HomeMy WebLinkAboutBUILDING PERMIT APPLICATION- ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
- Date: tL-�—Iq Permit Number: UAL9r�
I�O�
SCANNED
BY
�• - St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services JUN 0 1 2014
Building and Code Regulation Division y l g Department
POrmRting
2300VirginiaAvenue, Fort Pierce FL34982 �,County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED_IMPROUENIENT
LOCATION:
Address:
I truce, ✓. =11 �� ; e12e L G
Legal Description: n 1 Y) T —
LPL LJO
3U/IZS
In �11—lZlo�/? `
PropertyTax lD #: - (�i_ ' �I
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�� l Z D �U U —2 Lot No. r-/
z ,t--� _
Site Plan Name: I yl d I A\'l RxyeV L%�, 1 k N2 s - F Block No. 9 5
.Project Name:
G'
Setbacks Front �� Back: � Right Side::) �J Left Side: 7_
DETAILED DESCRIPTION OF WORK:-
JeorK- 6460n lox 2d _<6r-e-eh :'ou>zi
olrG� ShbI Pifbuild .OL IZ sc,r•eop r00Vh
C irid slab
CONSTRUCTION INFORMAT_ ION:
Taclitional work to be nerformea unaertruspermit—check a app y
11HVAC Gas Tank [:]Gas Piping Q
_Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1Z is Z -66 S Ft. of First Floor. 3?�D
Cost of Construction: $ L1 I 0 660-0 Utilities:U Sewer Septic Building Height: U"
OWNER/LESSEE:
CONTRACTOR:
Name '' d
i Yn G1 Kp ve
Name: u C
Address:_ r:� Q
l o 5! 2u c e Y-
Company: / r 5
city: �Y ? i V VCP. State: � �
7
Address: 0 3 E cic-,m Im I sIl '
Zip Code: - U Cl� Z Fax: /%I �"
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City: F f IYf � Statrre``:_�
Phone No. 7 7 Z— ZI to 1 GJ(D 5
7rp Code:3 i•fg Q- • Fax: i 7 76i to f7ff .
E-Mail:
Phone No.
Fill in fee simple Title Holder on next page (If different
E-Mail ce J�c�r fit✓ �e0(�11�i
State or Coun tense:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address
Qty; State:
Zip: Phone:
FEE SIMPLE MU NOiDEItc - _ Not Applicable
Address
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name.•
Address
City: State:
Zip: Phone:
BONDING COMPANY: Not
Name:
Address:
tip: Phone:
I certifythatnoivorkorinstilladon hastnmmenced priortothelmrance of penhit
In cons! 13 on ofthegraming ofthis requested Permit+ I do herebyagree that I vAL in all respects, pet rorm the work
In accordance with the appmuedplans, the NokiaBulld(ngCodesand St. nudeCounty Amumdments.
The follmyingbuddingpennit applications are ewnptfrom undergoing a full cancvrreneyre&w. room addWons,
accessosystrucwres,swimmingpools, fences,waft sWw,screen-r=Vandaccessory uses toandawnon•residentlaluse
WARNING 70 OWNER: Yourfailure to Record a Notice of Commencement may result In Vwjraafttwlce for
improvements to your property. A Notice of Commencement must be recorded and stied on the jobsite
before the first Inspection. if you intend to obtain tinanicing, consult wide lender or an attorney before
STATE OF R.OFJ )A
COl1KffOF _Z 9 V�,t'xn
The fogF ft h►mtrment was admowdedged bdore me
ots_dayof 2014 by
11evised07115/2014
REVIEWS ' I FRoNr COUNTER I REVIEW ! SwR
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9IIATE OF FWItlDA ,
COUNWOF 7nA1
Thermpli Instrumentwasadawwledvilbercreme
this_dayof .20.14 by
RENEW REVIEW N 1 REVIEW I REVIEW