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Home My WebLink AboutBUILDING PERMIT APPLICATIONOPMOf USE ONLY. DATE FILED' PLAN REVIEW r-� RECEIPTNO.: PERW17NUMBER: CONCURRENCY FEE: H RECEIPT NO.: CERT. CAP. NO.: - 3. 4. 5. 9. 10. MUST BE COMPLETE & FILLED IN TO BE PLANNING & DEVELOPMENT BURDING & CODE REG19, C2390 rh '' A ed " ca FL Pierce, FIFL 7n4ZI553 APPLICAMN fX �MDING I cERTmcATE of cApAcrrYMONING PROECTNAME: '61 PROPERTY TAX ID #: PROJECT S: — "S? �mlo� PLANNAIME: CIO, LEGAL DESCRIPTION (attach extra sheets if necesSary): VNIT PLATBOOK 10 6. PAGENO. 7� 7. BLOCK NO. —78 8. LOTNO. .3q- PARCEL SM (ACRESISQ FT.): Y4 "' 10KIA LOTDIMENSIONS: 80' )e 12,5— COWLETEDEScRIPTION OF CONSTRUCTION PROJECT ORWORK ACTP-qTy. S)NGL6 FAMIL.\/ a65) DUNG6 / jZZTeL_A C.6 M, _R�HOM It. SETBACKS (ACTUAL) FRONT 3q 32,1 BACK RIGHT SIDE: LEFT SIDE: /5'3V 12. TYPE OF CONSTRUCTION (Chwk sU appropriaW boxes) [,]/.NEW CONSTRUCTION FXPANSION/ADDMON DnMORRENOVATION 4RESIDENHAL COMMERCIAL INDUSTRIAL j OTBER(SPECEM 13. DESCRIPTION OF PROPOSED USE: -519(3L'S 14. SQ. FT OF 0 Tor-O L, 00 16. VALUE OF CONSMUCTION: S /00/ 000 _' )P6�,je_g mamismoop. SCANNED BY St. Lucie County Thvdav ofcon&acdm bused to datmufm the flWoot ofpmlh fiesto be awwaa St.Lu&CmatyrmmesdmrWtoqutWmnnffiff vduc ofcosshmcgon ifft Is danamtraW ffidthe mftftd ffFm mmut cDasiglout with dmau bw of constracdon aeffMaL Ifthavdae== REcORDEDNolioc ofCommumment mad ba submided VA& this appucation. SLcCpV Form No.: 001-02 UPDATED 6MI09 OWMER INFORMATION NANE: Sk. CCU= CO,� M. '5\/CS ADDRESS.� 4�7 0"�-7-WSr- Crly. Cr'q� STATE: ZIP: PHONE (DAfj-�,).e2l-), _q 6 -L - 1 -7 1 -7 EnjalL PLEA F IF SDOLE MfEBOIDER (PROPERTY OWNER) DIFFERENT FROM THE OWNERL[STED ABOVE, S 7fEE F]LLlIN ANDAD DRESSBELOW. FE&SIUMPLE, ADDWS: Crryf� STATE: ZIP.- ]PHONE'(DAYTHVIE): C_) CONTRACTOR INFORMATION ST. ofFL REG.CERT 9: CGC- I ST. LUCIE COUNTY CERT BUSINESSNANE: QUALOMSNAMIE: G4-51, OL�D/�V--JYSA ADDRESS: <�� lz N'j -0�0w-A CI'VZ,, Cfty.. �-),jXZT Sl--WL)g . - 1, STATE: z[P.- 3t6g 16 PHONE (DAYTIMM. (E� -3 -7 7�4 6 FAXNO.'77-L EMaff: 60--6-LeG111,�GICL-1,1 kRCfflT/ENG]lNEEM- G - 2-4�- .14nAllis-ti kDDRESS: /V- N'O I %R �J 12,vbm- j�& -rry. STATE. ZIP: 31/9 V L 'HONE (DAYTRVM): -0177 6 IONDING COWANY: kDDRESS, 3TY* STATE:' ZIP: 4ORTGAGE LENDER:- WDRESS: 31y. STATE: ZIP: NFORTANT NOTICE: When a permit is issued and it is not picked up within 60 days 2fter notification t will be voided and returned to you by mail. OMCT USE 019LY 0-b. us, 17 OF CE USI SE=ON r— 1, ir TOWNSHIP RANGE --Fo— MAPNO. ZONING pCW0N9Tnffl LAM USE LOTCVGo'6 TAZNO. FLOODzom Fmm"# IrFI.RELV. .6- M[AXHGr TYPE oCCUP THE maocem #OFFLRS T R WATER W A SEVNR SMIMMAUR, F LoTOFREC T 2C �S LDTOFREC LOT spur REQUIRED LOT SPLIT APPROVED /I Berare 111990 After 1/1"D k REPCIRT RADON CODE AREA FEE R Y LIBRARY LIBRA PUBLICHID P1111C C:r IMPAa PAM WACT 1 QIB INIPACT IMPACT FEE :A CORRECTION SCHOOL ROAD CRED]T 5116L, IMPACT Y N LAWENF MACT MACT FEE FEE FIREJEMS R�AY N DRIVEWAY ADMINISTRATIVE VARIANCEFEE BRACT REQUIRED FEE -I-- SPECIFY LREQUM MEOUNIC I/ ROOF NON43ONFORMING -V'- MISCELLANEOUS FEES SUBS 6 ELECTRIC GAS LoToFREcORD PLUMBING V DATESENTTOADDRESSINGl"-[l— REVIEWS FRONT ZONING SUpEpvisoR PLANS VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW COUNTER REVIEW REWEW REVIEW DATE z w6m '96 BE CEWED I5A--TE �7 LEFIALS CERTINCATION: This application is herelymodato obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if siplicable, fi)r the permitted work. I carffy that no work or installation has commenced prior to the issuance of a permit and that all work will be pmformed to meet the standards of all laws regulating construction in thislarisdiction. I understand that separate, permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, TANKS, AND AIR CONDITIONEM FENCES, ETC, not otherwise included with this buff&g permit application, St Lucie County makes no representation that its granting of a permit wiff authorize the permit holder to build the subject shructore which is in conilict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your d . ced ficr any restrictions which may apply. The following building permit applications = exempt from undergoing a full concurrency review. room additions, accessory stracturea (an types), swimming pools, fences, wells, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNM' yGUR FAILURE To RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR pAyINGTWICEFORMMOvEmENTSTOYOURPROPERTY ANOTICEOF Coh9VIENCEMIENT MUST BE RECORDED AND POSTED ON TEE JOBS11E BEFORE THE FIRST INSPECTION. IF YOU JNTE11-.;!x6-0BTAIN ]PINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFjRE RECORDING YOUR NOTICE OF COMAIENCEMENT. NOTICE TO APPLICANT: IF1TISN0TYOURR1GHrTffLEANDINTERl3ST THATISSUBJECTTO ATTACHMENT- AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF TBE CONSTRUCTION LIEN LAW NOTICE To THE PERSON WHOSE FROPERTY 19 SUBJECT TO ATTACHMENT. ZM-- V ,��Fj wwi 1 W:JT1W if) �4U-j (1JJ;'4 STATE OF FLORIDA -COUNTYOF- The foregoing Instrumout was acknowledged before me this day of -J-V -J6 20 11 by 6- 0 blM KV UZK I wholspersouallyt�io— or has produced asidentificatiom SigWItUft OLNUSTY Commission No. (SeaQ S ".,,XO (TORSIGNATURE, STATE OF FLORIDA COUNTY OF 1�,�+ - LUCA <- The foregoing instrument was acknowledged before me this la-d2y Of 1y) �4 201 1 by --==k0 rV, 4:�Z C-11 il\ who is personally known %-/ or his produced as identification. tureof, tary Commission No. I I Z-1 I ) NOTE: TWO (2) SIGNATURES ARE REQUMED. EACH SIGNATURE MUST HE NOTARIZED- IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERMUILVER, THE OWNER MUST PERSONALLY APPEAR To SIGN TMS APPLICATION IN TIJE OFFICE LISTED ON THE FRONT OF TRES APPLICATION. OWNER BUILDERAFFMAVIT WILL BE REQUIRED FOR ALLOWNERIBUILDER APPLICANTS. For specific instructions see appropriate permit cheeWbt. CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standafds of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. -St—.Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OR CONTRACTOR SIGNATURE X(f?07RACTOR SIGNATURE STATE OF FLORIDO �19 m STATE OF FLORIDA COUNTY OF , g�, COUNTY OF The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before me this __C-2-fday of 20 me this C �Pl 1) day of 20 by b w is pers nalb(�� or has produced is personally��V)v or has produced as idenfification. MW as identification. GI - Signature 0 otary ignature of tary Commission No. (Seat) fg. R Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERIBUILDER APPLICANTS. For specific instructions see appropriate permit checklist. —, , J