HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONul APPLICA LE IN O MUST BE COMPLMD FOR APPLICATION TO BE ACCEPTED i'
Date: I SCANNED Permit Number,
St. Lucie County
RECEIVED
Building Permit Application APR of 2019
Planning andUevelopmeatSeivices ( ---
Building and Code Regdlation Divkkon Permitting Department
2300 Virginia Avenue, Fort Pierre FL3498t St. Wale County
Phone: (M) 462-1553 Fax: V72) 462-1576 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at
Address:
Legal Description:
PropertyTaxlD#:_352-4:- 00 -ODO-a LotNo. -�
Site Plan Name:,- 6 .70jt- /�67�,Q Block Na. .
Project, Name: t �1c 1� L 't Y �e .r s .
Setbacks Front ! CJ t — Back: i 0 Right Side: /D _ Left Side: ly '
'3u.R� Asa G•t�>`i QRoQtii.le ! Nu .j...� G .,.;,, 5 r .,,�e� ..,.�o . �a`:;, �., �,�<;
IdPP�bAr(CES. �aFSTL
SAS �.rveST CaokToP, (�°R,C.[_r (2� �Qep Esv Codnlec�t- �,/1 � �IQkoie: ,=:
_ HVAC ✓ GasTank✓Gas Piping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction_
CDstofConstruction:$.. ays00
Zip Co e: 'AUW;7- Fax:
Phone No._St/-%4g- 5400
'E-Mail9A,4tQ?Y06* /i wP .4 cam, Cok
_Shutters
, _ Generator
Sq. Ft of First Floor.
UtiI'btes: _ Sewer _ Septic
R
RB in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company:
w
-Windows/Doors
_ Roof Q Roof pitch
Building Height -
city: I'ALA-C Cb7Y State:-
Zip Code: _ _qT 0 Fax: �
Phone No. - G 2r; - �j 3-�
E-Mail: - 1AV i CcAm oFX gQjILA v A4,
State or County License: O5S4 j y - $x-re-
I
of coiiswcbon is $2500 or more, a RECORDED Notice of Commencement Is reaulmd. ,
An
r
DESIGNER/ ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE ITOLDER: _ 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 d permit to do the work and installation as indicated.
(,certify that no work or installation, 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 buildinppermit 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
commencing work or recording our Notice of Commencement.
<. F • wn�e $�7;% L.-esseea
�si�ls
Or �Fa - e
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ��Lii(%le,
COUNTY OF
The forgoing instrument was acknowledge before me
this�dayof MQ�yrk1 20by
The fo oing instrument was acknowledged before me
this'dayof LA ron. 2QA by
i
iIinn 11 w'i n_•
Dam A owby(wn
(Name of person ackno ledgmg)
(Name of person acknowledging)
(Signature of Notary Publi -State of Florida)
(Signature of Notary Puh is -State of Florida )
Personally Known X OR Produced Identification
Personally Known _K__ OR Produced Identification
Type of Identification Produce
of Identification Produce
BRITTANY REDDIN
Commission NO. Q r" of Florida -Notary
/[]� � ll""',, B ITTANY REDDI
ission NO —lo °� �4B�F-"BN Floritla-NOtar
-
;y mmission B GG 190
My Commission Exp
82 _, � Y Pu
es �y = Commission 8 GG 1902
c
- �da,,,,•` MY Commission Expire
REVIEWS
FRONT ZONING
PLANS
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SEATURTLE
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SUPERVISOR
COUNTER REVIEW
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
DATE,
RECEIVED
i
DATE
COMPLETED
ev. 7/2014