HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA �APPLlr.ABLEINFOMUST6EODM(:. _11)FORAPPLWATWXTOBEACCEpfEp
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- St. Lucie Countv .
Building Perl Application
Planning and DevelapmentSe7w a
Bulldl m and Code Reg&Won Dhr4icn
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Phone: 1772) 462-1553 rage 1772) 462-1578
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I OCT 0 9 2019
'- ST. Lucie
Commercial Residential
PERMITAPPUCATION FOR: To Select from d
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Legal Description:
Property Tax ID#:
Site Plan NaMel
at the end of fine
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Lot No �
Block no. :
Setbacks Front Righ- t Side
--�_ 8adc /O .�_Left Side: 0
DETAILED ^DESCF�IPTION O - WORK:
£lam rt�, E}cis*r',IG G GAS Iroc APPRa X . $ T
LOSE % FEYD AkAJ CeolCT'�. 1iJ�11 � /OR 41ALC 0t
IoQ LiAti, -To aOxT.'P. Car/NLt7' PRIOR Gros kw1E N9111
— F".e
HVAC VGas an V n f/rhutt•
Gas Piping _SShutters
-- Electric _ Plumbing _ Spriniders
_ Generator
Total Sq. Ft of construction: -
S9. Ft. of First Floor. _
Cost of Construction:$ a • 10— litiNOW. _Sewer _Sept
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ZPC�#s"-=- 19 Fax: State— Addr
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Phone No. ��Z yr8 — 49,E cl
ZIP Code:
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FiOlnfee shrrpfeiltleHold2roarmap. �of•c Phone No.
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from the Owner tlated above) State or County
�+ ofrrQlon Is S7.SOU ormorGa RECORDED Notice of Con►mencementls
Windows/Doors
— Roof ® Roof piioh
Building Height
Fax
DESIGNER/ENGINEER: _, Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: _
Address: Address:
City: State: City: State:
7jp: Phone:
Zip: Phone:
FEE SIMPLE TITLE WOLDER: _ Not Applicable•
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City!
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACPOR AFFIDVrr: Application is hereby made to obtain
at permit to do the work and installation as indicated.
1 certifythat no work or inAallatlon.has commenced prior to the issuance of a permit
St Luce County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules, bylaws or andpcovenants 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 an 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.
�Signatore wnerf gentyrlrssee igna ce e . on ra`e iar%tivertse bider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��. �l aP COUNTY OF.(('\�
The Ding instrrJ�ntw acknowledge efore me The f Ding instrume t w s acknowledgedbefore me
this day of l J�_ 2a by �e
this' day of rr .- 29 lA by
1 °�ir�'(`l 1 ('g 11Y�P x�tlil • -;�,�
(Name of person ack owledging) (Name of person acknoibledging )
(Signature of Notary public-S to of Florida) (Signature of Notary Publio-.- to of Florida)
Personally Known _Y OR Produced Identification Personally Known X OR Produced Identification
_
Type of Identification Pr urpri Type of Identification Produced
BRITTANY REDDIN
Commission No ate(S�glpriaa-Notary Public Commission No. " 'w.,, Ce� ITTANY
N GG 190282 ¢s=(Sta[6
is Commission of Floride•Noter P lic
My Commission Expires Commission 0 GG
y 190REDDI
REVIEWS
FROA
PLANS
.VEGETATION
ebruary 28, 2022
ZONING SUPERVISOR
COUNTER
REVIEW REVIEW
REVIEW-
REVIEW. REVIEW
VJVUVU -
REVIEW
DATE -
RECEIVED
P
DATE
COMPLETED
ev.