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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE]NFO MUST BE COS....-_ETED FOR APPLICATION TO BE ACCEPT(, 1 Date: 1/27/2015 Permit Number: J� SCANNEL) " • Si. Lucieie Coum<< cer Building Permit, Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Window/door Address1:W South US 1 Bldg No. 1 Legal Description: '01pI'A1// I_ t! Property Tax ID #: r/ % O� Site Plan Name: Project Name: Unique Tool and Die Setbacks Front Back: Commercial x Rei Right Side: Left Side: ) Remove 10 ft. door install 14 ft door. Grout cell or form and pour side, per plan.. iide tial •4 4 R'4 Lot. No. Block;No. column on expanded CO NSTRUCTION°INFORNIATION: AaartionalworKtObeverrormecl unclert is permit — cneCk all that apply: - OHVAC 1:1Gas Tank ❑Gas Piping _Shutters ZWindows/Doors 11 Electric 0 Plumbing Sprinklers [ Generator ❑ Roof Total Sq. Ft of Construction: © S Ft. of First Floor: i Cost of Construction: $ t 9, 6 0 . ®® Utilities: Sewer ❑SepticI Building Height: 'OWNER/LESSEE: CONTRACTOR: Name VAI / 406 TvaG• q�- P /—,:r A. I- Name: Dave Stabbert Master Builder dba Address: ,l -4/3 e0e T ff PC 24/ Company: Resort Construction Services Inc. City: 62,C7 '1?1" e•F State:Fl• Zip Code: Fax: 77o4 yG.r ,y'A Phone No. 7?,2 <fG y ./.',00& E-Mail: 0 7—b / A C (V, Address: 2637 NW South Shore Rd. City: Stuart State: Fl. Zip Code: 34994 i Fax: 772-398 4764 Phone No. 772-335-1658 Fill In fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: RCSI@stabbert.4 9 State or County License: ',CSC 060373 f it value of construction is 52500or more, a RECORDED Notice of Commencement SUPPLEMENTAL'CONSTRUdivA LIENLAIN INFORMATION: !" DESIGNER/ENGINEER: _ Not Applicable Name: Pamwelchmc. MORTGAGE COMPANY: x Not Applicable Name: Address: +9ea Sw anoaore SL Suite at 14 Address: City: Port St Lucie State: FL Zip:34984 Phone:772-res-ease City: Zip: State: Phone; FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit which Is in conflict with any applicable Home Owners Association rules, bylaws or and coven structure. Please consult with your Home Owners Association and review your deed for any In consideration of the granting of this requested permit, I do hereby agree that I will, in all r in accordance with the approved plans, the Florida Building Codes and St. Lucie County Ame The following building permit applications are exempt from undergoing a full concurrency re accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses WARNING TO OWNER: Your failure to Record a Notice of Commencement may 1 improvements to your property. A Notice of Commencement must be record before the first inspection. If you intend to obtain financing, consult with lent commencine work or recordiniz vour Notice of Commencement_ of STATE OF FLORIDA /cc `` / STATE OF FLORIDA COUNTY OF COUNTY OF The for n instrument was acknowledged before me this of _r�_F'yQC XA-Jb 20 /may �F' (; n� / 66 (Name of person acknowledging) (Sidfrature of Notary Put Personally Known 1� Type of Identification P Commission No. Revised 07/15/2014 The mg ins this day of person (Signature of Personally Type of Idf Notary Public — State of Florida My Clg Ifxpires Dec 3. 2015 - Commission Commission a EE 853579 I build the subject structure may restrict or prohibit such ns which may apply. . perform the work v: room additions, mother non-residential use ilt in your paying twice for and posted on the jobsite or an attorney before acknowledged before me . 20 ld":)y LI REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE j INITIALS I