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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APP)JI :ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) /- ppr�� /� // Date: Permit Number: / & t'J'T - 0///-o LtzM LT r - _ RECEIVED Building Permit Application SEP 2 6 201q Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Y PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line BY III I PROPOSED IMPROVEMENT LOCATION: -- OL ""'G """"`yl Address: 7-SO G LegalDescrption: VJf-� (fierce St'xxcS -yni-k 3 " G11--(6" LoT 3 Cof �3% - It Property Tax ID#: 60 - COU4- ( 1 Lot No. 3 Site Plan Name: Block No. Project Name: Setbacks Front 2g� Back: &0,720 Right Side: t0•ot Left Side: LO •A`L t (-DETAILED DESCRIPTION OF WORK:.. 2 t t� c5 s F ALL 3Lt"&Q I'-CONSTRUCTION'INFORMATION: 12HVAC Ej Gas Tank ©M�GasPiping LJShutters QWindows/Doors ElElectric © Plumbing (!'(Sprinklers 11 Generator © Roof 6: l2 Roof pitch Total Sq. Ft of Construction: `3 uUL1 t 2-LP4L( AL S Ft. of First Floor: 31(ac L4 Cost of Construction: $ 'L`Q5,00� Utilities: _Sewer © Septic Building Height: 15 OWNER/LESSEE. ..h. .....'r CONTRACTOR: - ... Name -_CQCf N S Name: mia0irtCL0._ So (,a S Address: 1.0200 9.0 Sie 1 Q*V Company: tvV1_ City: � Si I.t.ICte State:TI Zip Code: 3kA00;1 Fax: Phone Non" (�- 6--Zt-UIW4 Address: GGO C ack OOVE city: perk Q� I-UCLP Zip Code: rSaA� i� Fax: Phone No. arbL— Z52r MS State:_FJ I E-Mail: CptrxCtt'atxiP tcLoud, CDrn Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: Y�1SdLQS�3��I Q e7nc�a�t� . !►YI State or County License: C. K_ t yOGiSI n If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name:z5'L o T_ ,. -- - - Address: S65 R -) Mefcalll : P City:A - L4JcA& State:Ir- L Zip: -5L4oiR G Phone: I& -rt2- Z%x;-,0s-rz FEE SIMPLE TITLE HOLDER: _ Not Applicable Name- Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: C_hr1SAS¢A VLAg3ACAAI Il�� Address: ?ASS e" 8gbad tega roll lbsr City: L O 1M State:'_ 1 Zip: 32" 150 Phone: LA l 0.✓X� BONDING COMPANY: Not Name: Address: Zip: Phone: 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 and 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before STATE OF FLORID STATE OF FLORID COUNTY OF �LT•YIL �D� COUNTY OF ��. Inc_? -__ The forgoing instrument was acknowledgep before me this—dayof SBf�I r 20 lL by (Namaiot person acxnowleagmg l offlgz L64WA C Signature of Natarf Publi - State of Florida ) Personally Known OR ProduceQ i Type of Identification uu ollz r� P- 2 n - Slate 9{ Florida Commission No _ 4�_MyComirh3s1onExpims04j27/19 Revised 07/15/2014 The forgoing instrument was acknowledged before me thisdayof�arc�r—.20(tP by li\(l uQi elA r)n k(fS (Nameof person acknowledging) Personally Known Type of Identifical Commission No. Public- State of JUANRAp�jtR dory Public a o Flodda Commission# FF 153639 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 12911 INITIALS s, b3-o o k&t0tt cOM Ll �,� Lull -