HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONc
LLLw1PPLit I I-
-INFO MUST BE COMPI . _J FORAPPUrATION TO
PermiEA.
Number,
SCANNED
BY RECEIVED
' St. Lucie County
Building Permit Application
Planning and Deveiopmentsenrines �� r APR 12 2019
BuAdingand C
ode Regt�onDhWon ST. Lucie Cour;�r P nmi�F;n�
2= t%gfniaAvenue, Fortpierre FL 3WZ
Phone: (M) 462-1553 Fax: Im) 462-LWS Commercial T
Residentialy/
PPE,RM�Iff APPLICATION FOR: To Select from droas
pbax, click aiTmw at lIie end of jine
PQSED iM5?ROVEMENT I:oGg770N:
Address: i%C4 IJA
�.� c�r� FGIT
_
Legal Description: VE72 (, }p $ - o -
o7—g R 020 q "
Property Tax ID #: yL1aS— 'I�o 3 - Oo I3 - 000 g
Site Plan Name:`r, GHEl1E Lot No.
Pro•Iett,Name: T rt/ ,, p L� Block No.
Setbacks Front Right Side: /b ' Left side -L
DETAILED DESCRIf?TION OF WORK:
(f
8WR& 500 (TtiL:Go d 13960A..ie TA.jt< u G
Y-eAr-t,`l F,Rcp.T: JIAl6'Cr Fob AVAIL , G°qs .�..veS Tn
_ HVAC ✓ Gas Tank Gas Piping —Shutters
—Windows/Doors
_ Electric _ Plumbing —Sprinklers _ Generator
_Roof ® RoMpttdi
Total Sq. Ft of Construction: - Sq. Ft of First Floor.
oC'ofEorstruction: $ Utilities: —Sewer —Se
,.�.. _- --Septic Building Height:
OWNER'/IFSfiFPT, o
Tip Code: 4 0 Fax
Phone No.__172 -2 ) q - (v 33
E-Mail:' AA t7 _ iyAG w ly ti
Fill In fee sbnple Tide Holder on am P (H cilliererra
from the Owner listed abode)
Company.stitic[.i� CaunlTY PRopA„f
Addr�
City. N.rY state: -FL
Tip Code: 3t1 cii� Fax —
Phone No.
E-Mail: aVi
State or County License: OS 594 -= crwvft
ormore,aRECORDED6limtira..sr..•---_ - - oA-I.®
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name
Address: Address:
City: . State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE FOLDER: _ Not Applicable.
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
[.certify that no work or installation.has commenced prioi to the issuance of a permit
St Lucie County makes no
which is in conflict with an
structure. Please consult v
ermit holder to build the subject structure
covenants that may restrict or prohibit such
r 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 buildingpermit applications are exempt from undergoing a full concurrency review: Poom 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 pioperty. 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
commencine work or rerordinr, urnrr Nntira of rr•m m anrnm.n+
rgnakare6ff3rm :e
on c r
STATE OF FLORIDA
COUNTY OF��,r�`�Qr
STATE OF FLORID/.
COUNTY OF_ [1rF-,`L1CIP.
The fo going instrum ntwas acknowledge before me
this day of 20B by
The fo going instrum nt was acknowledged before me
this' day of � Z0to by
i
(Name of person ac owiedgiinqng)
(Name of person acknowledging)
(Signature of Notary Polio- State of Florida)
(Signature of Notary Public- fate of Florida )
Personally Known )t/, OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produ
6p TANY REDDI
StetbPNlorda-Notary Publi
v ITlArNY REDDIN
O0idaCommissionNo�
S-Notary Publi
.
=• • Commission N GG 190282
F; .;, •' Commission A GG 190282
My Commission Expires
=,Door �?� My Commission Expires
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