HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COivIPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 SCANNED Permit Number: 1 S
BY RECEIV70 NOV 171015 FPS -
• St. Lucie Countv i er us
Building Permit Application —ure&( er4-.A1,Ao
Planning and Development Services 0 8'
Building and Code Regulation Division ST-.r,/I I cbn �o'�,� p�+ 1 q
2300 Virginia Avenue, Fort Pierce FL 34982 G�' n 1
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential J
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line COVA 1�ell n» AA
Address: I�
Legal Description:
Prop
Site Plan Name
Project Name:
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ID#: -SY/% ".TO/ =1JC&-2,60-7 Lot No.
Setbacks Front /0 Back: i0 Right Sider Left Side: _0
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VAC Gas Tank
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❑Gas
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Piping _Shutters
tlp FAY.
®Windows/Doors
14
Electric Plumbing
❑Sprinklers
. Generator
Roof
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $
Utilities
Sewer 0Septic
Building Height:
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Name AL PA 4 I
Name: Gene Santoro
Address: S69S',
Company: Coastal Development Corporation
a City: S-1- Zey, C State:
Zip Code: 3 YfJ'Z Fax: 0
Phone No. 2
Address: 8569 S Federal Hwy
City: Port St Lucie State: FL
Zip Code: 34952 Fax: 772-871-7950
Phone No. 772-871-7900 10
E-Mail:72Ja—e or'd .i A_-Y
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) GorlP -GoM
E-Mail: gene@coastaldevelopmentcorp.com
State or County License: Cl�
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. —�r a�JQ
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utJlu IMtK/tIMU I IM ttrc: _ Ivoi Hppiicaole MORTGAGE COMPANY: = Not Applicable
Name: Name:
Address: Address:
City: State: � City: State:
Zip: 'aA/iV Phone: Zip: Phone:
FEE SIP
Name:
Addre<--
City:
Zip:
Not
BONDING COMPANY:
Name:
Address /�`
City:
Zip: Phone:
Applicable
I certify that no work or installation h comm361encedZ r to the issuance of a permit. 3 t/ y
St. Lucie County makes no represents ion 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 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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
r Notice or commencement.
ign u o caner/ Lessee/Agent SignaturoffContractor/License Holder
STATE OF FL011I4< �r"�� STATE OF FLO
COUNTY OF COUNTY OFD'Al Li Li
The forgoing instru ent was acknowledged before me
this I'7 day of NOV 20 1kby
of NoXy Public- State of Florida )
The forgoing instru ent was acknowledged before me
this day of n�J. 20 /5 by
(Name
(Signature of Noj^ Public- State of Florida )
Personally Known Y OR Produced Identification Personally Known )d OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. al TINAKRAUSS Co ission No. r
`1 53 22 65 ��^ _= J�� �I 22r�
'n r. MY COMMISSION I FF ',••. EXPIRES: July 29, 2019
g••>'iiC EXPIRES: Julv 29, 207 .?- amded Thry Nolary PuhGcUMer
nevisea Un IDIZU14
REVIEWS
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VEGETATION
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MANGROVE
COUNTER
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REVIEW
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REVIEW
REVIEW
REVIEW
DATE
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INITIALS