HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETEL_A APPLICATION TO BE ACCEPTED
Date: 0112112P1 co
Permit Number: l (gn) - O
_ SGApN\,NED
St Lucie Courlty
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
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PERMIT APPLICATION FOR:
`'[?RUPOSI DiV1VPi0UE1V)ENTLOCQTIQN_n;,t� ;k= ._ w>
Address: 4400 1C%,% rw; rkAs -pr • rot} I-P, e_rce.i F1 .
Legal Description: �(ec�se Ctlxch�d,
Property Tax ID #:
r66
Lot No.
Site Plan Name: awvj�nds ! 0OW COUV,� Block No.'
Project Name: 'VirQ. SpY%rtkler 5, f cS n
Setbacks Front N A: Back: N A Right Side: NIA Left Side: NIA
,-+-bur Concrek- i I2x30, %r tns�al\a:ion {►'rt SDr•1nu,►�4G an15
N�-•:T;�-!z. S�r�nKter s�skm Uhder seperaac• •perrn�-�•
_Mechanical _ Gas Tank ' _ Gas Piping Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers — Generator _ Roof
Total Sq. Ft of Construction: :!190 4
Cost of Construction: $, 500
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
',OWNER/1 E55EE 9
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C®NC?ATOR >, ��..,
Name . LLr-ir- Couni4
Name: Mca4Ytcw Wbernn--%
Address: 2''rDy'r9�n'io� A.t2
Company:�;hcw Wccrnm,l Coyish uc oni7Nc.
City: fir+ i�i¢ rcc State:G1 ••
Zip CodeyS S-L Fax:(-4-4l7
Phone No. 4-0Z• 1432 -=)TMj lynr%-P�d- K
Address: Z n'Rd
city: State:l_
Zip Code:'549'IS Fax:
Phone Nd �4�� 5q5 •221te
E-Mail: qryr%ngS}•Ivcie�.orq
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Fill in fee simple Title Holder on next page (if different
from the Owner listed above) t„
E-Mail
State or County License CGC 05 L0043
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
_ Not Applicable MORTGAGE COMPANY: Not App
Address:
S e: City:
hon• e_T— Zip:
Not Applicable I BONDING COMPANY:
Address: / • _: I Address:
City: City:_
Zip: Phone: Zip:
Ir
Not
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain 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 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,] 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 recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instru ent was acknowledged be _^:
this day of 20,z1a_ b `=? 4 ��
The forgoing instru nt was acknowledged bey`,�e tyre A=I
this L day of �M 201fe by�t=„ =Ij
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/n Oern�e) a��<
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(Name of person acknowledging) �y
(Name of person acknowledging)
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(Signature 6f otary Public- State of lorida )V
Public -State of F115rida) a 2-
Personally Known/ OR Produced Identific
Personally Known ✓ OR Produced Identifi lion
Type of Identification
Type of Identification
Produced
Produced
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
�4
COMPLETED
Rev. 772514