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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CCy, ,_ILETED FOR APPLICKIR W ACCEPT,, Date: 1 � � ���o E3YNtU Permit Number: St tv f_UCIe,COIJn ..s i{ RECEI`_'_D JAN 081016 JAN 1.1 .2016 --I Building Permit Application Public Won, Planning and Development Services St. Lucie coy t r_ 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: PROPOSED INPROUEMENT LOCATION: Address: 2 ,S-62 Zod-rP i�EP_,6 L I•4 ly/y POg:' S\" U 7�.1E1 9 RE i oani nacrrintinn• DOL IM,& \ II<7<& %fZ_A-K-</Kl.r S CPrt r- 0 RJ AC� �• Z P AP 3 27- s P erx t, #: 28dooZ — Lot No. Site Plan Name: N zl�s Block No. Project Name: —5D Ji v ,A RRANCer�nris I NET aIOR0i — n,,IANTr IrM eaalnN 3SM5 Setbacks Front Back: Right Side: Left Side: iamonai worK co De perrormea unaer mis perms-cnec Mechanical _Gas Tank _Gas Piping Electric ✓ Plumbing _Sprinklers Total Sq. Ft of Construction: I Zg Z _ Shutters _ Generator Sq. Ft. of First Floor: Windows/Doors Roof 4 nstr -rM$ 16 �00. Utilities: ✓Sewer _Septic Building Height: �© C©NTRACTOR: Narpe Name M Addrenssoi0i6q`S.� So Qc ' }Cmt.�000� i�r 0 W Company ,'(� lrJ .•Cc T-RUS DN IN - City. pt; �•`)` i�C� 2 State: f l eAddress� !_ Lcor'JO.(1b L-AN;c Stater Zip Code: Phone N `173 • 337 • 5310 Zip Code: 34-9 Phone Nq-77Q 7_<0 fj[13G Fax(772)7_63 •-40y E-Mail:Ia94 ©A AU;u ..[ori Fill in fee simple Title Holder on next page (if different E-Mail p a 5 D c _I State or County License CR G 0 3Z 6`f from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. t7RRLEV1 `,AL CO;�S4TIR,,,,� "�. TON OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtaih' a permit to do the work and installation as indicated. 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 wild 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. 9 In consideration of the granting of this requested permit, I do hereby agree�t�i'afI 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 concurr y. review: room. additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and acces�s'oKcsegto another non-residential use e 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.Af you intend to'obtain:financing; consult with lender oran •attorrl`2y before ' commencingwork or recordingour Notice of Commencement.0 oil 0 O'n kA 0i'dew 1" &&0 ev. e �. DESIGNER/ENGINEER: Name:AN�RrI�+F��SSocW.t�s�ARck�S�P Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address:2674-��- 4.�I�-t-.ouG�l6Y 64U� Address: City: T Zip: 34�_ Phone 1 State: �L� 2 220 — O City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _Not Applicable Name:��IM�lj20&SIN(,- LLc, Address: f��=�UI�S�i'=77(ulil����C70 City: CA - � BONDING COMPANY: Name: _Not Applicable Address: City: Zip: Phone: 66 — 2 0 Zip: Phone: Signature of.Owner/. Lessee/CI tractor as Agent for, caner Signature of Contracto icense Holder STATE OF FLOR STATE OF FLORIDA COUNTY OF^������_ ' COUNTY OF ' The fQcgging instruiQie t was acknowledged before me this day ��, 20}� by The forgoing inst ent was acknowledge before me this day of AM 20/� by of 449_t Name o person acknowledging) (Name of person ackn Irk (Sign Public- Stat f Florida (Signature of Notary Public- S to of Florida ) Personally Known OR Produced Identification Personally Known OR Produced I ' Type of Identification Type of Identificatio MICHELLE THOMAS Produced ,�ApILSSON#FF100795 CommissionNo,IVo181yuMk.Stet®ot�i'•��EXPIRESarh23.2018 No.7eFF.'�ervlrewm J CommLssblNfFfission olunm.b.,201 laotl oeaarsa Floaea mery . .REVIEWS., .FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE 'COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE , RECEIVED i 71 DATE COMPLETED ��