.."w OMM. �,.6 A ./ is t i4",r 'p Name WILLIAM AND RITA SWAIN Name ( 7T I J AkAA Address: 9086 107TH CT Company: i npg( ZScwn Co. Tnc. 1k City: VERO BEACH State: FL AddresA: b g D- z Zip Code: 32967 Fax: I �W City: _YO%i— , 1.1A!• i Q State: FL Phone No. Zip Code: 3�(. 1S 7 Fax: E-Mail: Phone No. -923 -illU-(tM3 Fill in fee simple Title Holder on next page (if different E-Mail; �l U✓I�? SG! �R S/U� CL{L( from the owner listed above) /2�?J`/I State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. J4^` 5iPLEMl�TG STULTONt1EN !` DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: otApplicable Name: j Name: Address: M 6Qy_U Address: City: State: City: State: Zip: 330a-a, Phone: l - - �% — Zip: Phone: FEE SIMPLE TITLEHOLDER: _ of Applicable BONDING COMPANY: _L14ot Applicable Name: - — Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 1 certify that no work or installation has commenced prior to the issuance of a permit. bt. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in con id with any applicable Home Owners Association rules, bylaws or anti covenants 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 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 jobsit before the first inspection. If you intend to obtain financing, consult v�ifh lender orttorney before commencing work or recording vourNotice of rommPnrPmpnt // STATE OF FLORIDP8t 1 1 i /1, p I STATE OF COUNTY F ORID/� r I L, COUNTYOF �LJJ 1 L VI1, lJ �3t 1 The f Ding instriIment7vas acknowledge efore me this day oftlQl lldU 201 by W1111a nJeM ,Swain (Name of person acknowledging') (Signal r of Notary Public -State of Floriclkh Personally Known 1, OR Type of Identification Produce Commission No. Revised 07/15/2014 The forgoing instrument �waass a accknn�o/wledged before me this ,�day of�h20 1 Jby (Name of Type of rtzry Public - State of Flori a Commission a GG 249625 through National Notary All,. of Notary OR Produced Identification No-c- aa-& -1 � l i Notary Public State of Francene Newman Y-Eennniasien6@i2n22 e.n� Expires 05/231 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE )cJ INITIALS