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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i�' I Src �nwYe Permit Number:
1 e (amp SCANNED
St. Lucie County RECEiVED
Building Permit Application
Planning and Development Services MAR 18 2015
Building and Lode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Addition
PROPOSED IMPROVEMENT LOCATION: ,
Address: 5701 Orange Avenue, Ft. Pierce, FL 34947
Legal Description: 12 35 39 W102.4 FT OF E 135.4 FT OF S 228.5 FT OF N 261.5 F OF E 1/2 OF NE 1/4 OF
SE /14-LESS AS IN ORD TAKING CA#82-13M5-(0.46AC) (OR72-515;. 1874-233; 3622-1068)
Property Tax ID #: 2312-411-0001-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OF WORK:
INSTALL DECK 5a' X ) '
Wain.
CONSTRUCTION INFORMATION:
Additional work o be e orme un er !siill 11 !1 ec a apply:
EjHVAC ❑Gas
Gas Tank Piping _ Shutters ❑ Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of construction: 636 S Ft. of First Floor:
Cost of Construction: $ 5200. Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR`.
Name WEST OF TOWNERS LLC
Name:
Address: 5500ORANGE AVENUE
Company:
City: FORT PIERCE State: FIL
Address:
Zip Code: 34947 Fax: 772-464-7404
City; State:_�_A -
Phone No.772-489-2627
Zip Code: afft-�— Fax:
E-Mail:igm0l@00mcast.net
Phone No.
Fill In fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County Licens 10 J
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,.
DESIGNER ENGINEER:Not Applicable MORTGAGE COMPANY:: Not Applicable
Name: CoekB Mererd Architecture inc.
Name: tD Bank
Ad dress: eoa Delaware Avenue
Address: 2211 Okeechobee BNtl
City: FL Pierce State: FL
Zip: 34950 Phone: rr2a50-n5I City: Fort Pierce State: FL
Zip: 34950 Phone: 772466-2066
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
BONDING COMPANY: Not
_ Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that nowork or installation has commenced prior to the issuance of a permit.
oy
which is In Count makes
anyapplicablelHome OwnersAsssociationi rulesauthorizebuild
bylaws orandpcovenants holder to
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 on the jobsite
before the first inspection. If you intend to obtain financing,
consult with lender or an attorney before
commencin w rk or r—wA;ng your Notice of Commencement.
-4
Signature of contractor/License Holder S
_ Signature f wner Lessee/Agent
STATE OF FLORIDA
COUNTY OF S>L. L w�i
STATE OF FLORIDA
COUNTY OF
The for sing instrument was cknowledged b fore me
this � day of 1, 20 �by
The forgoing instrument was acknowledged before me
this _ day Of . 20 _ by
h G. (Ai ile-1-
(Name of person nowlednging` ))
(Name of person acknowledging)
�ac
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida )
Personally Knowny OR Produced Identification
Type of Identification Produced
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. IFF60 6 ew #i�TRICIA A. HOW
ommission No. (Seal)
M BIYDOSOASSION Y PF06
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
SEATURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS
05/01/2015 16:06
7725974254
Name: Caka MCMWd __. •rr••,...,.c
Addicts; aoe �sro Awmic
City: FLPinm State: Ki
Zip: �`°�0 _ — Phone niaett•rn,
—"'^•r�,rracnvapEle: Names —•
NotApplicable
Address: -- -
City:
Zip: Phone:
MCFR STA�24
PAGE 01
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MORTGAGE GDI-* PANY:
NotApplicable
Name: tumnc
_
Address: N+ a.
City: FoRPlera:-
Zip:
P.
-.State. h'ona:'r;z.eoaro
a
DONOING COMiLAY7 '� t
Name:
Address; -
City: ---- — -- __
1 co"ry that no work or instellatior N!S Commented prior to the issuance of a permit
St, LUCIe CpunI mek ro rgpreragtdtion that Is grarre a Limit will authcrlCe the . t
Win is in Kant IttvAth any aPPI'tabblla. Home Ownen as eefatlon rule bylaws oran ;,1 : hnidel to build the subject structure
structure P.esse consult wiM your Home Owners Association and review Yourdeod fc, s ly rrest� rto s wyhrestri y arpprgyhibitwch
Inconsideration of the granting of this reauested permit, I do hereby agree that I will. •, „ " re,.pect; perfPghhthe wont 1
in XcOrdanca with the approved plans, the Morida Budding Codes and St. Lucie Count, hr lencmert..
The Following building permit appilcations are exempt from undergoing a full concurro .r y ,evirw: ram additions,
accessory structures, swimming pools,fences,walls, signs, screen'oomsandaccessur, v•-stcanoher non•resloendaluse
WARNING TO OWNER: Your failure to Record a Notice of Commencement r,a,. result In your paying tw1Ca for
Improvements to your property, A Notice Of Commencement must be re: # der! and posted on the jobsite
before the first Inspection. If you intend to obtain financing, consuh %virf IL •der or an attorney befor
eommen fl rk or recordln ur Notice of cmmnlencemen
Signature er Lassw.l.' �—. 7_�._
F,
STATE OF FL4
COUNTYOF__
The fo clog Instrument was cknawledged I,tefore me 7h�
tF.is•dsyof� 20L:Lby this
7—fYl� Ili r
(Name of personn ec nowlidgi�
(SlgnmtureofNotarypu lie-SriteofFlor!daj 1 fig
Personally Known Y OR produced identification I Pe t
�y�en+7tlendfimttan P"Oduced 7
Commission Mo. �_ �, r^^Nt^
0 t�e�'l 04 A. HOW mr
Revisec107/,15/2o1C 11 •
dog Instri,m a•I .yes asknowiedgcd bofiuns me
day of �(a W 2b
,C-
finally known ` OF ties
of Identittearion 1 :_; iuced
2016
LINMIABS
LFRO ZONING SUPERVISOR I PLANS VEGETA t N SFaREVIEW REVIfWIREVIEW RME"r THRTLk I AMNGROVE REVIEW REVIEW
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