HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-ALL APPLICABLE INFO MUST BE COMP D FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 1.1-06 � 6 //04?
Building Permit Application f4unoo ejonj,js
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Planning and Development Services -(13NNVOR
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial vo'*' Residential
PERMIT APPLICATION FOR: Sign
ROPOSED IMPROVEMENT LOCA - TION:
Address: c111757Xt"". 'j4?c/- Fz;4v4.��
I -
Legal Description: a4MLO-4-
Property Tax ID #: 40 ft, eS40 -J- Lot No.
Site Plan Name: Block No.
ProjectName: C7ZgLVo& 6& 10--204f
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION -INFORMATION:
AaaitionaiworKtobenertormed under this permit— check all 3 apply:
EIHVAC F]Gas Tank DGas Piping Shutters Windows/Doors
RElectric El Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction; S L?z)
S Ft of First Floor:
Utilitles'll sewer OSeptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name 134'5e� U&
Name: 7:�dd;e
#eV;a- -70—
Address:_/giQ& 'A 77o-a*:;,k1;4
Company.:Wy/�O_ '?L002
6!-Qj?s kk(I
City: State: jCjZ
ZipCode: A�404% Fax:
Phone No.
Address:,TOO/ 10. 11r-jra.P?aZ(&_
%`W
city:
Zip Code: 39ev 2-9
Phone No. 1?13- 3T4P
State:IC-4
Fax:913-3?ep -.24 V#
- 1/ 39
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail:
(4kS e4o"
State or"County License:
,A.
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO�-ui'N LAW INFORMATION:
Name:
Address
City:
Zip: —
EER: Not Applicat
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY:
Name:
NotApplicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
#-'Not Applicable
Address:
City:
Zip: Phone:
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 holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that maN, estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions w chmayapply.
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, wails, 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
commencing work or recording your Notice of Commencement.
C
— Signature of
STATE OF FLD�M'V/ STATE OF FLOR
COUNTY OF COUNTY OF
The forgoing instrurqent was acknowledged before me The forgoing instrument was acknowledged before me
this4fa- day of 20 A:Cby this .25- day o 20 /6- by
�VA�E
person
(Name of person acknowledging)
(Signature-ToTNotary Public- State of Florida (Signature -oMotary Public- State of Florida
Personally Known OR Produced Identification Personally Known Al� OR Produced Identification
Type of Identification Produced— Type of Identification Produced —
Commission No. my cX(SRad)ION U EE161433 Commission No. _K - A1± U. �.
',�W EXpritEsj==y 19.2016 SVAW MY ODNIMM10016143
E)U%U3:JSm=y19,2016
Revised 07/15/2014
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FRONT
ZONING
SUPERVISOR
PLANS
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SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
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INITIALS
N
ALL APPLICABLE INFO MUST BE corvvl.�AV FOR APPLICATION TO BE ACCEPTED
Date: Azl!;g PermitNumber:
., �_- —.1 RECEI %,,r:o JUN 2 4 2015
60991111�� flonoo 9,3n, -js
Building Permit Application A6
Planning and Development Services (13NNVos
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial v"' Residential
PERMIT APPLICATION FOR: Sign
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
N
Property-rax ID #: A 4/0 S - 6'Oa - 0,094 - 43.0-6- Lot No.
Site Plan Name:
Project Name: 6ja4 'k 6,1z -w- .20,5
Setbacks Front Back: _ Right Side: Left Side:
Block No.
DETAILED DESCRIPTION OF WORK:
�v4jics zVJ0
CONSTRUCTION INFORMATION:
AdditionalworKto0enertormed under this permit -check all apply:
E1HVA 11 Gas Tank OGas Piping InShutters Windows/Doors
gElectric El Plumbing E]Sprinklers 11 Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft of First Floor:
Utilities'll Sewer EI Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: F1_-edd;e_
hkil;4_ Wt/_
Address: /9010 r-4 77o-anklM
Company ��,04
6-;QJ75 X-LC
C T- L
ity: &Wnol! State: j�%.
ZipCode: B�460_ Fax:
Phone No.
Address:.SoOO/
city: a_�w,&a_, State:-OLIC-71-
Zip Code: 3-1 ep 2.9 Fax: 1913 - 3 ?4P - .24
Phone No. ?13- 3W(o - // 39
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
5
A -
State or County License:
;kc% 1S G 5
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
61'
SUPPLEMENTAL CONSTRUCTIO I�ULN' LAW INFORMATION
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
y"Not Applicable
Address:
Address. -
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
v" Not Applicable
BONDING COMPANY:
Name:
&I Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: — Phone:
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 holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions yhi ic h may apply.
w
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
commencing work or recording your Notice of Commencement.
- Signature of Owner/ Lessee/Agent . X_
STATE OF FLORIDA
COUNTYOF
The forgoing instrument was acknowledged before me
this _ day of 20 __�by
,L
(Name of person acknowledging
STATE OF
COUNTY OF
The forgoing instrum nt was acknowledged before me
this M
-&- day � We- 20 Z.Y_ by
(Name of person acknowledging)
I L0&62�
(Signature of Notary Public- State of Florida I (Signature -o-fNotary Public- State of Florida
Personally Known —
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
(Seal)
Personally Known ol*� OR
Type of Identification Produce(
Commission No.
Identification
MWSSION 4 EE161433
J=-y 19, 2010
y H-X�YM��C.
- REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
VIE
REVIEW
..
REVIEW
REVIEW
REVIEW
DATE
7-26
COMPLETE
INITIALS
6470