HomeMy WebLinkAboutBUILDING PERMIT APPLICATION66ANNED
BY
St. Lucie County
1 1.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date:t0440-15
Building Permit Application
Planning and Development Services
8u`Ydlhg and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phorfe:(772)462-1553 Fax: (772) 462-1578 Commercial X Residential,:-;
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10915 �OCEAN' :DRi, HUTCHINSON ISLAND
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Description i,123741 FROM S . WCOROF SEC RUN N 89 DEG 55 MIN 41 SEC EALG S UFOF SEC 726.29 MToWLYRIWAMT" N.23 DEG49 MIN31 SEC
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'-W'A1656 RIVI 566.32 FT. FOR POB, TH CONT N 23 DEG 49MIN 31SECW199." FT, TH S 89 DEG 56 MIN 22 SE.CW 273-2 FT,TH S 23 DEG 49MIN .31 S�EC E199."K,
Property Tax ID if: 4512323-0026-000-0 Lot No.
Site I Pla , n Name: Block No.
PrOJeCtrName: C '-'IMN UiLPkkkj0
Setbacks 'Front Back:_ Right Side:_ LeftSide:
REPLACE CANOPY LIGHTS WMA L.1&10 L\6—wvf
k CITAIL
dows/Doors
.Electric :Plumbing SprinklersGenerator �Roof-
'Total Sq. Ft of Construction'-. $ Ft of First Floor:
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Cost of Construction: $ 0, L�o
utilities.. Sewer Septic Building Height:
N M WCD
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Name
Name: EDWARD W. AIRS
Address; IQIo QM-PYS3 \1j C-Y
Company: GREAT DANE PETROLEUM CONTRACTORS
City:
Address: 1330S. ANDREWS AVE
City: POMPANO BEACH State: FL
Zip code: gn�,� Fax:
Phone No. SbZs -2nzo - Notp
Zip Code: 33069 Fax:
E-Mail
Phone No. 954-214-4087
Fill In fee simple Title Holder on next page (if different
E-Mail: mario@greatdanepetroleum.com
State or County License: EC0001046
from the Owner listed above)
If of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
ZIP: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City: .
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone: -
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
build
Inconsideration of the granting of this requested permit, I do hereby agree that 1 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 lnspectr i�a i you intend to obtain financing, consult With lender or an attorney before
r'nrvimnn.inn iun.L n.
_Signature of 4.w,,eessee/Agem Signature of Contractor/LicenseHolder -
STATEOFSTATE OF C0UNTY0F0Ro1�t�
COUNTY OF
The
this
Revised 07/15/2014
as acknowledged before me
20 jaby
The forgoing Instrument was acknowledged before me
this l Dday of #61 20 15 by
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(Name of person acknowledging)
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Stale of Plo`��j,j,u6�rh I -
(Si nature of Notary Public -State of FI
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OR Prodiice�rpve 't1 ajlon �9��
Personally Known._ OR Produce
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Type of Identification Produced
Commission No.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS